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nemo

4-1-407-17P.O.

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ISBN: 978-99974-74-65-0

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Imprenta "WAGUI"

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Esta publicación ha sido posible gracias a la cooperación de UNICEF, Bolivia

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Cuadro 1. Razón de mortalidad materna (obstétricas directas e indirectas) X 100.000 nacidos vivos, nacional y por departamento

Bolivia, 2000 y 2011

DEPARTAMENTO/AÑO 2000 2011La Paz 282 289Potosí 333 255Cochabamba 130 188Oruro 184 126Beni 222 96Chuquisaca 108 85Pando — 68Tarija 179 63Santa Cruz 101 60BOLIVIA 187 160

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Cuadro 2. Tasa de mortalidad materna y riesgo de morir durante el ciclo reproductivoBolivia, 2000 y 2011

INDICADOR/AÑO 2000 2011Razón de mortalidad materna X 100.000 nacidos vivos (cifras con redondeo)

187 160

Tasa de mortalidad materna X 100.000 mujeres en edad fértil 30,6 20,6Riesgo de morir por una causa materna durante el ciclo reproductivo 10,7 7,2

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nemo

CENTREAR

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Cuadro 3. Muertes maternas reportadas por encuesta y por vigilancia epidemiológicaBolivia, 2000 y 2011

COBERTURA/AÑO 2000 2011Muertes maternas reportadas por encuesta 627 538Muertes maternas reportadas al SNIS-VE (9) 86 223Cobertura de la vigilancia epidemiológica (%) 13,7% 41,4%

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nemo

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Cuadro 4. Bolivia. Muertes maternas: reporte según municipio crítico, fuente y periodo

DEPARTAMENTO Y MUNICIPIO

MUERTES MATERNAS DETECTADAS POR EL ESTUDIO NACIONAL 2011

MUERTES MATERNA REPORTADAS AL SNIS-VE

EN 2011

AÑOS CON REPORTE DE MUERTES MATERNAS AL

SNIS-VE ENTRE 2001-2012

La PazEl AltoLuribayLa PazAchocallaCaquiaviriChulumaniBatallas

197591714 (138 muertes maternas de 197 12 en 7 de 87 municipios del12 departamento)1212

7318—25——1

—

12 años12 años

1 año12 años0 años1 año

3 años3 años

PotosíPotosíTinguipayaSP de Buena VistaSacaca

7917 (41 muertes maternas de 79 en9 4 de 40 municipios del9 departamento)6

203

—23

12 años12 años8 años9 años9 años

CochabambaCochabambaVilla TunariColomi

90 (52 muertes maternas de 90 en22 3 de 47 municipios del 17 departamento)13

311111

12 años12 años7 años3 años

OruroOruro

24 (17 muertes maternas de 24 en 1 de17 35 municipios del departamento)

1311

12 años12 años

g' W&7'?`'D"+#)#2#&7'$(-')"%$0&'e>')&+)(+80%0&+'(-'YA>`p'$('-%'2&3-%)#*+'+%)#&+%-')&00(72&+$#(+8('%'?@A?Q

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BeniRiberaltaTrinidad

29 (13 de 29 muertes maternas en 2 de8 19 municipios del departamento)5

1637

12 años12 años9 años

ChuquisacaSucreSan Lucas

27 (12 muertes maternas de 27 en 2 de9 29 municipios del departamento)3

209

—

12 años12 años11 años

TarijaTarija

10 (8 muertes maternas de 10 en 1 de8 11 municipios del departamento)

75

12 años12 años

Santa CruzSCZ de la SierraSan JuliánMineros

69 27 (46 muertes maternas de 69 en 3 de 11 56 municipios del departamento)8

41251

—

12 años12 años8 años2 años

BOLIVIA 538 (327 muertes maternas en 23 de los 339 municipios que hay en el país)

223 12 años

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Gráfico 1. Distribución porcentual de las muertes maternas, según nivel de pobreza del municipio

Bolivia, 2011

Pobreza media38%

Pobreza alta30%

Pobreza baja32%

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G+%'20#D(0%'(;#$(+)#%'$('T"('(+'V&-#;#%'S%'&)"00#$&'"+%' 80%+7#)#*+'$(D&F0NR#)%' (+'D&08%-#$%$'D%8(0+%>'S%'7#$&'2"3-#)%$%'(+'?@AY'K6('W%'a%-;(/'4"0#--&>'?@AYL')&D&'2%08('$('"+%'D#0%$%'#+$(2(+$#(+8('%-']3<(8#;&'$(-'4#-(+#&'[&QY'H'7"')"D2-#D#(+8&'2&0'(-'2%57Q'

