Browsing Medicina by Subject "Parto domiciliario"
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Parto no institucional y no cumplimiento de vacunas correspondientes al primer año de vida en el Perú: un análisis a partir de la encuesta demográfica y de salud familiar (ENDES) 2014(Universidad Peruana de Ciencias Aplicadas (UPC), 2018-03-22)Objective: To evaluate the association between non-institutional delivery and incomplete vaccine program during the first year of age in Peru. Materials and Methods: A secondary cross-sectional analysis of the 2014 National Demographic and Health Survey was performed. The outcome variable was incomplete vaccine program, defined as the absence of at least one vaccine during the first year of life according to the vaccine schedule of “Ministerio de Salud”. The exposure variable was non institutional delivery, which included home of the interviewee and midwife, community center, church and private physician's office. Poisson regression was the generalized linear model controlling the multistage study design and potential confounders. It was used to estimate Prevalence Ratio (PR). Results: A total of 6837 women were included in the analysis. The prevalence of incomplete vaccine programs was 52.24% (CI 95% 50.57 – 53.91). Women who reported non-institutional delivery were more likely to have children with incomplete vaccine schedule, PR(c) 1.43 (CI 95% 1.34 – 1.53) and PR(a) 1.61 (CI 95% 1.50 – 1.73). Conclusions: Peruvians women with non-institutional delivery was associated with not comply of vaccine program during the first year of age. These findings can provide strategies to improve vaccine program.Acceso abierto