IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v20y2023i14p6413-d1198331.html
   My bibliography  Save this article

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
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/20/14/6413/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/20/14/6413/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. George L. Wehby & Lucas G. Gimenez & Jorge S. López-Camelo, 2017. "The impact of unemployment cycles on child and maternal health in Argentina," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(2), pages 197-207, March.
    2. Rebecca Jayne Stack & Alex Meredith, 2018. "The Impact of Financial Hardship on Single Parents: An Exploration of the Journey From Social Distress to Seeking Help," Journal of Family and Economic Issues, Springer, vol. 39(2), pages 233-242, June.
    3. Meghan A Bohren & Joshua P Vogel & Erin C Hunter & Olha Lutsiv & Suprita K Makh & João Paulo Souza & Carolina Aguiar & Fernando Saraiva Coneglian & Alex Luíz Araújo Diniz & Özge Tunçalp & Dena Javadi , 2015. "The Mistreatment of Women during Childbirth in Health Facilities Globally: A Mixed-Methods Systematic Review," PLOS Medicine, Public Library of Science, vol. 12(6), pages 1-32, June.
    4. Sellers, Kimberly F. & Raim, Andrew, 2016. "A flexible zero-inflated model to address data dispersion," Computational Statistics & Data Analysis, Elsevier, vol. 99(C), pages 68-80.
    5. Fahmy, Chantal, 2021. "First weeks out: Social support stability and health among formerly incarcerated men," Social Science & Medicine, Elsevier, vol. 282(C).
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Rena Bakker & Ephrem D. Sheferaw & Tegbar Yigzaw & Jelle Stekelenburg & Marlou L. A. de Kroon, 2020. "Risk Factors for Positive Appraisal of Mistreatment during Childbirth among Ethiopian Midwifery Students," IJERPH, MDPI, vol. 17(8), pages 1-9, April.
    2. Desirée Mena-Tudela & Susana Iglesias-Casás & Víctor Manuel González-Chordá & María Jesús Valero-Chillerón & Laura Andreu-Pejó & Águeda Cervera-Gasch, 2021. "Obstetric Violence in Spain (Part III): Healthcare Professionals, Times, and Areas," IJERPH, MDPI, vol. 18(7), pages 1-17, March.
    3. Seiz, Marta & Salazar, Leire & Eremenko, Tatiana, 2024. "Perinatal health in Spain during and after the Great Recession: Educational selection into fertility as a protective factor in high unemployment contexts," Social Science & Medicine, Elsevier, vol. 340(C).
    4. Akbulut-Yuksel, Mevlude & Cilasun, Seyit Mümin & Turan, Belgi, 2020. "Children of Crisis: The Effects of Economic Shocks on Newborns," IZA Discussion Papers 12898, Institute of Labor Economics (IZA).
    5. Narayani Paudel Ghimire & Sunil Kumar Joshi & Pranab Dahal & Katarina Swahnberg, 2021. "Women’s Experience of Disrespect and Abuse during Institutional Delivery in Biratnagar, Nepal," IJERPH, MDPI, vol. 18(18), pages 1-10, September.
    6. Katarina Swahnberg & Anke Zbikowski & Kumudu Wijewardene & Agneta Josephson & Prembarsha Khadka & Dinesh Jeyakumaran & Udari Mambulage & Jennifer J. Infanti, 2019. "Can Forum Play Contribute to Counteracting Abuse in Health Care? A Pilot Intervention Study in Sri Lanka," IJERPH, MDPI, vol. 16(9), pages 1-10, May.
    7. Rena Bakker & Ephrem D Sheferaw & Jelle Stekelenburg & Tegbar Yigzaw & Marlou L A de Kroon, 2020. "Development and use of a scale to assess gender differences in appraisal of mistreatment during childbirth among Ethiopian midwifery students," PLOS ONE, Public Library of Science, vol. 15(1), pages 1-15, January.