:-'%+N-#7#7'R"('0(%-#/%$&'%'2%08#0'$('-&7'#+R&0D(7'$('-%7':[6I.'A^^e'H'?@@d>'T"(')&+8#(+(+')"%$0&7')&+'-%')%+8#$%$'$('D"(08(7'D%8(0+%7'2&0'F0"2&'T"#+T"(+%-Q'W%'%2-#)%)#*+'$('-%'20"(3%'hri'2(0D#8#*'(78%3-()(0'T"('-%'$#R(0(+)#%'(+80('-%7'($%$(7'20&D($#&'%-'D&0#0'$('%D3%7'(+)"(78%'(0%'(78%$578#)%D(+8('7#F+#R#)%8#;%Q

Cuadro 5. Número y porcentaje de muertes maternas por grupo de edad promedio de edad al morir y desviación estándar


GRUPO DE EDADENDSA-1994 (1989-1994) ENDSA-2008

No. Casos % No. Casos %15-19 16 7,1 14 5,920-24 47 20,8 9 3,825-29 36 15,9 26 11,030-34 48 21,2 35 14,835-39 54 23,9 48 20,340-44 20 8,8 60 25,445-49 5 2,2 44 18,6n= 226 — 236 —Promedio 30,5 — 36,5 —1 DS 7,6 — 8,5 —

Valor Z = 10,6 más alto que 1,96 utilizado como referencia

bG:[1:,'.%-"$'D%8(0+%'(+'V&-#;#%Q'W&F0&7'%-'?@AeQ

6(3#$&'%'T"('(-')N-)"-&'R"('0(%-#/%$&'%'2%08#0'$('F0"2&7'T"#+T"(+%-(7'H'2&0T"('-%7':[6.I'+&'0(F#780%+'D"(08(7'D%8(0+%7'2%0%'"+'%9&'2"+8"%->'-%7'(+)"(78%7'+%)#&+%-(7'$('D&08%-#$%$'D%8(0+%'3%7%$%7'(+'-&7')(+7&7'?@@@'H'?@AA>'2(0D#8(+')&00&3&0%0'&'+&'(-'S%--%/F&>'%'2%08#0'$('-%7'($%$(7'7#D2-(7'$('-%7'D"<(0(7'R%--()#$%7'2(0&'2%0%'$&7'%9&7')&+)0(8&7Q

:+'(-'F0%R#)&'?'(78N'-%'$#780#3")#*+'2&0)(+8"%-'$('-%7'D"(08(7'D%8(0+%7')&00(72&+$#(+8(7'%'-&7'$&7'(78"$#&7'+%)#&+%-(7'3%7%$&7'(+'-&7')(+7&7Q'I'20#D(0%';#78%'0(7%-8%+'$#R(0(+)#%7'(+80('%-F"+&7'$('-&7'F0"2&7'T"#+T"(+%-(7>'(72()#%-D(+8('%'2%08#0'$('-&7'`Y'%9&7'$('($%$Q'C(0&'$(3#$&'%'T"('(7%7'$#R(0(+)#%7'+&'7&+'7&-%D(+8('$('$#7D#+")#*+'&'$('#+)0(D(+8&'$(-'

nemo

nemo

nemo

De La Galvez Murillo, 2015

?B

:780")8"0%'$('-%'D&08%-#$%$'D%8(0+%

2(7&'2&0)(+8"%-'$('-&7'F0"2&7>'7#+&'T"('(78N+'20(7(+8(7'%D3%7'7#8"%)#&+(7>'+&'(7'2&7#3-('%R#0D%0>'%'2%08#0'$('(78%'$#780#3")#*+>'7#'(78%D&7'&'+&'R0(+8('%'"+'20&)(7&'$('80%+7#)#*+'$(D&F0NR#)%'(+'D&08%-#$%$'D%8(0+%>'%'2%08#0'$('R"(+8(7'$#R(0(+8(7'%'-%7':[6.IQ'

C&0'&80&'-%$&>'"+%'80%+7#)#*+'$(D&F0NR#)%'(+'D&08%-#$%$'D%8(0+%'2&$05%'#D2-#)%0'8%D3#J+'-%'20(7(+)#%'$('20&)(7&7'%$#)#&+%-(7'20(;#&7>')&D&'7(0')%D3#&7'(+'-%'(780")8"0%'$('($%$(7'$('-%7'D"<(0(7'(+'($%$'RJ08#->'&'-%'20(7(+)#%'$('"+%'80%+7#)#*+'$(D&F0NR#)%'(+'-%'($%$'20&PD($#&'$('-%7'D"<(0(7'T"('$%+'%'-"/dQ'I7#D#7D&>'(-')%D3#&'(+'-%'(780")8"0%'$('-%7')%"7%7'$('D&08%-#$%$'D%8(0+%'8%D3#J+'2"($('%)&D2%9%0'$(')(0)%'-%'80%+7#)#*+'$(D&F0NR#)%Q

