Proposal to improve access to the maternal and perinatal care route (ramp) through supply chain quality management and digital health interventions for dispersed rural territories
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Universidad Icesi Colombia
Publication date: 2023-04-26
Popul. Med. 2023;5(Supplement):A1151
ABSTRACT
The Ministry of Health of Colombia has been developing care routes to improve perinatal maternal care. However, the reported figures show gaps in access to health services and quality problems, especially for populations in dispersed rural territories. Given the importance of maternal and perinatal health declared in the sustainable development goals (SDG) and the results of the World Health Organization (WHO) and the United Nations Fund (UNFPA) that in the year 2021, they estimated that 810 women die every day from complications of pregnancy and childbirth, mostly from preventable or treatable causes, the need to investigate which variables affect this type of preventable causes was identified. When reviewing the improvement strategies in health organizations, advantages in the use of Supply Chain Quality Management were evident. (SCQM), since it helps to break barriers, improve connectivity and quality in the provision of health services. The objective of this work was to propose an integration alternative between the SCQM and digital solutions to improve access and the Maternal Perinatal Care Route (RAMP) in rural municipalities of Santander de Quilichao and Caloto in Colombia. Descriptive research with the collection of information in databases to interpret the data on the provision of services through the RAMP, through analysis with Process Mining. With this research it was possible to know the variables that influence preventable causes, simulate the reality of the processes in two (2) levels of care and find the variables that affect bottlenecks and the patterns that impact the results. It was confirmed that the integration of SCQM and digital interventions drives the performance of RAMP activities and allows the improvement of processes with scalability and overcoming barriers. The two aforementioned strategies translate into a commitment to improve access and service provision at RAMP.