Affecting factors in the epidemiologic surveillance of mother mortality in Cauca, Colombia
DOI:
https://doi.org/10.18597/rcog.687Keywords:
maternal mortality, epidemiological surveillance, qualitative studies, focus groupsAbstract
BACKGROUND: in the last 5 years it has been detected an increase in mother mortality in the Cauca department.
OBJECTIVE: To determine the affecting factors in the epidemiological surveillance of mother mortality.
DESIGN: Qualitative research by means of local groups.
SETTING: Teams in charge of the mother mortality surveillance in local hospitals of Cauca department.
PARTICIPANTS: 14 surveilIance groups gathered as local groups. Sample method: by convenience.
MAIN OUTCOME MEASURES: The surveillance groups were gathered by the geographic and cultural vicinity looking for homogeneity in 4 groups. The average number has 12, discussion average time was 90 minutes. Discussion was recorded in video and audiotape. Analysis was done by means or subject identification and incidence density.
RESULTS: the main identified factors were: Lack of stall continuity, negative influence of de-centralization process. Data register without analysis. Lack of a structured system of surveillance.
CONCLUSIONS: Focal groups were able to identified lack of a structured policy in the departmental health directions respect to mother mortality. The attempts to establish a policy and an information system had faced difficulties in the new health system in Colombia.
Author Biographies
Mario Delgado Noguera
Carmen Daza Córdoba
References
Mora G, Yunes J. Mortalidad materna: una tragedia ignorada. En género, mujer y salud en las Américas, publicación científica No. 541, OPS, Washington, 1993.
Plan de acción regional para la reducción de la mortalidad materna en las Américas, Bol Of Sanit Panam 110(5), 1991.
Echeverry ML, Loaíza IB, Vélez LM. Vigilancia epidemiológica en mortalidad materna y perinatal en Antioquia, Boletín epidemiológico de Antioquia, 1993; 18: 40-46.
Dirección seccional de salud de Antioquia, Oficina de Epidemiología, Protocolos de Vigilancia epidemiológica, 4a. Ed. Medellín, 1996.
Tapia R. La importancia de la vigilancia epidemiológica en los servicios de medicina preventiva, Epidemiología, Sistema nacional de Vigilancia epidemiológica, México, 13; 32. Agosto 1996.
Dirección Seccional de salud del Cauca. Informes sobre vigilancia epidemiológica de la mortalidad rnaterno-perinatal en municipios del Cauca. Popayán, 1997.
Bender D, Ewbank D. The focus group as a tool for health research: issues in design and analysis, Health Transition Review vol. 4 N° 1, 1994.
Vong EK. P Focus group technique. En: Youdummen-Attig B, Attig G, Boonchalansky V. A field manual on selected qualitative research methods, Mahidol University, Thailandia, 1989.
Wilms D, Johnson N. Focus groups. En: Essential in Qualitative research. A notebook for the field. Documento interno no publicado. McMaster University, Canadá.
Maholtra NK, Investigación de Mercados, Simon & Schuster Co. México, 1997, cap. 5.
Youdummen-Attig (1989) Cap. 5. Data analysis and report writing. En Youdummen-Attig, A field manual of selected qualitative research methods, Documento interno no publicado, Mahidol University, Thailandia.
Salvador J, De la Luna E, Reid A, Rivera L. Un enfoque biosicosocial de la enfermedad hipertensiva aguda del embarazo, Salud Pública Mex 1989; 31: 757-762
Blanco Muñoz J. y cols. Mortalidad materna en el área de Huichol del estado de Jalisco, México. Salud Pública Mex 1994; 36: 263-268.
Villegas C, Luna J. La salud materna: un gran reto para Colombia, Revista de Salud Pública, vol. 1, N° 1, Facultad de Medicina, Universidad Nacional de Colombia, Bogotá, Marzo, 1999.
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