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Evaluation of the Perinatal and Late Neonatal Mortality Surveillance System, Colombia 2022

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dc.creatorMartinez Torres, Cristhian Camilo
dc.creatorRussy Roa , Diana Marcela
dc.date2024-11-30
dc.date.accessioned2025-08-22T21:29:00Z
dc.date.available2025-08-22T21:29:00Z
dc.descriptionIntroduction: Perinatal and late neonatal mortality is a public health priority. Evaluating surveillance systems is essential to ensure they meet their objectives. Objective: To assess the performance of the surveillance system for perinatal and late neonatal mortality in Colombia. Methodology: A descriptive, cross-sectional and analytical study was carried out following the Centers for Disease Control and Prevention methodology for evaluating public health surveillance systems. In the quantitative component, data from the 2021 Sivigila 560 and RUAF databases were analyzed to assess data quality, sensitivity, positive predictive value, specificity and timeliness. Additionally, a perception survey was administered across different levels of care to evaluate the system’s attributes of simplicity, flexibility, acceptability, timeliness and usefulness. Data collected was processed in Microsoft Excel® and analyzed using the statistical software R® to calculate descriptive and frequency statistics. Results: A total of 9.905 records in Sivigila were analyzed, reporting a sensitivity of 95.8%, a positive predictive value (PPV) of 95.5%, and a specificity of 34.9%. In the qualitative evaluation of the system, 471 professionals from different regions of Colombia participated. The attributes of simplicity, flexibility, and acceptability showed good performance, while the timeliness attribute was classified as acceptable. Conclusions: The surveillance system for perinatal and late neonatal mortality in Colombia (Sivigila event 560) is reliable and useful for recording and reporting neonatal and perinatal deaths. It facilitates the analysis of causes and event variations, contributing to the formulation of public health actions.en-US
dc.descriptionIntroducción. La mortalidad perinatal y neonatal tardía es una prioridad en salud pública. Evaluar los sistemas de vigilancia es esencial para verificar si cumplen con sus objetivos. Objetivo. Evaluar el desempeño del sistema de vigilancia de la mortalidad perinatal y neonatal tardía en Colombia. Metodología. Se realizó un estudio descriptivo de corte transversal y analítico, según la metodología de los Centros para el Control y la Prevención de Enfermedades de los Estados Unidos para la evaluación de sistemas de vigilancia en salud pública. En el componente cuantitativo, se analizaron las bases de datos del Sistema de Vigilancia en Salud Pública y del Registro Único de Afiliados de Colombia del año 2021, para verificar la calidad de los datos, la sensibilidad, el valor predictivo positivo, la especificidad y la oportunidad. Además, se aplicó una encuesta de percepción a distintos niveles de atención para evaluar los atributos de simplicidad, flexibilidad, aceptabilidad, oportunidad y utilidad del sistema. Los datos recolectados se procesaron en Microsoft Excel® y se analizaron en el software estadístico R® para calcular estadísticas descriptivas y de frecuencia. Resultados. Se analizaron 9905 registros en el Sistema de Vigilancia en Salud Pública 560; se reportó una sensibilidad del 95,8%, un valor predictivo positivo del 95,5% y una especificidad del 34,9%. En la evaluación cualitativa del sistema participaron 471 profesionales de diferentes regiones de Colombia. Los atributos de simplicidad, flexibilidad y aceptabilidad mostraron un buen desempeño, mientras que el atributo de oportunidad fue clasificado como aceptable. Conclusiones. El sistema de vigilancia para la mortalidad perinatal y neonatal tardía en Colombia (Sivigila evento 560) es confiable, útil para registrar y reportar muertes neonatales y perinatales y facilita el análisis de causas y variaciones del evento. De esta manera contribuye a la formulación de acciones en salud pública.    es-ES
dc.descriptionIntrodução. A mortalidade perinatal e neonatal tardia é uma prioridade de saúde pública. Avaliar os sistemas de vigilância é essencial para verificar se cumprem os seus objetivos. Objectivo. Avaliar o desempenho do sistema de vigilância da mortalidade perinatal e neonatal tardia na Colômbia. Metodologia. Foi realizado um estudo descritivo, transversal e analítico, seguindo a metodologia do CDC para avaliação de sistemas de vigilância em saúde pública. Na componente quantitativa foram analisadas as bases de dados Sivigila 560 e RUAF referentes ao ano de 2021 para verificar a qualidade dos dados, sensibilidade, valor preditivo positivo, especificidade e oportunidade. Além disso, foi aplicada uma pesquisa de percepção em diferentes níveis de atenção para avaliar os atributos de simplicidade, flexibilidade, aceitabilidade, oportunidade e utilidade do sistema. Os dados coletados foram processados no Microsoft Excel® e analisados no software estatístico R® para cálculo de estatísticas descritivas e de frequência. Resultados. Foram analisados 9.905 prontuários no Sivigila, reportando sensibilidade de 95,8%, valor preditivo positivo (VPP) de 95,5% e especificidade de 34,9%. 471 profissionais de diferentes regiões da Colômbia participaram da avaliação qualitativa do sistema. Os atributos simplicidade, flexibilidade e aceitabilidade apresentaram bom desempenho, enquanto o atributo oportunidade foi classificado como aceitável. Conclusões. O sistema de vigilância da mortalidade perinatal e neonatal tardia na Colômbia (evento Sivigila 560) é confiável e útil para registrar e notificar mortes neonatais e perinatais. Facilita a análise das causas e variações do evento, contribuindo para a formulação de ações de saúde pública.pt-BR
dc.formatapplication/pdf
dc.identifierhttps://revistas.unbosque.edu.co/index.php/RSB/article/view/4321
dc.identifier10.18270/rsb.4321
dc.identifier.urihttps://hdl.handle.net/20.500.12495/17609
dc.languagespa
dc.publisherUniversidad El Bosquees-ES
dc.relationhttps://revistas.unbosque.edu.co/index.php/RSB/article/view/4321/3718
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dc.rightsDerechos de autor 2024 Universidad El Bosquees-ES
dc.rightshttp://creativecommons.org/licenses/by-nc/4.0es-ES
dc.sourceRevista Salud Bosque; Vol. 14 No. 2 (2024): Revista Salud Bosque Volumen 2 Año 2024en-US
dc.sourceRevista Salud Bosque; Vol. 14 Núm. 2 (2024): Revista Salud Bosque Volumen 2 Año 2024es-ES
dc.source2322-9462
dc.source2248-5759
dc.subjectepidemiological monitoringen-US
dc.subjectperinatal mortalityen-US
dc.subjectpublic healthen-US
dc.subjecthealth status indicatorsen-US
dc.subjectpediatricsen-US
dc.subjectmonitoreo epidemiológicoes-ES
dc.subjectmortalidad perinatales-ES
dc.subjectsalud públicaes-ES
dc.subjectindicadores de saludes-ES
dc.subjectpediatríaes-ES
dc.subjectmonitoramento epidemiológicopt-BR
dc.subjectmortalidad perinatalpt-BR
dc.subjectsaúde públicapt-BR
dc.subjectindicadores de saúdept-BR
dc.subjectpediatriapt-BR
dc.titleEvaluation of the Perinatal and Late Neonatal Mortality Surveillance System, Colombia 2022en-US
dc.titleEvaluación del sistema de vigilancia mortalidad perinatal y neonatal tardía, Colombia 2022es-ES
dc.titleAvaliação do sistema de vigilância da mortalidade perinatal e neonatal tardia, Colômbia 2022pt-BR
dc.typeinfo:eu-repo/semantics/article
dc.typeinfo:eu-repo/semantics/publishedVersion

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