IZURIETA GUEVARA, MÓNICA GIOCONDA
Preferred name
IZURIETA GUEVARA, MÓNICA GIOCONDA
Main Affiliation
CISPEC - Centro de Investigación en Salud Pública y Epidemiología Clínica
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Item type:Publication, Disparidades rural-urbanas en la mortalidad materna en Ecuador: Un análisis desde una perspectiva de género (2019–2021)La mortalidad materna es un indicador sensible de desigualdad en los sistemas de salud. En Ecuador persisten marcadas brechas sociales entre zonas rurales y urbanas, acentuadas por factores estructurales como el territorio, la etnicidad y el género. Este estudio analiza las disparidades rural-urbanas en la mortalidad materna entre 2019 y 2021 desde un enfoque interseccional y de derechos humanos. Se utilizaron datos oficiales del Ministerio de Salud Pública e INEC, así como herramientas de análisis estadístico y georreferenciación. Los hallazgos evidencian razones de mortalidad materna más elevadas en el área rural, provincias fronterizas y especialmente entre mujeres racializadas y de edades avanzadas. Se concluye que los sistemas de salud deben contemplar recursos e inversión en estas áreas y grupos, así como las operaciones logísticas y de comunicación necesarias para una oportuna atención prenatal. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Beyond national fertility rates: unmasking territorial differences in adolescent pregnancy in Ecuador(Frontiers Media SA, 2026-07-22); ; ; ; Izurieta-Guevara, LorenaIntroduction Teenage pregnancy is a significant public health challenge that may contribute to cycles of poverty in the context of social inequality. In Latin America and the Caribbean, Ecuador ranks third in terms of fertility rates. The objective of this study is to describe temporal trends and territorial patterns of adolescent fertility in Ecuador between 2015 and 2024, differentiating early adolescents (10–14 years) and late adolescents (15–19 years), and identifying priority territories for public health monitoring. Method A descriptive observational study was conducted using anonymized databases from the National Institute of Statistics and Census (INEC). Fertility rates were calculated for two groups: early adolescents (10–14 years) and late adolescents (15–19 years). Data were analyzed by province, area of residence, and social variables. Monotonic temporal trends were assessed using the non-parametric Mann–Kendall test. Results The national fertility rate declined steadily, from 40.75 per 1,000 (95% CI: 40.44–41.08) in 2015 to 20.53 in 2024 (95% CI: 20.30–20.75). Despite this overall progress, geographic heterogeneity in fertility rates was observed, with the highest rates and slowest declines concentrated in Amazonian and Coastal provinces. Fertility rates remained consistently elevated among adolescents in early unions, those with lower educational attainment, and within Indigenous and Mestizo populations. Mann–Kendall analyses identified priority provinces with non-significant downward trends, particularly among early adolescents. Conclusion The study identified declining adolescent fertility rates alongside persistent territorial disparities across Ecuador. Differences observed by province, age group, ethnicity, educational attainment, and early unions underscore the importance of complementing national indicators with disaggregated analyses. This perspective may contribute to a more nuanced understanding of adolescent fertility patterns and may guide territorial surveillance and public health planning. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Spatiotemporal trends in hospitalizations and mortality due to mental disorders in Ecuador 2014–2023. A national epidemiological study(Springer Science and Business Media LLC, 2025-11-24); ; ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Assessing the impact of a business intelligence program on the employability and well-being of low-income women: a quasi-experimental study protocol(Frontiers Media SA, 2025-11-13) - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Climate Change and health: vulnerability pathways and resilience policies(Medwave Estudios Limitada, 2025-10-27); ; Daniel Simancas-RacinesClimate change is a serious threat to public health. The intensity and devastation of 21st-century climate events exacerbate the vulnerability of certain social groups that already face historical disadvantages. The objective of this article is to examine various dimensions of health vulnerability in the context of anthropogenic climate change. A narrative review was conducted based on articles published in the last five years from the Scopus, Medline/PubMed, LILACS databases, and an intentional search of current publications by international organizations and commissions focused on the topic. The review identified and characterized four types of health vulnerability dimensions: social, economic, geographic, and health infrastructure; it also presents multiple intersectionalities that converge at the interface of climate change and health which increase the risk of physical and mental illnesses. Based on the proposed discussion, public policy guidelines are suggested for resilient health systems and effective information structures for timely decision-making.