I'2%08#0'$('-%7'($%$(7'7#D2-(7'$('-%7'D"<(0(7'T"('D"0#(0&+'2&0')%"7%'D%8(0+%'(+'?@@@'H'?@AA>'7('%$;#08#*'"+%'0($"))#*+'$('-%'($%$'20&D($#&'%-'D&0#0'(+'A>A'%9&7Q':-')N-)"-&'$(-';%-&0'hri'$#&')&D&'0(7"-8%$&'?>``'T"('2&0'7(0'D%H&0'%'A>^g'#+$#)%'T"('-%'$#R(0(+)#%'(+80('-%7'($%$(7'20&D($#&'%-'D&0#0'(7'(78%$578#)%D(+8('7#F+#R#)%8#;%^Q'C&0'8%+8&>'(+80('-&7'%9&7'?@@@'H'?@AA'8";&'-"F%0'"+'20&)(7&'$('80%+7#)#*+'$(D&F0NR#)%'(+'D&08%-#$%$'D%8(0+%Q

Grafico 2. Distribución porcentual de muertes maternas, según grupos quinquenales de edad y fuente


12

Porcentaje25

20

15

10

5

0

12

10 a 14 15 a 19 20 a 24 25 a 29 30 a 34 35 a 39 40 a 44 45 a 49 50 a 54

12

2

EPMM-2000 ENMM-2011

22

5 5

19 19

1618 18 18

20

23

bG:[1:,':78"$#&'[%)#&+%-'$('4&08%-#$%$'4%8(0+%'?@AAQ

d' :78%'80%+7#)#*+'+&'2%0()('S%3(0'8(+#$&'-"F%0>'2&0'-&'D(+&7'S%78%'?@@d>'2&0T"('(+80('-%7':[6.I'A^^e'H'-%'$('?@@d'7('0(F#780*'7&-%D(+8('"+'#+)0(D(+8&'$('-%7'2%08"0#(+8%7'%$&-(7)(+8(7'K$('A`>`p'%'Ag>gpL'2(0&')&+'"+%'$#7D#+")#*+')&+)&D#8%+8('$('-%7'2%08"0#(+8%7'$('?@'%'`e'%9&7'K$('B@>Bp'%'gB>BpLQ

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nemo

nemo

nemo

Ministerio de Salud, 2016

nemo

Gráfico

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1%0#<%>' +&'&378%+8(' -%' 0($"))#*+'T"(' (U2(0#D(+8&>' )&+8#+X%' )&D&'(-'$(2%08%D(+8&')&+'-%'D%H&0'($%$'20&D($#&'%-'D&0#0'$('-%7'D"<(0(7'2&0')%"7%'D%8(0+%>'(+'8%+8&'T"('.%+8%'!0"/'H'V(+#>'T"('(U2(0#D(+8%0&+'0($"))#&+(7>'7&+'-&7'$&7'$(2%08%D(+8&7')&+'-%'D(+&0'($%$'20&D($#&Q'C%0%'(-'?@AA>'-%7'($%$(7'20&D($#&'$(>'!&)S%3%D3%>'.%+8%'!0"/>'V(+#'H'C%+$&'(78%3%+'2&0'$(3%<&'$('-%'+%)#&+%->'H'-%7'$('W%'C%/>']0"0&'H'C&8&75>'2&0'(+)#D%Q

jC&0'T"J'(+'!&)S%3%D3%>']0"0&>'1%0#<%>'.%+8%'!0"/'H'V(+#'-%'($%$'20&D($#&'7('0($"<&'(+'?'%9&7'&'DN7k'jC&0'T"J'(+'1%0#<%'-%7'(D3%0%/%$%7'T"('R%--()#(0&+'-&'S#)#(0&+'%'"+%'($%$'20&D($#&'3%78%+8('DN7'%-8%'T"('(+'(-'0(78&'$(-'2%57k'jC&0'T"J'(+80('1%0#<%'H' -&7'$(2%08%D(+8&7'$(-'&0#(+8('S%H'"+%'$#R(0(+)#%'$('DN7'$(')"%80&'%9&7'H'$('DN7'$('7#(8(')&+'!&)S%3%D3%k

Cuadro 6. Edad promedio al morir por causa materna, desviación estándar y prueba de significación estadística, según departamento y año


AÑO CHU LP CBBA ORU PTS TJA SCZ BEN PDOEPMM2000

30,8(8,1)

30,1(8,7)

30,9(9,2)

32,3(8,6)

30,4(7,4)

35,6(6,0)

28,3(8,2)

28,1(9,5)

—

ENMM2011

28,9(6,9)

31,2(7,2)

25,9(7,4)

29,6(7,8)

29,4(8,1)

32,7(6,2)

26,3(6,1)

26,0(8,5)

28,3(6,8)

Prueba “Z” — 1,90 3,75 — 0,83 — 1,90 — —

Prueba “t” 0,94 — — 1,15 — 1,17 — 0,92 —

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`@

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Grafico 3. Distribución porcentual de muertes maternas,según estado civil y año


Conviviente

Porcentaje

47.9

40.1 37.543.4

16.514.6

Casada

ENMM-2011

60

30

20

10

0

50

40

Soltera

EPMM-2000

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nemo

nemo

nemo

Gráfico

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Grafico 4 .Distribución porcentual de las muertes maternassegún paridad y nivel de pobreza

