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Determinants of Performance of Health Systems Concerning Maternal and Child Health: A Global Approach

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  • Carlos Eduardo Pinzón-Flórez
  • Julián Alfredo Fernández-Niño
  • Myriam Ruiz-Rodríguez
  • Álvaro J Idrovo
  • Abel Armando Arredondo López

Abstract

Aims: To assess the association of social determinants on the performance of health systems around the world. Methods: A transnational ecological study was conducted with an observation level focused on the country. In order to research on the strength of the association between the annual maternal and child mortality in 154 countries and social determinants: corruption, democratization, income inequality and cultural fragmentation, we used a mixed linear regression model for repeated measures with random intercepts and a conglomerate-based geographical analysis, between 2000 and 2010. Results: Health determinants with a significant association on child mortality(

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  • Carlos Eduardo Pinzón-Flórez & Julián Alfredo Fernández-Niño & Myriam Ruiz-Rodríguez & Álvaro J Idrovo & Abel Armando Arredondo López, 2015. "Determinants of Performance of Health Systems Concerning Maternal and Child Health: A Global Approach," PLOS ONE, Public Library of Science, vol. 10(3), pages 1-27, March.
    • Handle: RePEc:plo:pone00:0120747
    DOI: 10.1371/journal.pone.0120747
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    1. Edson Servan-Mori & Leticia Avila-Burgos & Gustavo Nigenda & Rafael Lozano, 2016. "A Performance Analysis of Public Expenditure on Maternal Health in Mexico," PLOS ONE, Public Library of Science, vol. 11(4), pages 1-14, April.
    2. Bukenya, Badru & Golooba-Mutebi, Frederick, 2020. "What explains sub-national variation in maternal mortality rates within developing countries? A political economy explanation," Social Science & Medicine, Elsevier, vol. 256(C).
    3. P Th Houngbo & H L S Coleman & M Zweekhorst & Tj De Cock Buning & D Medenou & J F G Bunders, 2017. "A Model for Good Governance of Healthcare Technology Management in the Public Sector: Learning from Evidence-Informed Policy Development and Implementation in Benin," PLOS ONE, Public Library of Science, vol. 12(1), pages 1-22, January.
    4. Carlos Eduardo Pinzón-Flórez & Julian Alfredo Fernandez-Niño & Luz Mery Cardenas-Cardenas & Diana Marcela Díaz-Quijano & Myriam Ruiz-Rodriguez & Ludovic Reveiz & Armando Arredondo-López, 2017. "Generation and evaluation of an indicator of the health system’s performance in maternal and reproductive health in Colombia: An ecological study," PLOS ONE, Public Library of Science, vol. 12(8), pages 1-15, August.
    5. Pietro Previtali & Paola Cerchiello, 2018. "The Prevention of Corruption as an Unavoidable Way to Ensure Healthcare System Sustainability," Sustainability, MDPI, vol. 10(9), pages 1-14, August.
    6. Jinlin Liu & Karen Eggleston, 2022. "The Association between Health Workforce and Health Outcomes: A Cross-Country Econometric Study," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 163(2), pages 609-632, September.

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