[Social factors associated with use of prenatal care in Ecuador]. / Factores sociales asociados con la utilización de los servicios de atención prenatal en Ecuador.
Rev Panam Salud Publica
; 40(5): 341-346, 2016 Nov.
Article
em Es
| MEDLINE
| ID: mdl-28076583
ABSTRACT
OBJECTIVES:
Prenatal care is a pillar of public health, enabling access to interventions including prevention of mother-to-child transmission of HIV and congenital syphilis. This paper describes social factors related to use of prenatal care in Ecuador.METHODS:
In 2011 and 2012, participant clinical history and interview information was analyzed from a national probability sample of 5 998 women presenting for delivery or miscarriage services in 15 healthcare facilities in Ecuador, to estimate prevalence of HIV, syphilis, and Chagas disease, and prenatal care coverage.RESULTS:
The study found that 94.1% of women had attended at least one prenatal visit, but that attendance at no less than four visits was 73.1%. Furthermore, lower educational level, greater number of pregnancies, occupation in the agriculture or livestock sector, and membership in ethnic indigenous, Afro-Ecuadorian, or other minority groups were factors associated with lack of use (no prenatal visits) or insufficient use of prenatal care (fewer than four visits or first visit at >20 weeks gestation) in Ecuador.CONCLUSIONS:
These results point to persistence of marked inequalities in access to and use of prenatal health services attributable to socioeconomic factors and to the need to strengthen strategies to address them, to reach the goal of universal prenatal care coverage.
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
1_ASSA2030
/
2_ODS3
/
3_ND
/
5_ODS3_mortalidade_materna
Base de dados:
MEDLINE
Assunto principal:
Cuidado Pré-Natal
/
Fatores Socioeconômicos
/
Transmissão Vertical de Doenças Infecciosas
Tipo de estudo:
Risk_factors_studies
Aspecto:
Determinantes_sociais_saude
/
Equity_inequality
Limite:
Female
/
Humans
/
Pregnancy
País/Região como assunto:
America do sul
/
Ecuador
Idioma:
Es
Revista:
Rev Panam Salud Publica
Ano de publicação:
2016
Tipo de documento:
Article