Examining the Role of Quality of Institutionalized Healthcare on Maternal Mortality in the Dominican Republic

Author:

De Jesus Maria1ORCID,Sullivan Nora1,Hopman William2,Martinez Alex3,Glenn Paul David4,Msopa Saviour5,Milligan Brooke6,Doney Noah7,Howell William5,Sellers Kimberly8ORCID,Jackson Monica C.5

Affiliation:

1. School of International Service & Center on Health, Risk, and Society, American University, Washington, DC 20016, USA

2. Data Science, Purdue University, West Lafayette, IN 47907, USA

3. Statistics and Data Science, The University of Texas at San Antonio, San Antonio, TX 78249, USA

4. Agricultural and Environmental Sciences, McGill University, Montreal, QC H3A 0G4, Canada

5. Mathematics and Statistics, American University, Washington, DC 20016, USA

6. Mathematics, Temple University, Philadelphia, PA 19122, USA

7. Mathematics, University of Maryland College Park, College Park, MD 20742, USA

8. Mathematics and Statistics, Georgetown University, Washington, DC 20057, USA

Abstract

The main study objective was to determine the extent to which the quality of institutionalized healthcare, sociodemographic factors of obstetric patients, and institutional factors affect maternal mortality in the Dominican Republic. COM-Poisson distribution and the Pearson correlation coefficient were used to determine the relationship of predictor factors (i.e., hospital bed rate, vaginal birth rate, teenage mother birth rate, single mother birth rate, unemployment rate, infant mortality rate, and sex of child rate) in influencing maternal mortality rate. The factors hospital bed rate, teenage mother birth rate, and unemployment rate were not correlated with maternal mortality. Maternal mortality increased as vaginal birth rates and infant death rates increased whereas it decreased as single mother birth rates increased. Further research to explore alternate response variables, such as maternal near-misses or severe maternal morbidity is warranted. Additionally, the link found between infant death and maternal mortality presents an opportunity for collaboration among medical specialists to develop multi-faceted solutions to combat adverse maternal and infant health outcomes in the DR.

Funder

American University Faculty-Student Pilot Grant Award

American University’s Department of Mathematics and Statistics

Delta Kappa Gamma International Educators Foundation

National Science Foundation (NSF) grant administered through the Mathematical Association of America

National Security Agency

Publisher

MDPI AG

Subject

Health, Toxicology and Mutagenesis,Public Health, Environmental and Occupational Health

Reference49 articles.

1. UNICEF Data (2022, March 28). Maternal Mortality Rates and Statistics. Available online: https://data.unicef.org/topic/maternal-health/maternal-mortality/.

2. World Health Organization (2022, January 05). Ending Preventable Maternal Mortality Online Consultation for Coverage Targets for Ending Preventable Maternal Mortality. Available online: https://www.who.int/news/item/03-09-2020-ending-preventable-maternal-mortality-online-consultation-for-coverage-targets-for-ending-preventable-maternal-mortality.

3. A flexible zero-inflated model to address data dispersion;Sellers;Comput. Stat. Data Anal.,2016

4. World Health Organization (2022, January 05). Maternal Mortality. Available online: https://www.who.int/news-room/fact-sheets/detail/maternal-mortality.

5. Prenatal care and hospital maternal mortality in Tijuana, Baja California, Mexico;Salud Publica Mex.,2014

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3