    8. Elizabeth Zitha & Mathilda M. Mokgatle, 2020. "Women’s Views of and Responses to Maternity Services Rendered during Labor and Childbirth in Maternity Units in a Semi-Rural District in South Africa," IJERPH, MDPI, vol. 17(14), pages 1-12, July.
    9. Emanuelle Pessa Valente & Ilaria Mariani & Benedetta Covi & Marzia Lazzerini, 2022. "Quality of Informed Consent Practices around the Time of Childbirth: A Cross-Sectional Study in Italy," IJERPH, MDPI, vol. 19(12), pages 1-13, June.
    10. Jing Jian Xiao & Kyoung Tae Kim, 2022. "The Able Worry More? Debt Delinquency, Financial Capability, and Financial Stress," Journal of Family and Economic Issues, Springer, vol. 43(1), pages 138-152, March.
    11. Valerie K. Heintz-Martin & Alexandra N. Langmeyer, 2020. "Economic Situation, Financial Strain and Child Wellbeing in Stepfamilies and Single-Parent Families in Germany," Journal of Family and Economic Issues, Springer, vol. 41(2), pages 238-254, June.
    12. Kimberly F. Sellers & Andrew W. Swift & Kimberly S. Weems, 2017. "A flexible distribution class for count data," Journal of Statistical Distributions and Applications, Springer, vol. 4(1), pages 1-21, December.
    13. Janet Lok Chun Lee & Temmy Lee Ting Lo & Rainbow Tin Hung Ho, 2018. "Understanding Outdoor Gyms in Public Open Spaces: A Systematic Review and Integrative Synthesis of Qualitative and Quantitative Evidence," IJERPH, MDPI, vol. 15(4), pages 1-15, March.
    14. Stevenson, Clifford & Costa, Sebastiano & Wakefield, Juliet R.H. & Kellezi, Blerina & Stack, Rebecca J., 2020. "Family identification facilitates coping with financial stress: A social identity approach to family financial resilience," Journal of Economic Psychology, Elsevier, vol. 78(C).
    15. Georgia Michlig & Nicole Warren & Merry Berhe & Crista Johnson-Agbakwu, 2021. "Female Genital Mutilation/Cutting among Somali Women in the U.S. State of Arizona: Evidence of Treatment Access, Health Service Use and Care Experiences," IJERPH, MDPI, vol. 18(7), pages 1-15, April.
    16. Dinusha Perera & Muzrif Munas & Katarina Swahnberg & Kumudu Wijewardene & Jennifer J. Infanti & on behalf of the ADVANCE Study Group, 2022. "Obstetric Violence Is Prevalent in Routine Maternity Care: A Cross-Sectional Study of Obstetric Violence and Its Associated Factors among Pregnant Women in Sri Lanka’s Colombo District," IJERPH, MDPI, vol. 19(16), pages 1-13, August.
    17. Wang, Fan & Li, Heng & Dong, Chao, 2021. "Understanding near-miss count data on construction sites using greedy D-vine copula marginal regression," Reliability Engineering and System Safety, Elsevier, vol. 213(C).
    18. Derek Asuman & Ama Pokuaa Fenny & Doreen Nyarko Anyamesem Odame, 2021. "Trends and antecedents of inequalities in maternal healthcare coverage in four African countries," Journal of International Development, John Wiley & Sons, Ltd., vol. 33(3), pages 515-544, April.
    19. Lin, Chung-Liang, 2021. "Postpartum medical utilization: The role of prenatal economic activity and living costs," Economics & Human Biology, Elsevier, vol. 41(C).
    20. Bell, Zoë & Scott, Steph & Visram, Shelina & Rankin, Judith & Bambra, Clare & Heslehurst, Nicola, 2022. "Experiences and perceptions of nutritional health and wellbeing amongst food insecure women in Europe: A qualitative meta-ethnography," Social Science & Medicine, Elsevier, vol. 311(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:20:y:2023:i:14:p:6413-:d:1198331. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.