de Osorio, Sonia Pazmiño; Guzmán-Gómez, Ney
January 2009
Revista Colombiana de Obstetricia y Ginecologia;2009, Vol. 60 Issue 1, p12
Academic Journal
Objective: analysing the statistical data regarding maternal deaths in Cali (Colombia) during two consecutive decades (1985-2004) and correlating outcomes with environmental and social indicators. Methodology: the Canadian Laframboise conceptual model was used for explaining how health service organisation and other aspects of medical care play a part in decreasing maternal mortality rates. Results: maternal deaths in Cali have been decreasing since 1994. No significant quantitative variations in environmental and/or social indicators for Cali were detected from 1994-2004. High prenatal control (97%) and institutional delivery coverage (98%) remained stable, together with an efficient referral and counter-referral system. Improving prenatal attention quality through periodic evaluation and adjustment and obstetrician/gynaecologists' ongoing participation in first-level attention were the highlights of public attention service network intervention. Discussion: prenatal risk factors, broad institutional coverage for a quality motherhood care programme and an efficient referral system have all contributed towards reducing maternal deaths by nearly 80 (taking Guzmán's 1986 calculation as reference point).


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