Bolivia, 2011

Porcentaje

57,863,1

58,1

25,728,1

22,8

6,8 6,610,19,7 7,5

3,7

0 1 a 3 4 a 6 7 y más

Pobreza baja Pobreza altaPobreza media

70

40

30

10

20

0

60

50

bG:[1:,':78"$#&'[%)#&+%-'$('4&08%-#$%$'4%8(0+%>'?@AAQ'4#+#78(0#&'$('.%-"$>'?@AgQ

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Grafico 5. Distribución porcentual de las muertes maternassegún años de escolaridad y nivel de pobreza

Bolivia, 2011

Porcentaje

54,8

17,923,7 25,6

15,8

50,7 52,6

29,429,5

0 a 3 4 a 6 7 y más

Pobreza baja Pobreza altaPobreza media

40

30

10

20

0

60

50

bG:[1:,':78"$#&'[%)#&+%-'$('4&08%-#$%$'4%8(0+%>'?@AAQ'4#+#78(0#&'$('.%-"$>'?@AgQ

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Grafico 6. Distribución porcentual de las muertes maternassegún años de escolaridad y lugar de la defunción

Bolivia, 2011

Porcentaje

18,7

51,1

22,1 21,727,2

59,2

0 a 3 años 4 a 6 años 7 y más años

Domicilio

60

70

30

20

10

0

50

40

Servicio de salud

bG:[1:,':78"$#&'[%)#&+%-'$('4&08%-#$%$'4%8(0+%>'?@AAQ'4#+#78(0#&'$('.%-"$>'?@AgQ

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Grafico 7. Porcentaje de muertes maternas con atencióndel parto en establecimiento de salud, según departamento

Bolivia, 2011

Porcentaje

Scz Ben Tja Chu Oru Lpz PtsCbba

9385

80 77

5447

3227

80

70

100

90

30

20

10

0

60

50

40

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Grafico 8. Porcentaje de muertes maternas con atención del parto en establecimiento de salud, según grupos de edad

Bolivia, 2011

Porcentaje

60

70

30

20

10

0

50

40

65.958.8

40.7

30.4

14 a 19 20 a 29 30 a 39 40 a 50

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Grafico 9. Distribución porcentual de las muertes maternas según grupo de causa y año


Porcentaje

40

45

15

10

5

0

30

35

20

25

7.7 11.6 38.3 4.9 11 0.2 12.3 1.1 12.9

9.4 4.7 33.2 7 9.4 0.2 24.4 8.8 4.1

Aborto

2000

2011

HIE Hem Infec Otras ManejoNo

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C&0'&80&' -%$&>'7&020(+$('8%D3#J+'(-' #+)0(D(+8&'$(-'2(7&'2&0)(+8"%-'$(' -%'D&08%-#$%$'D%8(0+%'2&0'S(D&00%F#%'&378J80#)%>'7#'7('8#(+('(+')"(+8%'T"('(78N'(+';#F(+)#%'(-'D%+(<&'%)8#;&'$(-'%-"D30%D#(+8&>'"+%'8()+&-&F5%'%20&2#%$%'#+80&$")#$%'(+'(-'2%57'(+'?@@A>'D(P$#%+8('-%'Z4'@e^g'K4#+#78(0#&'$('.%-"$'H'6(2&08(7>'?@@YLQ'

:-'%3&08&')&D&')%"7%'$('D"(08('D%8(0+%'$()0()#*'8%+8&'(+'+XD(0&7'%37&-"8&7')&D&'0(-%8#;&7Q'6('-&7'+"(;('F0"2&7'$(-'F0%R#)&'^>'(-'%3&08&'3%<&'$(-'8(0)(0'-"F%0'(+'?@@@'%-'7(U8&'(+'?@AAQ'W%'(U2-#)%)#*+'(78N'(+'2%08('(+'-%'D&$#R#)%)#*+'$(-'D&$(-&'$('%8(+)#*+'

nemo

nemo

nemo

Gráfico

e?

4&08%-#$%$'D%8(0+%'(+''20&R"+$#$%$'

$('-&7'%3&08&7'#+)&D2-(8&7'(72&+8N+(&7'H'20&;&)%$&7>'F0%)#%7'%'-%'#+80&$"))#*+'$(-'I4:G'K6('W%'a%-;(/'4"0#--&>'?@@Y'H'?@AAL>'H'T"('(;&-")#&+&'$('"+'@>@p'$('%2-#)%P)#*+'%+8(7'$('A^^^>'%'`B>gp'(+'?@@Y'H'%'"+'2&)&'DN7'$(-'^@p'(+'?@Ag'KECI.'V&-#;#%>'?@AA'H'?@ABLQ

