Institute Of Statistics And Census Research Articles

Cesarean section rates in Ecuador: a 13-year comparative analysis between public and private health systems.

ABSTRACTObjective.To demonstrate the prevalence of cesearean sections (C-sections) in Ecuador and their distribution between private and public health centers.Methods.An observational population-based study was conducted of patients discharged from public and private hospitals in Ecuador after a C-section or vaginal delivery. Data were collected by the Ecuadorian National Institute of Statistics and Census (INEC) between 2001 and 2013.Results.The overall national C-section rate in the private health care system is double the rate in the public health care system. Over the 13 years of the study, C-sections accounted for 57.5% of births in the private sector, while the public sector proportion did not exceed 22.3%. Countrywide, less than 36% of C-sections were found to be clinically justified by parallel analysis of absolute or relative indications. Acute fetal distress (AFD) was more frequently reported in private centers compared to public ones (446 per 10 000 live births versus 274 per 10 000). Since 2001, the number of births by cesarean section increased by more than 50% (R2 = 0.7306, P < 0.05), with an annual growth rate of 4.03%. In Guayaquil, the largest city in Ecuador, up to 74% of live births occurred by C-section.Conclusion.National data show that C-sections are performed more frequently in Ecuador than the rate recommended by the World Health Organization, especially in the private health care system. Private centers also report higher rates of AFD, which implies that this diagnosis is either overused in private centers or underrecognized in public centers. Although several factors might be influencing these trends, no data are available to determine the relative importance of economics, practicality, and medical or personal concerns of mothers and physicians in deciding which method of delivery should be used.

Suicide attempts associated with sexual violence: Women – Ecuador

ObjectiveDetermine the incidence of suicide attempts in women exposed to sexual violence in Ecuador.MaterialsWe applied a transversal descriptive study accomplished by the National Institute of Statistics and Census (INEC). The INEC recruited Ecuadorian women from 15-years-old and ahead, the surveys were focused on this population. Eighteen thousand and eight hundred (18,800) rural and urban housings were selected all over the country, 24 provinces. Date of the survey: November 16–December 15 of 2011. The sample included 737 women of several marital status (single, married and separated woman) who reported had been victims of sexual violence.ResultsThe average age of the sample was 28-years-old. The standard deviation was 21 years, ages: 15–25 years old: 14.265 (21.6%), 25–35-years-old: 9.324 (14.1%), 35–45-years-old: 8.132 (12.3%), 45–55-years-old: 6.283 (9.5%), 55–65-years-old: 4.302 (6.5%) and &gt; 65 years old: 23.745 (35.9%). The incidence of women who had attempted suicide due to sexual violence was 73.95% (545 of 737 women surveyed). According to the marital status, the incidence was 79.3% on single, 65.5% on married and 79.0% on separated women.ConclusionThe rate of suicide attempts in Ecuadorian women undergoing situations of sexual violence is very elevated. The traumatic incident in descending order according to the classification by marital status is: single, separated and married. It was identified the population of unmarried women in our society to be the most vulnerable to develop suicidal behaviors (8 out of 10 women). However, we must keep in mind that these statistics could be even higher due to the fear and rejection to expose personal traumatic experiences in conservative societies such as the Ecuadorian. These results represent a powerful call to the Mental Health Systems. They must increase protection and follow-up programs on sexually abused women in Ecuador and other Latin-American countries.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Post-traumatic stress disorder: Women – Ecuador

ObjectivesTo determine the incidence of traumatic events in Ecuadorian women exposed to domestic violence and other complex social situations and their relationship with PTSD.MethodsWe applied a transversal descriptive study accomplished by the INEC (National Institute of Statistics and Census). The INEC recruited Ecuadorian women from 15 years old and more, the surveys were focused on this population. In total, 18,800 rural and urban housings were selected all over the country, 24 provinces. Date of the survey: November 16–December 15 of 2011. A, D and G were taken as references for guidelines following the criteria diagnosis of DSM V (Diagnostic and Statistical Manual of Mental Disorders) to determine a Traumatic Event.ResultsThe average age of the sample was 28 years old. The standard deviation was 21, ages: 15–25 years old: 14.265 (21.6%), 25–35 years old: 9.324 (14.1%), 35–45 years old: 8.132 (12.3%), 45–55 years old: 6.283 (9.5%), 55–65 years old: 4.302 (6.5%), &gt; 65 years old: 23.745 (35.9%). Prevalence of the traumatic event (DSM-V) 4.6%. Women experienced any kind of violence 60.6%: 61.4% urban, 58.% rural. Types of abuse: psychological: 53.9%, physical: 38.0; sexual, patrimonial: 35.3%. Domestic violence 76.0% y other types of violence 24.0%.ConclusionDomestic violence rate is high, also, in this study, we determined that women face an important index of violence during their daily activities. Psychological abuse is the highest abuse, higher in the urban areas. These results based on acute traumatic events may predispose women to develop PTSD. The prevalence of traumatic events must be an alert to the Mental Health Organizations, not only in Ecuador but also in Latin American.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Servicios de salud a personas con discapacidad

El objetivo del ensayo es elaborar un breve análisis de las condiciones y acceso a los servicios de salud de las personas con discapacidad. La metodología utilizada consistió en un proceso descriptivo de los servicios de salud de personas con discapacidad en el país, a partir de la información proporcionada por la Encuesta Nicaragüense para personas con discapacidad (ENDIS), realizada en el año 2003 por el Instituto Nacional de Estadística y Censos (INEC). Los resultados generados por la encuesta reflejan que la discapacidad en el país es de 10.3% de la población mayor de seis años de edad, 10.5% en las zonas urbanas y 10 % en las zonas rurales, reflejando que la discapacidad afecta más al sexo femenino en 11,3% que al masculino que presenta un 9,1%.

Percepciones y creencias de las personas coordinadoras de los liceos rurales de Costa Rica

Costa Rican rural settings include indigenous populations and groups in scattered areas that require considering issues such as language and culture, among others, to achieve an appropriate curriculum development. The National Institute of Statistics and Census (INEC) defines rurality based on the existence or lack of public services such as roads, communication, utilities, formation of the household, and participation in agricultural activities, among others. This research seeks to interpret the perceptions and beliefs of rural high school principals in Costa Rica, regarding technical and administrative conditions in compliance with the objectives for which the institutions were created. This is a longitudinal qualitative study, since data was taken from two workshops, one in 2010 with 49 rural high school coordinators and another one in 2012 with 205 participants including principals and teaching staff. Information was analyzed using an open-question questionnaire and a Venn diagram. Seventeen rural high schools were visited, and students, teachers, and parents from 45 rural high schools were interviewed during 2011 and 2012. It is concluded that there is still no real integration between the socio productive, personal and social areas with the academic area; therefore, teachers in the academic area should be trained in vocational aspects such as entrepreneurship, cooperativism, business management, as well as counsoling, physical education, arts, and music to trully meet the objectives for which rural high schools were created.