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

Author

Listed:
  • Maria De Jesus

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

  • Nora Sullivan

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

  • William Hopman

    (Data Science, Purdue University, West Lafayette, IN 47907, USA)

  • Alex Martinez

    (Statistics and Data Science, The University of Texas at San Antonio, San Antonio, TX 78249, USA)

  • Paul David Glenn

    (Agricultural and Environmental Sciences, McGill University, Montreal, QC H3A 0G4, Canada)

  • Saviour Msopa

    (Mathematics and Statistics, American University, Washington, DC 20016, USA)

  • Brooke Milligan

    (Mathematics, Temple University, Philadelphia, PA 19122, USA)

  • Noah Doney

    (Mathematics, University of Maryland College Park, College Park, MD 20742, USA)

  • William Howell

    (Mathematics and Statistics, American University, Washington, DC 20016, USA)

  • Kimberly Sellers

    (Mathematics and Statistics, Georgetown University, Washington, DC 20057, USA)

  • Monica C. Jackson

    (Mathematics and Statistics, American University, Washington, DC 20016, 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.

Suggested Citation

  • Maria De Jesus & Nora Sullivan & William Hopman & Alex Martinez & Paul David Glenn & Saviour Msopa & Brooke Milligan & Noah Doney & William Howell & Kimberly Sellers & Monica C. Jackson, 2023. "Examining the Role of Quality of Institutionalized Healthcare on Maternal Mortality in the Dominican Republic," IJERPH, MDPI, vol. 20(14), pages 1-11, July.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:14:p:6413-:d:1198331
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    References listed on IDEAS

    as
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