6(3#$&'%'(78&7')%D3#&7'H'%"+T"('7('80%8%'$('$%8&7')&00(72&+$#(+8(7'%'$&7'%9&7'2"+8"%P-(7>'(7'2&7#3-('%R#0D%0'T"('(+80('%D3&7'S%'8(+#$&'-"F%0'"+%'80%+7#)#*+'(2#$(D#&-*F#)%'(+'D&08%-#$%$'D%8(0+%>'-%'D#7D%'T"(>'2&0'-&'(U2-#)%$&'(+'2N00%R&7'20(;#&7>'+&'$(3('7(0')&+7#$(0%$%')&D&'$(R#+#8#;%Q

C(0&'-%'80%+7#)#*+'(2#$(D#&-*F#)%'+&'T"($%'%S5Q'["(;%7'0(%-#$%$(7'(D(0F(+'(+'-%'D($#$%'T"('7('%S&+$%'(+'(-'%+N-#7#7'$('-&7'$%8&7>')&D&')"%+$&'7('-%'%+%-#/%'8(+#(+$&'(+')"(+8%'-&7'%9&7'$('(7)&-%0#$%$'$('-%7'D"<(0(7'D%$0(7'R%--()#$%7Q

Grafico 10. Distribución porcentual de las causas de muerte materna, según grupo de causa y años de escolaridad

Bolivia, 2011

Porcentaje

45

50

15

10

5

0

35

40

20

25

30

6.98.2

14.5

21.7

46.2

12.1

30.9

7.2 4.4

21

8

7 y más

Aborto H.I.E Hemorragia Infección CoincidentCancer

0 a 6

bG:[1:,':78"$#&'[%)#&+%-'$('4&08%-#$%$'4%8(0+%>'?@AAQ'4#+#78(0#&'$('.%-"$>'?@AgQ[]1I,'W%'7"D%8&0#%'$(')%$%'F0"2&'$('(7)&-%0#$%$'+&'(7'A@@p'2&0T"('+&'R#F"0%+'8&$%7'-%7')%"7%7Q

:-'F0%R#)&'A@'D"(780%'T"('S%H'$#R(0(+)#%7'#D2&08%+8(7'(+'-%'(780")8"0%'$('-%'D&08%-#$%$'D%8(0+%'7(FX+'-%')%+8#$%$'%)"D"-%$%'$('%9&7'$('(78"$#&Q'W%'20#D(0%')%"7%'(+80('-%7'R%--()#$%7')&+'D(+&7'$('7#(8('%9&7'$('(78"$#&'R"('-%'S(D&00%F#%'&378J80#)%>'H'(+80('-%7')&+'7#(8('&'DN7>'(-'F0"2&'$(')%"7%7')&#+)#$(+8(7Q'

:+80('-%7'D"<(0(7')&+'D(+&7'(78"$#&7>'80(7')%"7%7>'T"('(7'2&7#3-(')&+7#$(0%0-%7')&D&'$('h$(8(0#&0&'3N7#)&i'KS(D&00%F#%>'#+R())#*+'H'80%78&0+&7'S#2(08(+7#;&7L>'0(20(7(+8%0&+'(-'

nemo

nemo

nemo

Gráfico

e`

!%"7%7'3#&-*F#)%7'$('D&08%-#$%$'D%8(0+%

gA>ep>'H'7&-&'(-'e@>gp'(+80('-%7')&+'7#(8('&'DN7'%9&7Q':-')N+)(0'-(;%+8&'-%'F"%$%9%')&+80%'-%7'DN7'#+780"#$%7Q

1%D3#J+'S%H'$#R(0(+)#%7')"%+$&'7('%+%-#/%'-%7')%"7%7'$('D"(08('2&0'(78%$&')#;#->'8%-')&D&'0(;(-%'(-'F0%R#)&'AA>'2&0T"('(-'&0$(+'$('-%7')%"7%7'H'7"'2(7&'2&0)(+8"%-'(7'$#R(0(+8(Q':+'8%+8&'(+'-%7')%7%$%7'H'"+#$%7'-%'20#D(0%')%"7%'(7'-%'S(D&00%F#%'&378J80#)%>'(+80('-%7'7&-P8(0%7'7&+'-%7')&#+)#$(+8(7>'(+'(72()#%-'2&0'(R()8&'$('-&7'%))#$(+8(7Q

I7#D#7D&>'7('7%3('T"('-%7'D"<(0(7'7&-8(0%7'7('(D3%0%/%+'D(+&7'T"('-%7')%7%$%7'H'"+#$%7>'H'T"('8%D3#J+'0()"00(+'%-'%3&08&')&+'D(+&7'R0()"(+)#%'KECI.'V&-#;#%>'?@AA'H'?@ABL>'2(0&'2%0()('T"('-%7')&D2-#)%)#&+(7'$(-'20&)(7&'%3&08#;&'7&+'DN7'-(8%-(7'(+80('(--%7>'2(0&'&)"2%+'(-'7(F"+$&'-"F%0>')&D2#8#(+$&')&+'-%7'S(D&00%F#%7Q':+80('-%7')%P7%$%7>'(-'2(7&'$('-%7')&#+)#$(+8(7'&3($()('%'-&7'R(D#+#)#$#&7>'H'(+80('-%7'"+#$%7'%'-&7'%))#$(+8(7Q

