Determinants of antenatal care utilization – contacts and screenings – in Sao Tome & Principe

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 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/10362/155301
Resumo: Funding Information: A special remark for the late Professor João Luís Baptista PhD MD—AV research co-supervisor—a great man who was a thinker and a fighter for Sao Tome and Príncipe improvement of public health. We are indebted to all the women who participated in the study. The authors would like to thank the 1) medical team and nurses of Hospital Ayres de Menezes Maternity for their support, especially to the chief-nurse Paulina Oliveira, and 2) Ana Sequeira, Rita Coelho, Ana Margalha, Ana Castro, Alexandra Coelho, and Inês Gomes for field support. We would like to acknowledge Instituto Camões, I.P. for the logistic support in Sao Tome & Principe. Funding Information: 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. The funder had no role in the study design, data collection and analysis, decision to publish or preparation of the manuscript. Publisher Copyright: © 2023, The Author(s).
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spelling Determinants of antenatal care utilization – contacts and screenings – in Sao Tome & Principea hospital-based cross-sectional studyAdequate antenatal care utilizationAntenatal care utilizationAntenatal screeningsNewborn mortalityPregnant womenSao Tome & PrincipeRG Gynecology and obstetricsRJ101 Child Health. Child health servicesPublic Health, Environmental and Occupational HealthObstetrics and GynaecologyPediatrics, Perinatology, and Child HealthMaternity and MidwiferyPediatricsHealth PolicySDG 3 - Good Health and Well-beingSDG 10 - Reduced InequalitiesSDG 5 - Gender EqualityFunding Information: A special remark for the late Professor João Luís Baptista PhD MD—AV research co-supervisor—a great man who was a thinker and a fighter for Sao Tome and Príncipe improvement of public health. We are indebted to all the women who participated in the study. The authors would like to thank the 1) medical team and nurses of Hospital Ayres de Menezes Maternity for their support, especially to the chief-nurse Paulina Oliveira, and 2) Ana Sequeira, Rita Coelho, Ana Margalha, Ana Castro, Alexandra Coelho, and Inês Gomes for field support. We would like to acknowledge Instituto Camões, I.P. for the logistic support in Sao Tome & Principe. Funding Information: 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. The funder had no role in the study design, data collection and analysis, decision to publish or preparation of the manuscript. Publisher Copyright: © 2023, The Author(s).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.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)Global Health and Tropical Medicine (GHTM)Instituto de Higiene e Medicina Tropical (IHMT)Population health, policies and services (PPS)RUNVasconcelos, AlexandraSousa, SwasilanneBandeira, NelsonAlves, MartaPapoila, Ana LuísaPereira, FilomenaMachado, Maria Céu2023-07-14T22:19:17Z2023-122023-12-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article10application/pdfhttp://hdl.handle.net/10362/155301eng0778-7367PURE: 65010423https://doi.org/10.1186/s13690-023-01123-1info: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:RCAAP2024-03-11T05:37:52Zoai:run.unl.pt:10362/155301Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:56:01.220644Repositório 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 Sao Tome & Principe
a hospital-based cross-sectional study
title Determinants of antenatal care utilization – contacts and screenings – in Sao Tome & Principe
spellingShingle Determinants of antenatal care utilization – contacts and screenings – in Sao Tome & Principe
Vasconcelos, Alexandra
Adequate antenatal care utilization
Antenatal care utilization
Antenatal screenings
Newborn mortality
Pregnant women
Sao Tome & Principe
RG Gynecology and obstetrics
RJ101 Child Health. Child health services
Public Health, Environmental and Occupational Health
Obstetrics and Gynaecology
Pediatrics, Perinatology, and Child Health
Maternity and Midwifery
Pediatrics
Health Policy
SDG 3 - Good Health and Well-being
SDG 10 - Reduced Inequalities
SDG 5 - Gender Equality
title_short Determinants of antenatal care utilization – contacts and screenings – in Sao Tome & Principe
title_full Determinants of antenatal care utilization – contacts and screenings – in Sao Tome & Principe
title_fullStr Determinants of antenatal care utilization – contacts and screenings – in Sao Tome & Principe
title_full_unstemmed Determinants of antenatal care utilization – contacts and screenings – in Sao Tome & Principe
title_sort Determinants of antenatal care utilization – contacts and screenings – in Sao Tome & Principe
author Vasconcelos, Alexandra
author_facet Vasconcelos, Alexandra
Sousa, Swasilanne
Bandeira, Nelson
Alves, Marta
Papoila, Ana Luísa
Pereira, Filomena
Machado, Maria Céu
author_role author
author2 Sousa, Swasilanne
Bandeira, Nelson
Alves, Marta
Papoila, Ana Luísa
Pereira, Filomena
Machado, Maria Céu
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
Global Health and Tropical Medicine (GHTM)
Instituto de Higiene e Medicina Tropical (IHMT)
Population health, policies and services (PPS)
RUN
dc.contributor.author.fl_str_mv Vasconcelos, Alexandra
Sousa, Swasilanne
Bandeira, Nelson
Alves, Marta
Papoila, Ana Luísa
Pereira, Filomena
Machado, Maria Céu
dc.subject.por.fl_str_mv Adequate antenatal care utilization
Antenatal care utilization
Antenatal screenings
Newborn mortality
Pregnant women
Sao Tome & Principe
RG Gynecology and obstetrics
RJ101 Child Health. Child health services
Public Health, Environmental and Occupational Health
Obstetrics and Gynaecology
Pediatrics, Perinatology, and Child Health
Maternity and Midwifery
Pediatrics
Health Policy
SDG 3 - Good Health and Well-being
SDG 10 - Reduced Inequalities
SDG 5 - Gender Equality
topic Adequate antenatal care utilization
Antenatal care utilization
Antenatal screenings
Newborn mortality
Pregnant women
Sao Tome & Principe
RG Gynecology and obstetrics
RJ101 Child Health. Child health services
Public Health, Environmental and Occupational Health
Obstetrics and Gynaecology
Pediatrics, Perinatology, and Child Health
Maternity and Midwifery
Pediatrics
Health Policy
SDG 3 - Good Health and Well-being
SDG 10 - Reduced Inequalities
SDG 5 - Gender Equality
description Funding Information: A special remark for the late Professor João Luís Baptista PhD MD—AV research co-supervisor—a great man who was a thinker and a fighter for Sao Tome and Príncipe improvement of public health. We are indebted to all the women who participated in the study. The authors would like to thank the 1) medical team and nurses of Hospital Ayres de Menezes Maternity for their support, especially to the chief-nurse Paulina Oliveira, and 2) Ana Sequeira, Rita Coelho, Ana Margalha, Ana Castro, Alexandra Coelho, and Inês Gomes for field support. We would like to acknowledge Instituto Camões, I.P. for the logistic support in Sao Tome & Principe. Funding Information: 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. The funder had no role in the study design, data collection and analysis, decision to publish or preparation of the manuscript. Publisher Copyright: © 2023, The Author(s).
publishDate 2023
dc.date.none.fl_str_mv 2023-07-14T22:19:17Z
2023-12
2023-12-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/155301
url http://hdl.handle.net/10362/155301
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 0778-7367
PURE: 65010423
https://doi.org/10.1186/s13690-023-01123-1
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
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instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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