Determinants of antenatal care utilization – contacts and screenings – in São Tome e Principe: a hospital-based cross-sectional study

Detalhes bibliográficos
Autor(a) principal: Vasconcelos, Alexandra
Data de Publicação: 2023
Outros Autores: Sousa, Swasilanne, Bandeira, Nelson, Alves, Marta, Papoila, Ana Luísa, Pereira, Filomena, Machado, Maria Do Céu
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10451/58335
Resumo: © The Author(s) 2023. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
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spelling Determinants of antenatal care utilization – contacts and screenings – in São Tome e Principe: a hospital-based cross-sectional studyAdequate antenatal care utilizationAntenatal care utilizationAntenatal screeningsNewborn mortalityPregnant womenSão Tomé e Príncipe© The Author(s) 2023. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.Background: Sao Tome & Principe (STP) has a high peri-neonatal mortality rate and access to high-quality care before childbirth has been described as one of the most effective means of reducing it. The country has a gap in the coverage-content of antenatal care (ANC) services that must be addressed to better allocate resources to ultimately improve maternal and neonatal health. Therefore, this study aimed to identify the determinants for adequate ANC utilization considering the number and timing of ANC contacts and screening completion. Methods: A hospital based cross-sectional study was undertaken among women admitted for delivery at Hospital Dr. Ayres de Menezes (HAM). Data were abstracted from ANC pregnancy cards and from a structured face-to-face interviewer-administered questionnaire. ANC utilization was classified as partial vs adequate. Adequate ANC utilization was defined as having ANC 4 or more contacts, first trimester enrolment plus one or more hemoglobin tests, urine, and ultrasound. The collected data were entered into QuickTapSurvey and exported to SPSS version 25 for analysis. Multivariable logistic regression was used to identify determinants of adequate ANC utilization at P-value < 0.05. Results: A total of 445 mothers were included with a mean age of 26.6 ± 7.1, an adequate ANC utilization was identified in 213 (47.9%; 95% CI: 43.3-52.5) and a partial ANC utilization in 232 (52.1%; 95% CI: 47.5-56.7). Age 20-34 [AOR 2.27 (95% CI: 1.28-4.04), p = 0.005] and age above 35 [AOR 2.5 (95% CI: 1.21-5.20), p = 0.013] when comparing with women aged 14-19 years, urban residence [AOR 1.98 (95% CI: 1.28-3.06), p < 0.002], and planned pregnancy [AOR 2.67 (95% CI: 1.6-4.2), p < 0.001] were the determinants of adequate ANC utilization. Conclusion: Less than half of the pregnant women had adequate ANC utilization. Maternal age, residence and type of pregnancy planning were the determinants for adequate ANC utilization. Stakeholders should focus on raising awareness of the importance of ANC screening and engaging more vulnerable women in earlier utilization of family planning services and choosing a pregnancy plan, as a key strategy to improve neonatal health outcomes in STP.AV was supported by the Fundação para a Ciência e Tecnologia (FCT) (https://www.fct.pt/index.phtml.pt/), grant number SFRH/BD/117037/2016.Springer NatureRepositório da Universidade de LisboaVasconcelos, AlexandraSousa, SwasilanneBandeira, NelsonAlves, MartaPapoila, Ana LuísaPereira, FilomenaMachado, Maria Do Céu2023-06-23T13:40:39Z20232023-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/58335engArch Public Health. 2023 Jun 16;81(1):1070778-736710.1186/s13690-023-01123-12049-3258info: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:RCAAP2023-11-08T17:07:09Zoai:repositorio.ul.pt:10451/58335Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:08:37.854130Repositório 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 antenatal care utilization – contacts and screenings – in São Tome e Principe: a hospital-based cross-sectional study
title Determinants of antenatal care utilization – contacts and screenings – in São Tome e Principe: a hospital-based cross-sectional study
spellingShingle Determinants of antenatal care utilization – contacts and screenings – in São Tome e Principe: a hospital-based cross-sectional study
Vasconcelos, Alexandra
Adequate antenatal care utilization
Antenatal care utilization
Antenatal screenings
Newborn mortality
Pregnant women
São Tomé e Príncipe
title_short Determinants of antenatal care utilization – contacts and screenings – in São Tome e Principe: a hospital-based cross-sectional study
title_full Determinants of antenatal care utilization – contacts and screenings – in São Tome e Principe: a hospital-based cross-sectional study
title_fullStr Determinants of antenatal care utilization – contacts and screenings – in São Tome e Principe: a hospital-based cross-sectional study
title_full_unstemmed Determinants of antenatal care utilization – contacts and screenings – in São Tome e Principe: a hospital-based cross-sectional study
title_sort Determinants of antenatal care utilization – contacts and screenings – in São Tome e Principe: a hospital-based cross-sectional study
author Vasconcelos, Alexandra
author_facet Vasconcelos, Alexandra
Sousa, Swasilanne
Bandeira, Nelson
Alves, Marta
Papoila, Ana Luísa
Pereira, Filomena
Machado, Maria Do Céu
author_role author
author2 Sousa, Swasilanne
Bandeira, Nelson
Alves, Marta
Papoila, Ana Luísa
Pereira, Filomena
Machado, Maria Do Céu
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório da Universidade de Lisboa
dc.contributor.author.fl_str_mv Vasconcelos, Alexandra
Sousa, Swasilanne
Bandeira, Nelson
Alves, Marta
Papoila, Ana Luísa
Pereira, Filomena
Machado, Maria Do Céu
dc.subject.por.fl_str_mv Adequate antenatal care utilization
Antenatal care utilization
Antenatal screenings
Newborn mortality
Pregnant women
São Tomé e Príncipe
topic Adequate antenatal care utilization
Antenatal care utilization
Antenatal screenings
Newborn mortality
Pregnant women
São Tomé e Príncipe
description © The Author(s) 2023. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
publishDate 2023
dc.date.none.fl_str_mv 2023-06-23T13:40:39Z
2023
2023-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv http://hdl.handle.net/10451/58335
url http://hdl.handle.net/10451/58335
dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv Arch Public Health. 2023 Jun 16;81(1):107
0778-7367
10.1186/s13690-023-01123-1
2049-3258
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dc.publisher.none.fl_str_mv Springer Nature
publisher.none.fl_str_mv Springer Nature
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