Grafico 11. Distribución porcentual de las causas de muerte materna, según grupo de causa y estado civil

Bolivia, 2011

Porcentaje

4550

151050

3540

202530

6.1 6.1 46.2 4.1 9.6 20.8

5.1 17.3 32.2 8.9 3.3 22.9

17.5 8.8 17.5 2.5 0 40

Aborto H.I.E Hemorragia Infección CoincidentCáncer

Casadas

Casadas

Solteras

Solteras

Unidas

Unidas

bG:[1:,':78"$#&'[%)#&+%-'$('4&08%-#$%$'4%8(0+%>'?@AAQ'4#+#78(0#&'$('.%-"$>'?@AgQ[]1I,'W%'7"D%8&0#%'$(')%$%'F0"2&'$('(78%$&')#;#-'+&'(7'A@@p'2&0T"('+&'R#F"0%+'8&$%7'-%7')%"7%7Q

nemo

nemo

nemo

Gráfico

ee

4&08%-#$%$'D%8(0+%'(+''20&R"+$#$%$'

*;?5:676H5/C86ACB69@HI67?/C5/@9:/AC8?;=?BC5=9:

:+'&)S&'$(2%08%D(+8&7'(7'2&7#3-('0(%-#/%0'"+%')&D2%0%)#*+'$('-&7'$%8&7')&00(72&+$#(+8(7'%'?@@@'H'?@AAQ':+'(-')%7&'$('C%+$&>')&D&'7('7%3(>'-%'(+)"(78%'2&7)(+7%-'?@@@'+&'$(8()8&'D"(08(7'D%8(0+%7'2%0%'(7('%9&Q

Cuadro 7. Mapa de composición de la estructura de la mortalidad materna por grupo de causa y año


Grupo CIE-MMLa Paz Potosí Oruro Cochabamba Tarija Chuquisaca Santa Cruz Beni

2000 2011 2000 2011 2000 2011 2000 2011 2000 2011 2000 2011 2000 2011 2000 2011

Aborto

HIE

Hemorragia

Infección

Otras obstet

Manejo

No obstetric

Desconocida

Coincidente

[]1I,':+'-%7')&-"D+%7>'(-')&-&0';(0$(')&00(72&+$('%-'%9&'?@@@'H'(-'%D%0#--&'%-'?@AAQ'W%7'-5+(%7'$(-'D%2%')&00(72&+$(+'%'-&7'F0"2&7'$(')%"7%7'$('D"(08('D%8(0+%Q'W&7'0()"%$0&7'7&+'-%'"+#*+'$(')&-"D+%7'H'-5+(%7Q'G+'0()"%$0&'$(')&-&0'T"#(0('$(P)#0'T"('(+'(-'%9&')&00(72&+$#(+8(>'(-'F0"2&'$(')%"7%'$('D"(08('(78";&'20(7(+8(Q'W&7'(72%)#&7'(+'3-%+)&'7#F+#R#)%+'%"7(+)#%'$(-'F0"2&'$(')%"7%'$('D"(08(')&00(72&+$#(+8(Q

W&7'$&7'F0"2&7'$(')%"7%7'T"('2(0D%+()(+'(+'8&$&7'-&7'$(2%08%D(+8&7'%D3&7'%9&7'7&+,'S(D&00%F#%7'H'&80%7'&378J80#)%7'K#+$#0()8%7LM'(-'F0"2&'#+)&+78%+8('7('0(R#(0('%'-%7')&D2-#P)%)#&+(7'$(-'D%+(<&Q

C&0'$(2%08%D(+8&>'%-'D%0F(+'$('-%'7#F+#R#)%)#*+'2&0)(+8"%-'$(')%$%'F0"2&>'D%+8#(+(+'7(D(<%+/%7,'W%'C%/>'C&8&75>'!&)S%3%D3%>'#+)-"7&'.%+8%'!0"/Q':-'0(78&>')&+')%D3#&7'DN7'%2%0(+8(7>'(+'&0$(+'$('-%'+&8&0#($%$'$('-&7'D#7D&7'7&+,']0"0&>'1%0#<%>'!S"T"#7%)%'H'V(+#Q

