Related Experiment Video
Updated: Mar 21, 2026
06:55
Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
Published on: January 8, 2020
15.5K
Exploratory analysis of preventable first day mortality in Colombia
M C Jaramillo-Mejía1, D Chernichovsky2, J D Martínez-Blanco3
1Department of Organizational Management, ICESI University, Cali, Colombia; University of Granada, Spain.
Public Health
|May 3, 2016
Summary
Preventable first-day mortality in Colombia significantly declined, yet remains a socio-economic issue. Public health policies should prioritize interventions for normal and low birthweight infants, especially in rural and underserved populations.
Area of Science:
- Public Health
- Neonatal Mortality Research
- Health Policy Analysis
Background:
- Colombia's infant mortality rate (IMR) was 17.78 deaths per 1000 live births in 2011.
- First day mortality (FDM) and preventable first day mortality (PFDM) contribute significantly to IMR.
- Reducing PFDM is a key strategy for public health policy to lower IMR.
Purpose of the Study:
- To analyze trends in FDM and PFDM in Colombia from 2001-2012.
- To identify the correlates and causes of PFDM by biological, socio-economic, and medical factors.
- To inform public health policy for reducing infant mortality.
Main Methods:
- Time series analysis (2001-2012) using linear regression.
- Cross-sectional analysis (2012) using odds ratios and bi-variate methods.
- Classification of PFDM by birthweight, gestational age, and risk factors.
Main Results:
- FDM declined by 6.30% annually (2001-2012), outpacing overall IMR decline (4.20%).
- In 2012, 37.04% of FDM was preventable through improved pregnancy care, childbirth management, and timely treatment.
- PFDM disproportionately affects lower socio-economic groups in rural areas, linked to inadequate pregnancy and delivery management.
Conclusions:
- Prioritize interventions for normal and very low birthweight/gestational age infants.
- Increase prenatal visits and consider widespread use of fetal monitoring and echography.
- Target policies towards underserved populations: subsidized insurance members, rural residents, young, low-educated, and single mothers.
Related Concept Videos
01:25Statistical Methods for Analyzing Epidemiological Data
1.2K
Epidemiological data primarily involves information on specific populations' occurrence, distribution, and determinants of health and diseases. This data is crucial for understanding disease patterns and impacts, aiding public health decision-making and disease prevention strategies. The analysis of epidemiological data employs various statistical methods to interpret health-related data effectively. Here are some commonly used methods:
1.2K
01:08Prevalence and Incidence
2.3K
In statistical epidemiology and health sciences, two essential metrics—prevalence and incidence—are fundamental for understanding disease dynamics within a population. These measures enable public health officials, epidemiologists, and researchers to assess the burden of diseases, allocate resources effectively, and design impactful public health policies and interventions.
Prevalence indicates the proportion of individuals in a population who have a specific disease or health...
Prevalence indicates the proportion of individuals in a population who have a specific disease or health...
2.3K
01:29Bias in Epidemiological Studies
1.5K
Biases can arise at various stages of research, from study design and data collection to analysis and interpretation. Recognizing and addressing these biases is essential to ensure the validity and reliability of epidemiological findings.Broadly speaking, biases in epidemiology fall into three main categories: selection bias, information bias, and confounding. A more detailed description of possible biases is:
1.5K
01:26Methods Of Healthcare Delivery System
4.2K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
4.2K
01:20Actuarial Approach
357
The actuarial approach, a statistical method originally developed for life insurance risk assessment, is widely used to calculate survival rates in clinical and population studies. This method accounts for participants lost to follow-up or those who die from causes unrelated to the study, ensuring a more accurate representation of survival probabilities.
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
357
01:21Cancer Survival Analysis
819
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
819