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Determinants of maternal health care and birth outcome in the Dande Health and Demographic Surveillance System area, Angola

2019-08Journal article Open access
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dc.contributor.authorRosário, Edite Vila Nova
dc.contributor.authorGomes, Manuel Carmo
dc.contributor.authorBrito, Miguel
dc.contributor.authorCosta, Diogo
dc.date.accessioned2019-08-28T16:49:21Z
dc.date.available2019-08-28T16:49:21Z
dc.date.issued2019-08
dc.description.abstractMaternal 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.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationRosário 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.pt_PT
dc.identifier.doi10.1371/journal.pone.0221280pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.21/10433
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherPLOSpt_PT
dc.relation.publisherversionhttps://journals.plos.org/plosone/article?id=10.1371/journal.pone.0221280pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectPublic healthpt_PT
dc.subjectMaternal health carept_PT
dc.subjectAntenatal carept_PT
dc.subjectAngolapt_PT
dc.subjectDandept_PT
dc.titleDeterminants of maternal health care and birth outcome in the Dande Health and Demographic Surveillance System area, Angolapt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue8pt_PT
oaire.citation.startPagee0221280pt_PT
oaire.citation.titlePLoS ONEpt_PT
oaire.citation.volume14pt_PT
person.familyNameBrito
person.givenNameMiguel
person.identifier.ciencia-id231F-F341-7E93
person.identifier.orcid0000-0001-6394-658X
person.identifier.ridA-7970-2016
person.identifier.scopus-author-id35224551000
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication4252d8e0-800c-4d67-8b13-0b711d860669
relation.isAuthorOfPublication.latestForDiscovery4252d8e0-800c-4d67-8b13-0b711d860669

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