W%')%0%)8(0578#)%')(+80%-'$(-'D%2%'(7'T"('(+'?@AA')#(08&7'F0"2&7'$(')%"7%7'S%+'$(7%2%0()#$&'$('-%'(780")8"0%Q'.&-&'(+'$&7'$(2%08%D(+8&7'S%'&)"00#$&'-&')&+80%0#&,'(+'!S"T"#7%)%'S%)('7"'20(7(+)#%'(-'%3&08&')&D&')%"7%'$('D"(08('H>'(+'(-'V(+#>'(-'F0"2&'$(')%"7%7')&#+)#$(+8(7Q':-'%3&08&')&D&')%"7%'$('D"(08('D%8(0+%'7('#+)0(D(+8*'(+'!&)S%3%D3%'K$('?>dp'%'Ae>@pL'H'!S"T"#7%)%'K$('@>@p'%'̀ >BpLQ'])"00#*'-&'20&2#&')&+'-&7'80%78&0+&7'S#2(08(+7#;&7>')&+'"+'#+)0(D(+8&'D"H'+&8&0#&'20#D(0&'(+'(-'V(+#'K$('Y>gp'%'`Y>YpL'H'$(72"J7'(+'.%+8%'!0"/'

eY

!%"7%7'3#&-*F#)%7'$('D&08%-#$%$'D%8(0+%

K$('Y>@p'%'?^>@pLQ'I"D(+8&7'D(+&0(7'8";#(0&+'-"F%0'(+,'W%'C%/'K$('`>Bp'%'Y>YpL>'C&8&75'K$('e>ep'%'^>@pL>'!&)S%3%D3%'K$('e>?p'%'g>epL'H'!S"T"#7%)%'K$('A`>dp'%'Ad>YpLQ

Grafico 12. Distribución porcentual de las muertes maternassegún grupo de causa y año

Departamento Beni, 2000 y 2011

Porcentaje

40

45

15

10

5

0

30

35

20

25

6.4 35.5 9.7 0 6.4 0 29 0 12.9

38.9 5.6 25 2.8 2.8 0 25 0 02000

2011

Aborto HIE Hem InfecOtrasobs Manejo Desc Coincid

Noobstet

bG:[1:,':78"$#&'[%)#&+%-'$('4&08%-#$%$'4%8(0+%>'?@AAQ'4#+#78(0#&'$('.%-"$>'?@AgQ

:+'(-'F0%R#)&'^'7('&37(0;%'(-'#+)0(D(+8&'$('-%7'S(D&00%F#%7'&378J80#)%7>'T"('(+)"(+80%'7"'(U2-#)%)#*+'(+'80(7'$(2%08%D(+8&7'(+'-&7'T"('(78('F0"2&'$(')%"7%'S%'(U2(0#D(+8%$&'#+)0(D(+8&7,'W%'C%/'K$('̀ B>@p'%'Yg>YpL>'C&8&75'K$('̀ B>dp'%'eg>?pL'H'!S"T"#7%)%'K$('?B>gp'%'`B>@pLQ':+'(-'0(78&'$('$(2%08%D(+8&7'S"3&'$#7D#+")#*+Q

W%7'#+R())#&+(7'0(-%)#&+%$%7')&+'(-'(D3%0%/&'$#7D#+"H(0&+'(+'(-')&+8(U8&'2%57'K$('B>@p'%'e>^pL>'2(0&'%"D(+8%0&+>'(+'1%0#<%'K$('A`>`p'%'?@>@pL>'.%+8%'!0"/'K$('?>Yp'%'B>?pL'H'(+'W%'C%/'K$('g>gp'%'B>YpLQ

:+'(-'F0"2&'h&80%7')&D2-#)%)#&+(7'&378J80#)%7i'$#0()8%7>'(+'-%7'T"('7('#+)-"H('(-'7"#)#$#&'2&0'0()&D(+$%)#*+')&+8(+#$%'(+'-%'a"5%']4.'$('?@A?'KA`L>'(-'D%H&0'#+)0(D(+8&'S%'7#$&'0(F#780%$&'(+'!&)S%3%D3%'K$('A`>^p'%'??>gpL>'-"(F&'(+'C&8&75'K$('Y>gp'%'^>@pL'H'R#+%-PD(+8('(+'W%'C%/'K$('A?>dp'%'Ae>YpLQ

Z($"))#&+(7'D"H'#D2&08%+8(7'$('-%7')%"7%7'&378J80#)%7'#+$#0()8%7'&)"00#(0&+'(+,'W%'C%/>']0"0&'H'.%+8%'!0"/Q'])"00#*'-&')&+80%0#&'(+,'1%0#<%'K$('A`>`p'%'Y@>@pL'H'(+']0"0&'K$('Ag>Bp'%'?^>?pLQ'

nemo

nemo

nemo

Gráfico

eg

4&08%-#$%$'D%8(0+%'(+''20&R"+$#$%$'

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

Grafico 13. Distribución porcentual de las muertes maternas según grupo de causa y año Departamento Oruro, 2000 y 2011

