Abstract

BRICENO AYALA, Leonardo; PINZON RONDON, Ángela María  and  ZARATE ARDILA, Carol Jisseth. Access, Security and Integrity in the Care Registration of Pregnant Women in Colombia, 2007 to 2009. Rev. Cienc. Salud [online]. 2015, vol.13, n.3, pp.355-367. ISSN 1692-7273.  https://doi.org/10.12804/revsalud13.03.2015.03.

Objective: To determine the characteristics of the quality of health services provided to pregnant women by examining registers of secondary sources. To compare the social security health insurance schemes (subsidized and contributory) in terms of access, security and integrity based on the national standard between 2007 and 2009. Material and methods: Descriptive observational study. Data from the Adequacy Study Database of the Health Ministry, the Individual Register of Public Services and the State Vital Records of the National Statistics Department. Descriptive measures were calculated and the results between the main forms of affiliation to the social security health were compared. Results: There was at least one statistically significant difference between health care provided to pregnant women affiliated to subsidiary (SS) and to the contributory (CS) protection services in following items: 74.4% attendance of at least one antenatal consultation in the CS and 48% in the SS; 98.5% institutionally attended deliveries in the CS and 97.5% in the SS; 45.5% cesarean deliveries in the CS and 33% in the SS; and at least one antenatal consultation, three lab tests and institutionally attended delivery as a whole in 45.6% of cases in the CS and 23.3% in the SS. Conclusions: Prenatal services in Colombia do not meet the standards established by the Colombian norm, especially in pregnant women of the subsidiary health care system. High inequality between the contributive and the subsidiary health systems were established in this sample.

Keywords : Prenatal care; Quality care for pregnant women; Public health.

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