Rapid assessment of the factors contributing to the increase in maternal mortality during the COVID-19 pandemic in the Latin American region

Fil: Chapman, Evelina. Centro de Estudios de Estado y Sociedad; Buenos Aires, Argentina. Department of Public Health, University of the Frontier; Temuco, Chile.

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Autores principales: Chapman, Evelina, Ramos, Silvina, Romero, Mariana, Sciurano, Guido, Ricca, Jim, Metcalfe, Gloria, Ortiz Contreras, Jovita, Gómez Dávila, Joaquín, Aguirre Acevedo, Daniel Camilo, Hermida Cordova, Jorge, Camacho-Hubner, Alma Virginia
Formato: Artículo
Lenguaje:Español
Publicado: 2026
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Acceso en línea:http://repositorio.cedes.org/handle/123456789/4816
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id I61-R167-123456789-4816
record_format dspace
institution Centro de Estudios de Estado y Sociedad (CEDES)
institution_str I-61
repository_str R-167
collection Respositorio Digital CRIS del CEDES - Centro de Estudios de Estado y Sociedad
language Español
topic POLITICA DE SALUD
Salud Materna
Mortalidad materna
Salud Reproductiva
spellingShingle POLITICA DE SALUD
Salud Materna
Mortalidad materna
Salud Reproductiva
Chapman, Evelina
Ramos, Silvina
Romero, Mariana
Sciurano, Guido
Ricca, Jim
Metcalfe, Gloria
Ortiz Contreras, Jovita
Gómez Dávila, Joaquín
Aguirre Acevedo, Daniel Camilo
Hermida Cordova, Jorge
Camacho-Hubner, Alma Virginia
Rapid assessment of the factors contributing to the increase in maternal mortality during the COVID-19 pandemic in the Latin American region
topic_facet POLITICA DE SALUD
Salud Materna
Mortalidad materna
Salud Reproductiva
description Fil: Chapman, Evelina. Centro de Estudios de Estado y Sociedad; Buenos Aires, Argentina. Department of Public Health, University of the Frontier; Temuco, Chile.
format Artículo
author Chapman, Evelina
Ramos, Silvina
Romero, Mariana
Sciurano, Guido
Ricca, Jim
Metcalfe, Gloria
Ortiz Contreras, Jovita
Gómez Dávila, Joaquín
Aguirre Acevedo, Daniel Camilo
Hermida Cordova, Jorge
Camacho-Hubner, Alma Virginia
author_facet Chapman, Evelina
Ramos, Silvina
Romero, Mariana
Sciurano, Guido
Ricca, Jim
Metcalfe, Gloria
Ortiz Contreras, Jovita
Gómez Dávila, Joaquín
Aguirre Acevedo, Daniel Camilo
Hermida Cordova, Jorge
Camacho-Hubner, Alma Virginia
author_sort Chapman, Evelina
title Rapid assessment of the factors contributing to the increase in maternal mortality during the COVID-19 pandemic in the Latin American region
title_short Rapid assessment of the factors contributing to the increase in maternal mortality during the COVID-19 pandemic in the Latin American region
title_full Rapid assessment of the factors contributing to the increase in maternal mortality during the COVID-19 pandemic in the Latin American region
title_fullStr Rapid assessment of the factors contributing to the increase in maternal mortality during the COVID-19 pandemic in the Latin American region
title_full_unstemmed Rapid assessment of the factors contributing to the increase in maternal mortality during the COVID-19 pandemic in the Latin American region
title_sort rapid assessment of the factors contributing to the increase in maternal mortality during the covid-19 pandemic in the latin american region
publishDate 2026
url http://repositorio.cedes.org/handle/123456789/4816
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spelling I61-R167-123456789-48162026-01-31T04:25:57Z Rapid assessment of the factors contributing to the increase in maternal mortality during the COVID-19 pandemic in the Latin American region Chapman, Evelina Ramos, Silvina Romero, Mariana Sciurano, Guido Ricca, Jim Metcalfe, Gloria Ortiz Contreras, Jovita Gómez Dávila, Joaquín Aguirre Acevedo, Daniel Camilo Hermida Cordova, Jorge Camacho-Hubner, Alma Virginia POLITICA DE SALUD Salud Materna Mortalidad materna Salud Reproductiva Fil: Chapman, Evelina. Centro de Estudios de Estado y Sociedad; Buenos Aires, Argentina. Department of Public Health, University of the Frontier; Temuco, Chile. Fil: Ramos, Silvina. Centro de Estudios de Estado y Sociedad; Buenos Aires, Argentina. Fil: Romero, Mariana. CONICET - Centro de Estudios de Estado y Sociedad; Buenos Aires, Argentina Fil: Sciurano, Guido. Centro de Estudios de Estado y Sociedad; Buenos Aires, Argentina Fil: Ricca, Jim. Johns Hopkins Bloomberg School of Public Health; Baltimore, MD, USA. Fil: Metcalfe, Gloria. Jhpiego, MNH Consultant; Baltimore, USA Fil: Ortiz Contreras, Jovita. Women's and Newborn Health Promotion Department, Universidad de Chile; Santiago, Chile Fil: Gómez Dávila, Joaquín. NACER Group, University of Antioquia; Medellín, Colombia Fil: Aguirre Acevedo, Daniel Camilo. NACER Group, University of Antioquia; Medellín, Colombia Fil: Hermida Cordova, Jorge. Foundation for Health Services Research and Management, FIGESS; Quito, Ecuador Background: COVID-19 infection in pregnant women was known to be associated with increased morbidity and mortality in Latin America and the Caribbean as a consequence of comorbidity and disruption in the supply and use of health services. Methods: A multi-country qualitative study was carried out in Chile, Colombia, and Ecuador to investigate the factors contributing to maternal mortality in the period March 2020 - July 2021. Four sources were analyzed: health policy documents and interviews with decision-makers, service providers of health and relatives of women who died due to maternal causes during the aforementioned period. The information collected was coded according to dimensions of the SURE Collaborative model (Supporting the Use of Research Evidence Collaborative) for the analysis of the implementation of health policies; and their implementation was analyzed by applying the Three Delays model. Sixty-two policy documents were analyzed, and 21 interviews with decision makers, 30 interviews with service providers and 28 interviews with relatives of women who died from maternal causes were conducted. Results: The most relevant findings were the change in the maternal and reproductive health care model with the disruption of primary health care; the prioritization of emergency care for patients affected by COVID-19; and the fear of pregnant women to seek health services. The atomization of health management and the problems of communication/dissemination of the measures aimed at the general population and health teams generally undermined the provision of quality maternal and reproductive health services.This was exacerbated by socioeconomic vulnerability and lack of systematic policy implementation, as exemplified by the uneven rollout of telemedicine and home visits. Resource and skill gaps affected both the healthcare system and service users, particularly impacting the third delay in the maternal and reproductive health continuum. Deficiencies in infrastructure, supplies, human resources, and their protection further compounded these challenges. Conclusion: Various factors affected the availability, use, and quality of maternal, and reproductive health services during the COVID 19 pandemic. Access to timely quality maternal health care was severely affected. Study registration: The study protocol was registered on the OSF storage website (Chapman et al. 2022. https://doi.org/10.17605/OSF.IO/36JQD ). 2026-01-30T15:47:30Z 2026-01-30T15:47:30Z 2026-01-03 Artículo http://repositorio.cedes.org/handle/123456789/4816 10.1186/s12884-025-08069-y es BMC Pregnancy Childbirth;2026 Jan 3;26(1):72