Determinants of maternal health care and birth outcome in the Dande Health and Demographic Surveillance System area, Angola
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.21/10433 |
Resumo: | Maternal health care improvement and reduction of maternal and child mortality are priorities of the global health agenda. In Angola, maternal mortality remains high and the risk of pregnancy-related death was 1 in 32 during 2015. This study aims to identify demographic and social factors influencing antenatal care and health facility delivery among women in Dande and to understand their impact on birth outcomes. Methods: This study is based on community-based longitudinal data collected by the Dande Health and Demographic Surveillance System between 2009 and 2015. Data on pregnancy outcomes (10,289 outcomes of 8,066 women) were collected for all reported pregnancies, including sociodemographic information, health services utilization and women's reproductive history. Logistic regression was used to investigate the determinants of birth outcomes, antenatal care attendance, and institutionalized delivery. Findings: Of the 10,289 pregnancy outcomes, 98.5% resulted in live births, 96.8% attended antenatal care, and 82.5% had four or more visits. Yet, 50.7% of the women delivered outside a health facility. Antenatal care attendance was a determinant of birth outcomes (stillbirth: unadjusted OR = 0.34 95% CI = 0.16-0.70; abortion: OR = 0.07 95% CI = 0.04-0.12). Older women, with lower education, living at a greater distance of a health facility and in rural areas, were less likely to use maternal health care. Having had previous pregnancies, namely resulting in live births, also decreased the likelihood of health care utilization by pregnant women. Conclusions: The study identifies relevant social determinants for the utilization of antenatal care, place of delivery and their impact on birth outcome, thereby providing insight on how best to address inequities in health care utilization. |
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Determinants of maternal health care and birth outcome in the Dande Health and Demographic Surveillance System area, AngolaPublic healthMaternal health careAntenatal careAngolaDandeMaternal health care improvement and reduction of maternal and child mortality are priorities of the global health agenda. In Angola, maternal mortality remains high and the risk of pregnancy-related death was 1 in 32 during 2015. This study aims to identify demographic and social factors influencing antenatal care and health facility delivery among women in Dande and to understand their impact on birth outcomes. Methods: This study is based on community-based longitudinal data collected by the Dande Health and Demographic Surveillance System between 2009 and 2015. Data on pregnancy outcomes (10,289 outcomes of 8,066 women) were collected for all reported pregnancies, including sociodemographic information, health services utilization and women's reproductive history. Logistic regression was used to investigate the determinants of birth outcomes, antenatal care attendance, and institutionalized delivery. Findings: Of the 10,289 pregnancy outcomes, 98.5% resulted in live births, 96.8% attended antenatal care, and 82.5% had four or more visits. Yet, 50.7% of the women delivered outside a health facility. Antenatal care attendance was a determinant of birth outcomes (stillbirth: unadjusted OR = 0.34 95% CI = 0.16-0.70; abortion: OR = 0.07 95% CI = 0.04-0.12). Older women, with lower education, living at a greater distance of a health facility and in rural areas, were less likely to use maternal health care. Having had previous pregnancies, namely resulting in live births, also decreased the likelihood of health care utilization by pregnant women. Conclusions: The study identifies relevant social determinants for the utilization of antenatal care, place of delivery and their impact on birth outcome, thereby providing insight on how best to address inequities in health care utilization.PLOSRCIPLRosário, Edite Vila NovaGomes, Manuel CarmoBrito, MiguelCosta, Diogo2019-08-28T16:49:21Z2019-082019-08-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.21/10433engRosário EV, Gomes MC, Brito M, Costa D. Determinants of maternal health care and birth outcome in the Dande Health and Demographic Surveillance System area, Angola. PLoS One. 2019;14(8):e0221280.10.1371/journal.pone.0221280info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-08-03T10:00:26Zoai:repositorio.ipl.pt:10400.21/10433Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:18:51.645568Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Determinants of maternal health care and birth outcome in the Dande Health and Demographic Surveillance System area, Angola |
title |
Determinants of maternal health care and birth outcome in the Dande Health and Demographic Surveillance System area, Angola |
spellingShingle |
Determinants of maternal health care and birth outcome in the Dande Health and Demographic Surveillance System area, Angola Rosário, Edite Vila Nova Public health Maternal health care Antenatal care Angola Dande |
title_short |
Determinants of maternal health care and birth outcome in the Dande Health and Demographic Surveillance System area, Angola |
title_full |
Determinants of maternal health care and birth outcome in the Dande Health and Demographic Surveillance System area, Angola |
title_fullStr |
Determinants of maternal health care and birth outcome in the Dande Health and Demographic Surveillance System area, Angola |
title_full_unstemmed |
Determinants of maternal health care and birth outcome in the Dande Health and Demographic Surveillance System area, Angola |
title_sort |
Determinants of maternal health care and birth outcome in the Dande Health and Demographic Surveillance System area, Angola |
author |
Rosário, Edite Vila Nova |
author_facet |
Rosário, Edite Vila Nova Gomes, Manuel Carmo Brito, Miguel Costa, Diogo |
author_role |
author |
author2 |
Gomes, Manuel Carmo Brito, Miguel Costa, Diogo |
author2_role |
author author author |
dc.contributor.none.fl_str_mv |
RCIPL |
dc.contributor.author.fl_str_mv |
Rosário, Edite Vila Nova Gomes, Manuel Carmo Brito, Miguel Costa, Diogo |
dc.subject.por.fl_str_mv |
Public health Maternal health care Antenatal care Angola Dande |
topic |
Public health Maternal health care Antenatal care Angola Dande |
description |
Maternal health care improvement and reduction of maternal and child mortality are priorities of the global health agenda. In Angola, maternal mortality remains high and the risk of pregnancy-related death was 1 in 32 during 2015. This study aims to identify demographic and social factors influencing antenatal care and health facility delivery among women in Dande and to understand their impact on birth outcomes. Methods: This study is based on community-based longitudinal data collected by the Dande Health and Demographic Surveillance System between 2009 and 2015. Data on pregnancy outcomes (10,289 outcomes of 8,066 women) were collected for all reported pregnancies, including sociodemographic information, health services utilization and women's reproductive history. Logistic regression was used to investigate the determinants of birth outcomes, antenatal care attendance, and institutionalized delivery. Findings: Of the 10,289 pregnancy outcomes, 98.5% resulted in live births, 96.8% attended antenatal care, and 82.5% had four or more visits. Yet, 50.7% of the women delivered outside a health facility. Antenatal care attendance was a determinant of birth outcomes (stillbirth: unadjusted OR = 0.34 95% CI = 0.16-0.70; abortion: OR = 0.07 95% CI = 0.04-0.12). Older women, with lower education, living at a greater distance of a health facility and in rural areas, were less likely to use maternal health care. Having had previous pregnancies, namely resulting in live births, also decreased the likelihood of health care utilization by pregnant women. Conclusions: The study identifies relevant social determinants for the utilization of antenatal care, place of delivery and their impact on birth outcome, thereby providing insight on how best to address inequities in health care utilization. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-08-28T16:49:21Z 2019-08 2019-08-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.21/10433 |
url |
http://hdl.handle.net/10400.21/10433 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Rosário EV, Gomes MC, Brito M, Costa D. Determinants of maternal health care and birth outcome in the Dande Health and Demographic Surveillance System area, Angola. PLoS One. 2019;14(8):e0221280. 10.1371/journal.pone.0221280 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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PLOS |
publisher.none.fl_str_mv |
PLOS |
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reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799133454241103872 |