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
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