Porcentaje

40

45

50

15

10

5

0

30

35

20

25

0 0 45.8 0 0 0 29.2 0 24.9

4.2 4.2 45.8 12.5 4.2 0 16.7 8.3 4.22000

2011

Aborto HIE Hem InfecOtrasobs Manejo Desc Coincid

Noobstet

bG:[1:,':78"$#&'[%)#&+%-'$('4&08%-#$%$'4%8(0+%>'?@AAQ'4#+#78(0#&'$('.%-"$>'?@AgQ

]0"0&'(7'"+')%7&'D"H'2%08#)"-%0>'2&0T"('7#'3#(+'S%'D%+8(+#$&'%-8&'(-'2&0)(+8%<('$('D&08%-#P$%$'D%8(0+%'2&0'S(D&00%F#%'&378J80#)%'KeY>dp'-&7'$&7'%9&7L>')#+)&'F0"2&7'S%+'$(7%2%0()#$&'$('7"'(780")8"0%'K;(0'(-'D%2%L>'2(0&'S%'(U2(0#D(+8%$&'"+'#+)0(D(+8&'7"78%+)#%-'$('-%7')%"7%7'&378J80#)%7'#+$#0()8%7'KF0"2&'BL>'$('Ag>Bp'%'?^>?p'H'$('-%7')&#+)#$(+8(7>'$('e>?p'%'?Y>@pLQ

W&7'&)S&'$(2%08%D(+8&7'%+%-#/%$&7'S%+'(U2(0#D(+8%$&'%-FX+'F0%$&'$('80%+7#)#*+'(2#$(PD#&-*F#)%>')&+'-%7')%0%)8(0578#)%7'T"('(78('20&)(7&'8#(+('(+'D&08%-#$%$'D%8(0+%'H'T"('R"(0&+'$(7D(+"/%$%7'(+'2N00%R&7'20(;#&7Q'C(0&')&00(72&+$('R&0D"-%0'-%7'7#F"#(+8(7'20(F"+8%7,

jC&0'T"J'(+'W%'C%/>'C&8&75'H'!S"T"#7%)%'S%'&)"00#$&'"+'#+)0(D(+8&'$('-%'D&08%-#$%$'D%8(0+%'2&0'S(D&00%F#%'&378J80#)%k' jC&0'T"J'S%' 7")($#$&' -&'20&2#&'(+'.%+8%'!0"/'H'V(+#'2(0&')&+'-%'S#2(08(+7#*+'#+$")#$%'2&0'(-'(D3%0%/&k'jt"J'S#)#(0&+'20#D(0&'V(+#'H'-"(F&'1%0#<%'2%0%'-&F0%0'"+'$(7)(+7&'8%+'D%0)%$&'$('-%'D&08%-#$%$'D%8(0+%'2&0'%3&08&k'

nemo

nemo

nemo

Gráfico

eB

!%"7%7'3#&-*F#)%7'$('D&08%-#$%$'D%8(0+%

jC&0'T"J'S%'7")($#$&'-&')&+80%0#&'(+'!&)S%3%D3%k'j1#(+(+'0(-%)#*+'(78&7')%D3#&7'(+'-%'(780")8"0%')&+'-%'($%$'20&D($#&'%-'D&0#0k

W%7' 0(72"(78%7' %' (78%7' #+8(00&F%+8(7' )&00(72&+$('%' -&7' .(0;#)#&7'6(2%08%D(+8%-(7'$('.%-"$>'(+'(72()#%-'2&0T"('(7'+()(7%0#&'7%3(0'7#'-%'80%+7#)#*+'(2#$(D#&-*F#)%'$(8()8%$%'(7'80%+7#8&0#%'&'+&Q':+')"%+8&'%'-%'0(-%)#*+'$('-%7')%"7%7'3#&-*F#)%7'$('D&08%-#$%$'H'-%'($%$'D%8(0+%>'(-'2%+&0%D%'%2%0()('%')&+8#+"%)#*+Q

*;?5:676H5/C86ACB69@HI67?/L:O/=;?5:676H5/ACB9I;JK67?/

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Cuadro 8. Promedio de edad al morir, desviación estándar y prueba de significación, según tipo de causa y año


Valores y grupo de causa

Aborto H.I.E. Hemorragia Infección Concomitante2000 2011 2000 2011 2000 2011 2000 2011 2000 2011

Promedio edad 28.2 27.0 29.1 29.1 31.3 31.2 32.5 26.4 24.7 26.5

+- 1DS 9.6 8.0 7.6 7.7 7.7 7.0 9.5 6.1 7.2 7.3

n 59 38 29 59 206 198 107 29 50 124

Prueba “z” 0.67 0 0 0.52 0.14

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Grafico 14. Distribución porcentual de muertes maternas según lugar de defunción y causa

Bolivia, 2011

Porcentaje90

30

20

10

0

70

80

40

50

6048

76

24 25

7570

30

81

19

52

Aborto H.I.E Hemorragia Infección Concomit

Servicio Domicilio

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Cuadro 9. Distribución porcentual de muertes maternassegún característica seleccionada y año


CARACTERISTICA SELECCIONADA/AÑO 2000 2011

Momento de la defunciónAntes del 5º mesDespués del 5º mesDurante el partoHasta 42 días de concluido el embarazoDespués de 42 días pero antes de 1 año

15931369

2010401614

Tipo de defunción DirectaIndirectaTardíaRelacionada

64111510

748315

Lugar de la defunción En establecimiento de saludEn domicilioEn otro lugar

375310

394318

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