Geographical Accessibility to Obstetric and Neonatal Care and its Effect on Early Neonatal Mortality in Colombia, 2012-2014
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| Natura: | Artículo científico |
| Lingua: | en |
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Universidad Autónoma de Bucaramanga
2017
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| _version_ | 1876425162035822592 |
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| author | Diego Fernando Rojas-Gualdrón |
| author_facet | Diego Fernando Rojas-Gualdrón |
| contents | Geographical Accessibility to Obstetric and Neonatal Care and its Effect on Early Neonatal Mortality in Colombia, 2012-2014 Diego Fernando Rojas-Gualdrón Beatriz Caicedo-Velásquez Medicina Maternal Spatial Analysis Child Health Services Healthcare Disparities Early Neonatal Mortality Introduction: The distribution of health resources influences early neonatal mortality, granting access to obstetric care which is a major public health problem. However, the geographical dimension of this influence has not been studied in Colombia. Objective: To describe the geographical accessibility to obstetric and neonatal care beds and its association with early neonatal mortality in Colombia and its municipalities. Method: An ecological study at municipal level was carried out. Ordinary least squares (OLS) regression and a geographically weighted regression (GWR) were used to explore statistical and spatial associations. Results: The municipalities in Colombia with Higher mortality tend to have lower geographical accessibility to obstetric and neonatal beds after controlling the fertility and economic characteristics of these municipalities. This association is significant only in municipalities of the west coast. The strength of this association decreases in inner municipalities. Discussion: The centralization of obstetric and neonatal beds in major municipalities around the central region leaves municipalities with high risk of mortality underserved. The decentralization of obstetric and neonatal healthcare resources is a mandatory issue in order to reduce geographical disparities in mortality and to improve neonatal survival, and a healthy beginning of l i fe. Rojas- Gualdrón DF, Caicedo- Velásquez B. Geographical Accessibility to Obstetric and Neonatal Care and its Effect on Early Neonatal Mortality in Colombia, 2012- 2014. MedUNAB 2017; 20 (1): 7-18. 2017 artículo científico 0123-7047 https://www.redalyc.org/articulo.oa?id=71964822009 https://www.redalyc.org/journal/719/71964822009/ https://www.redalyc.org/journal/719/71964822009/html/ https://www.redalyc.org/journal/719/71964822009/71964822009.epub https://www.redalyc.org/journal/719/71964822009/movil https://doi.org/10.29375/01237047.2670 en http://www.redalyc.org/revista.oa?id=719 MedUNAB application/pdf Universidad Autónoma de Bucaramanga MedUNAB (Colombia) Num.1 Vol.20 |
| format | Artículo científico |
| id | redalyc_71964822009 |
| institution | Redalyc |
| language | en |
| publishDate | 2017 |
| publisher | Universidad Autónoma de Bucaramanga |
| spellingShingle | Geographical Accessibility to Obstetric and Neonatal Care and its Effect on Early Neonatal Mortality in Colombia, 2012-2014 Diego Fernando Rojas-Gualdrón Medicina Maternal Spatial Analysis Child Health Services Healthcare Disparities Early Neonatal Mortality Geographical Accessibility to Obstetric and Neonatal Care and its Effect on Early Neonatal Mortality in Colombia, 2012-2014 Diego Fernando Rojas-Gualdrón Beatriz Caicedo-Velásquez Medicina Maternal Spatial Analysis Child Health Services Healthcare Disparities Early Neonatal Mortality Introduction: The distribution of health resources influences early neonatal mortality, granting access to obstetric care which is a major public health problem. However, the geographical dimension of this influence has not been studied in Colombia. Objective: To describe the geographical accessibility to obstetric and neonatal care beds and its association with early neonatal mortality in Colombia and its municipalities. Method: An ecological study at municipal level was carried out. Ordinary least squares (OLS) regression and a geographically weighted regression (GWR) were used to explore statistical and spatial associations. Results: The municipalities in Colombia with Higher mortality tend to have lower geographical accessibility to obstetric and neonatal beds after controlling the fertility and economic characteristics of these municipalities. This association is significant only in municipalities of the west coast. The strength of this association decreases in inner municipalities. Discussion: The centralization of obstetric and neonatal beds in major municipalities around the central region leaves municipalities with high risk of mortality underserved. The decentralization of obstetric and neonatal healthcare resources is a mandatory issue in order to reduce geographical disparities in mortality and to improve neonatal survival, and a healthy beginning of l i fe. Rojas- Gualdrón DF, Caicedo- Velásquez B. Geographical Accessibility to Obstetric and Neonatal Care and its Effect on Early Neonatal Mortality in Colombia, 2012- 2014. MedUNAB 2017; 20 (1): 7-18. 2017 artículo científico 0123-7047 https://www.redalyc.org/articulo.oa?id=71964822009 https://www.redalyc.org/journal/719/71964822009/ https://www.redalyc.org/journal/719/71964822009/html/ https://www.redalyc.org/journal/719/71964822009/71964822009.epub https://www.redalyc.org/journal/719/71964822009/movil https://doi.org/10.29375/01237047.2670 en http://www.redalyc.org/revista.oa?id=719 MedUNAB application/pdf Universidad Autónoma de Bucaramanga MedUNAB (Colombia) Num.1 Vol.20 |
| title | Geographical Accessibility to Obstetric and Neonatal Care and its Effect on Early Neonatal Mortality in Colombia, 2012-2014 |
| topic | Medicina Maternal Spatial Analysis Child Health Services Healthcare Disparities Early Neonatal Mortality |
| url | https://www.redalyc.org/articulo.oa?id=71964822009 https://www.redalyc.org/journal/719/71964822009/ https://www.redalyc.org/journal/719/71964822009/html/ https://www.redalyc.org/journal/719/71964822009/71964822009.epub https://www.redalyc.org/journal/719/71964822009/movil https://doi.org/10.29375/01237047.2670 |