Individual and local level factors and antenatal care use in Colombia: a multilevel analysis

Osorio, Ana; Tovar, Luis Miguel; Rathmann, Katharina

doi:10.1590/0102-311x00073513

Cited by 46 publications

(49 citation statements)

References 32 publications

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“…This was significantly higher than the previous report by mini EDH 2014 which Osorio et al, 2014). This may be attributed to the time difference between current study and mini EDHS survey, that there could be improvement in accessing and utilizing health care service through time and geographical variation.…”

Section: Discussioncontrasting

confidence: 76%

Magnitude and predictors of antenatal care (ANC) completion among mothers attending delivery and post-natal service in Jimma town, Oromia Region, South West Ethiopia

Abagero¹,

Teshome²,

Abate³

2017

J. Public Health Epidemiol.

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Antenatal care is more beneficial in preventing adverse pregnancy outcomes when received early and continued till delivery. World Health Organization (WHO) recommends at least four antenatal care visits for women with no complication. Conversely, survey data from Ethiopia showed that only one third are initiated early. Thus, assessing magnitude and factors affecting antenatal care (ANC) completion is required for public health intervention planning and implementations. Accordingly, this study is conducted with the aim of assessing factors affecting ANC completion among mothers attending delivery and postnatal service in Jimma town health facilities. Institution based cross-sectional study design was employed from March to April 2016 in Jimma town. Three hundred and sixty six mothers who came for delivery and postnatal service were selected using simple random sampling technique. Interviewer administered questionnaires were used to collect data. The data were entered into EPI data version 3.1 and analyzed using SPSS for Windows, version 20. Regression analyses were used to isolate independent predictor's antenatal completion. A total of 366 participants of the study, 364 underwent all the study components giving a response rate of 99.4%.

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Section: Discussioncontrasting

confidence: 76%

Magnitude and predictors of antenatal care (ANC) completion among mothers attending delivery and post-natal service in Jimma town, Oromia Region, South West Ethiopia

Abagero¹,

Teshome²,

Abate³

2017

J. Public Health Epidemiol.

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“…Joshi et al 14 , in a study carried out in Nepal, found that the chances of attending four or more prenatal visits grew with better educational level of the pregnant women analyzed, being seven times higher when extreme groups of schooling were compared to each other. Similarly, in Colombia, Osorio et al 15 found that higher levels of education (higher education) led to greater access and attendance of at least four prenatal visits during pregnancy.…”

Section: Discussionmentioning

confidence: 95%

Diferenças regionais e fatores associados ao número de consultas de pré-natal no Brasil: análise do Sistema de Informações sobre Nascidos Vivos em 2013

Anjos

Boing

2016

Rev. bras. epidemiol.

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ABSTRACT:Objective: To investigate factors associated with seven or more prenatal visits, in Brazil, in 2013. Methods: Cross-sectional study from the database of Information System on Live Births. The association of explanatory variables was tested with prenatal visits by means of the analysis of single and multiple multinomial regressions. The spatial distribution of prenatal visits according to the Brazilian municipalities was also analyzed. Results: It was found that 2.7% of pregnant women attended no prenatal visit and 63.1% attended 7 or more. The chance to attend 7 or more prenatal visits was higher among pregnant women aged 40 years or more, with 12 years or more of schooling, living with a roommate, living in the South and Southeast regions, who had a triplet or more pregnancy, with gestational age of 42 weeks or more, and who had children with normal birth weight. Significant regional disparities were identified in the prevalence of women with seven or more prenatal visits. Conclusion: Although Brazil has a Unified Health System that provides universal prenatal care, the use of this service is uneven according to geographic, demographic, and socioeconomic characteristics. Keywords 836Rev BRas epidemiol oUT-deZ 2016; 19(4): 835-850 INTRODUCTIONAccess to prenatal care is associated with better health outcomes for pregnant women and newborns. This care is essential to prevent and/or early detect maternal and fetal pathologies, promoting the healthy development of the baby and reducing the risk to the pregnant women 1 . By monitoring the pregnancy since the first quarter there is greater possibility of the mother undergo laboratory tests, reducing maternal and child morbidity and mortality. Consequently, the results are better intrauterine growth, higher birth weight, fewer occurrences of prematurity and neonatal mortality, and, for the mother, lower rate of complications during pregnancy and at delivery 1 . Studies show that the higher the number of prenatal visits, the lower the neonatal 2 and maternal 3,4 mortality rates, the prevalence of prematurity 3 , the low birth weight 5,6 , and the hypertension during pregnancy 3,4 . In this scenario, the anti-tetanus vaccination coverage 7 and supplementation with ferrous sulfate 7 are also greater. Owing to these benefits indicated by the literature and in order to improve access, coverage, and quality of prenatal care in Brazil, the Ministry of Health launched, in 2000, the Program of Humanization in Prenatal and Birth (PHPN). Among other guidelines, the document recommends that pregnant women attend at least six prenatal visits during pregnancy: one in the first quarter, two in the second, and three in the third 1 . Studies that analyzed the factors associated with low number of prenatal care visits found that this negative outcome is more common among women with low education 8 , pregnant adolescents 2,8 , with high parity 6,8 , and living without a partner 6 . However, in Brazil, RESUMO: Objetivo: Investigar os fatores associados à realização de sete ou ma...

