Determinants of antenatal care utilization – contacts and screenings – in São Tome e Principe: a hospital-based cross-sectional study
Autor(a) principal: | |
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Data de Publicação: | 2023 |
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/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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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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info:eu-repo/semantics/article |
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article |
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publishedVersion |
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 |
language |
eng |
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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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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Springer Nature |
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Springer Nature |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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