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[Determinants of infant mortality in Colombia. Path Analysis]

Marta C Jaramillo-Mejía1, Dov Chernichovsky2, José J Jiménez-Moleón3

  • 1MJ: MD. Ph. D. Medicina Clínica y Salud Pública. M. Sc. Investigación y Avances en Medicina Preventiva y Salud Pública. Especialista en Gerencia Hospitalaria y en Gerencia de la Salud Pública. Departamento de Gestión Organizacional, Universidad Icesi. Colombia. mcjara@icesi.edu.co.

Revista De Salud Publica (Bogota, Colombia)
|September 6, 2018
PubMed

Insights

High birth weight and prenatal care are crucial for infant survival. Improving access to maternal and child health services, especially for those in subsidized regimes, can significantly reduce infant mortality rates.

Area of Science:

  • Public Health
  • Demography
  • Epidemiology

Background:

  • Infant mortality is a critical public health issue influenced by multifaceted factors.
  • Understanding the interplay of biological, environmental, socioeconomic, and medical determinants is essential for effective intervention strategies.

Purpose of the Study:

  • To elucidate the independent contributions of biological, environmental, socioeconomic, and medical factors to infant mortality risk.
  • To identify key predictors of infant survival using comprehensive population data.

Main Methods:

  • Path analysis was employed using complete infant birth and death records from Colombia (2003-2009).
  • Data included information on maternal and child health service availability and socioeconomic indicators.

Main Results:

  • Normal gestational age and high birth weight are the most significant biological factors for infant survival.
  • Prenatal care utilization is a critical determinant in reducing infant mortality.
  • Higher maternal education levels and access to quality care within the contributory social health insurance system positively impact infant survival chances.

Conclusions:

  • Enhancing access to maternal, child, and intensive care services, particularly within the subsidized healthcare regime, is recommended to lower infant mortality.
  • Interventions should address both biological predispositions and socioeconomic/medical access barriers to improve infant survival outcomes.
Abstract

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