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“…Estos resultados coinciden con otros estudios realizados que evidencian obstáculos administrativos, geográficos, económicos y culturales 17,22,27,38,39 . Sin embargo, es necesario continuar incrementando la evidencia científica sobre el acceso a los servicios de salud reproductiva que viven las mujeres de los grupos étnicos del país.…”

Section: Discussionunclassified

“…Un análisis de la Encuesta Nacional de Demografía y Salud (ENDS 2010) reportó como obstáculos para el control prenatal estos factores, más la falta de confianza en los prestadores, con diferencias regionales, aunque no estratifica sus resultados de acuerdo a la variable etnia 27 . La ENDS 2005 ya había reportado mayores porcentajes de mujeres sin control prenatal, sin atención del parto en los servicios de salud, y sin atención posparto en aquellas sin educación, residentes en el área rural, y con menor nivel socioeconómico 28 .…”

Section: El Contexto Colombianounclassified

Inequidad en la utilización de servicios de salud reproductiva en Colombia en mujeres indígenas y afrodescendientes

et al. 2015

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Resumen Se analizó la utilización de servicios de salud reproductiva (atención prenatal, parto y posparto), según la etnia de las mujeres, a partir de la Encuesta Nacional de Demografía y Salud 2010 de Colombia. La etnia fue medida por auto- reconocimiento (indígenas, afrodescendientes y ninguna) y se estimaron modelos logísticos para cada servicio. Encontramos que, respecto a quienes no pertenecen a ninguna etnia, la utilización de servicios de salud reproductiva es menor en las mujeres indígenas y afrodescendientes. En los modelos de regresión se encontró que mujeres indígenas tienen menores posibilidades de un número adecuado de controles prenatales (OR = 0,61), así como también afrodescendientes. Igual situación para la atención institucional del parto: indígenas (OR = 0,33), afrodescendientes (OR = 0,60); y en control posparto: indígenas (OR = 0,80), afrodescendientes (OR = 0,80). En conclusión, existen inequidades en la utilización de servicios de salud reproductiva en las mujeres de grupos étnicos de Colombia que deben ser atendidas con estrategias gubernamentales que garanticen el derecho a la salud.

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Individual and local level factors and antenatal care use in Colombia: a multilevel analysis

Cited by 46 publications

References 32 publications

Magnitude and predictors of antenatal care (ANC) completion among mothers attending delivery and post-natal service in Jimma town, Oromia Region, South West Ethiopia

Magnitude and predictors of antenatal care (ANC) completion among mothers attending delivery and post-natal service in Jimma town, Oromia Region, South West Ethiopia

Diferenças regionais e fatores associados ao número de consultas de pré-natal no Brasil: análise do Sistema de Informações sobre Nascidos Vivos em 2013

Inequidad en la utilización de servicios de salud reproductiva en Colombia en mujeres indígenas y afrodescendientes

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