Rapid assessment of the factors contributing to the increase in maternal and perinatal mortality during the COVID-19 pandemic in the Latin American region
Fil: Chapman, E. Centro de Estudios de Estado y Sociedad; Buenos Aires. Argentina
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2023
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| Acceso en línea: | http://repositorio.cedes.org/handle/123456789/4754 https://doi.org/10.21203/rs.3.rs-3373169/v1 |
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I61-R167-123456789-47542023-11-10T04:18:17Z Rapid assessment of the factors contributing to the increase in maternal and perinatal mortality during the COVID-19 pandemic in the Latin American region Chapman, Evelina Ramos, Silvina Romero, Mariana Sciurano, Guido Ricca, Jim Metcalfe, Gloria Ortiz Contreras, Ortiva Aguirre Acevedo, Daniel Camilo Cordova, Jorge Hermida Camacho-Hubner, Alma Virginia Gómez Dávila, Joaquín COVID-19 Health Policy Maternal Mortality Maternal Health Reproductive Health Fil: Chapman, E. Centro de Estudios de Estado y Sociedad; Buenos Aires. Argentina Fil: Ramos, S. Centro de Estudios de Estado y Sociedad; Buenos Aires. Argentina Fil: Romero, M. Centro de Estudios de Estado y Sociedad; Buenos Aires. Argentina Fil: Romero, M. Consejo Nacional de Investigaciones Científicas y Técnicas; Buenos Aires. Argentina Fil: Sciurano, G. Centro de Estudios de Estado y Sociedad; Buenos Aires. Argentina Fil: Ricca, J. Jhpiego/Baltimore; Baltimore, MD. USA Fil: Metcalfe, G. Jhpiego; Chile Fil: Ortiz Contreras, J. Facultad de Medicina de la Universidad de Chile; Santiago. Chile Fil: Aguirre Acevedo, DC. Universidad de Antioquia; Antioquia. Colombia Fil: Cordova, JH. Fundación para la Investigación y Gestión de los Servicios de Salud; Ecuador Fil: Camacho-Hubner, AM. Foundation for Health Services Research and Management Fil: Gómez Dávila, J. United Nations Population Fund Background: COVID-19 infection in pregnant women was known to be associated with increased morbidity and mortality in Latin America and the Caribbean as a consequence of comorbidity and disruption in the supply and use of health services. Methods: A multi-country qualitative study was carried out in Chile, Colombia, and Ecuador to investigate the factors contributing to maternal mortality in the period March 2020 - July 2021. Four sources were analyzed: health policy documents and interviews with decision-makers, service providers of health and relatives of women who died due to maternal causes during the aforementioned period. The information collected was coded according to dimensions of the SURE Collaborative model (Supporting the Use of Research Evidence Collaborative) for the analysis of the implementation of health policies; and their implementation was analyzed by applying the Three Delays model. Sixty-two policy documents were analyzed, and 21 interviews with decision makers, 30 interviews with service providers and 28 interviews with relatives of women who died from maternal causes were conducted. Results: The most relevant findings were the change in the maternal and reproductive health care model with the disruption of primary health care; the prioritization of emergency care for patients affected by COVID-19; and the fear of pregnant women to seek health services. The atomization of health management and the problems of communication/dissemination of the measures aimed at the general population and health teams generally undermined the provision of quality maternal and reproductive health services. Socioeconomic vulnerability was combined with the lack of systematic implementation measures for the policies. An example of this was the implementation of telemedicine and home visits. There were resource and skills gaps both in the system and among users. Likewise, deficits were identified in infrastructure, inputs, human resources, and their protection which mainly affected the third delay. Conclusion: Various factors affected the availability, use, and quality of maternal, reproductive, and perinatal health services during the COVID 19 pandemic. Access to timely quality maternal health care was severely affected. Study registration: The study protocol was registered on the OSF storage website (1). 2023-11-09T16:40:01Z 2023-11-09T16:40:01Z 2023-10-30 Artículo http://repositorio.cedes.org/handle/123456789/4754 https://doi.org/10.21203/rs.3.rs-3373169/v1 en Research Square; |
| institution |
Centro de Estudios de Estado y Sociedad (CEDES) |
| institution_str |
I-61 |
| repository_str |
R-167 |
| collection |
Respositorio Digital CRIS del CEDES - Centro de Estudios de Estado y Sociedad |
| language |
Inglés |
| topic |
COVID-19 Health Policy Maternal Mortality Maternal Health Reproductive Health |
| spellingShingle |
COVID-19 Health Policy Maternal Mortality Maternal Health Reproductive Health Chapman, Evelina Ramos, Silvina Romero, Mariana Sciurano, Guido Ricca, Jim Metcalfe, Gloria Ortiz Contreras, Ortiva Aguirre Acevedo, Daniel Camilo Cordova, Jorge Hermida Camacho-Hubner, Alma Virginia Gómez Dávila, Joaquín Rapid assessment of the factors contributing to the increase in maternal and perinatal mortality during the COVID-19 pandemic in the Latin American region |
| topic_facet |
COVID-19 Health Policy Maternal Mortality Maternal Health Reproductive Health |
| description |
Fil: Chapman, E. Centro de Estudios de Estado y Sociedad; Buenos Aires. Argentina |
| format |
Artículo |
| author |
Chapman, Evelina Ramos, Silvina Romero, Mariana Sciurano, Guido Ricca, Jim Metcalfe, Gloria Ortiz Contreras, Ortiva Aguirre Acevedo, Daniel Camilo Cordova, Jorge Hermida Camacho-Hubner, Alma Virginia Gómez Dávila, Joaquín |
| author_facet |
Chapman, Evelina Ramos, Silvina Romero, Mariana Sciurano, Guido Ricca, Jim Metcalfe, Gloria Ortiz Contreras, Ortiva Aguirre Acevedo, Daniel Camilo Cordova, Jorge Hermida Camacho-Hubner, Alma Virginia Gómez Dávila, Joaquín |
| author_sort |
Chapman, Evelina |
| title |
Rapid assessment of the factors contributing to the increase in maternal and perinatal mortality during the COVID-19 pandemic in the Latin American region |
| title_short |
Rapid assessment of the factors contributing to the increase in maternal and perinatal mortality during the COVID-19 pandemic in the Latin American region |
| title_full |
Rapid assessment of the factors contributing to the increase in maternal and perinatal mortality during the COVID-19 pandemic in the Latin American region |
| title_fullStr |
Rapid assessment of the factors contributing to the increase in maternal and perinatal mortality during the COVID-19 pandemic in the Latin American region |
| title_full_unstemmed |
Rapid assessment of the factors contributing to the increase in maternal and perinatal mortality during the COVID-19 pandemic in the Latin American region |
| title_sort |
rapid assessment of the factors contributing to the increase in maternal and perinatal mortality during the covid-19 pandemic in the latin american region |
| publishDate |
2023 |
| url |
http://repositorio.cedes.org/handle/123456789/4754 https://doi.org/10.21203/rs.3.rs-3373169/v1 |
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