Examining the Role of Quality of Institutionalized Healthcare on Maternal Mortality in the Dominican Republic

Maria De Jesus (), Nora Sullivan, William Hopman, Alex Martinez, Paul David Glenn, Saviour Msopa, Brooke Milligan, Noah Doney, William Howell, Kimberly Sellers and Monica C. Jackson
Additional contact information
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

IJERPH, 2023, vol. 20, issue 14, 1-11

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.

Keywords: reproductive health; Dominican Republic; maternal mortality (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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