Análisis Reflexivo de la Mortalidad Perinatal en el Municipio de la Macarena, Meta (2015- 2023) Desde el Enfoque de Determinantes Sociales de la Salud

Abstract

Abstract The purpose of this article is to address the problem of maternal perinatal mortality in the municipality of La Macarena - Meta from the perspective of the social determinants of health. The article highlights the impact of poverty, education, nutrition, access to health care, and quality of health care on perinatal health outcomes. The study uses a mixed methods approach, combining qualitative and quantitative data sources to analyze the problem. It also emphasizes the importance of addressing the structural determinants of health, such as the socioeconomic and political context, to improve perinatal health outcomes. Approximately 2 million perinatal deaths occur each year, with more than 98% occurring in developing countries. In developed countries, one third of all fetal and infant deaths and more than 50% of perinatal deaths are stillborn. In the region of the Americas, great disparities are observed in perinatal mortality rates between developed and developing countries, being much higher in South America, Central America, and the Caribbean. Keywords: Access to medical care, health situation analysis, social determinants of health, perinatal mortality, living conditions.