Methodology for diagnosis of the current state of supply chain quality management in the maternal perinatal care route in disparate rural territories
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Universidad Icesi Colombia
Universidad Icesi
Publication date: 2023-04-26
Popul. Med. 2023;5(Supplement):A643
In Colombia, the Ministry of Health and Social Protection developed the Perinatal Maternal Care Route (RAMP), which seeks to guarantee comprehensive health care for pregnant women. However, when reviewing the health indicators in Colombia in recent years, negative results are perceived, especially in people from dispersed rural territories with an alarming increase in cases of maternal and perinatal mortality. Therefore, this study focused on maternal and perinatal health in dispersed rural communities, bearing in mind that they face geographic, economic, and social barriers. The objective of this work was to define and apply a diagnostic methodology for the state of the RAMP to carry out an exhaustive analysis of the links in the chain through the Supply Chain Quality Management (SCQM) strategy in rural areas. municipalities of Santander de Quilichao and Caloto in Colombia. Descriptive-qualitative research. It included the phases of: inquire, define and ideate. A bibliographic search on SCQM analysis techniques was carried out and social innovation methodologies were used to develop this proposal. This study confirms that the RAMP can be seen as a SCQM since it was possible to identify in a transversal way the relationships and flows that exist in this way, in addition, the development of this technique allowed to recognize in a systemic way the causes that are influencing the problem. of the route to propose control actions and alarms with greater integration between the levels of care. It was found that the main problems that affect the provision of services in the RAMP are the disconnection between actors, the fragmentation of the network of service providers, barriers to entry and user recruitment, and asymmetries in quality attributes. Developing a diagnosis adapted to dispersed rural territories made it possible to propose lines of action with a territorial approach to strengthen the RAMP.
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