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Factors Associated with Underutilization of Maternity Health Care Cascade in Mozambique
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Orientador(es)
Resumo(s)
Maternity health care services utilization determines maternal and neonate outcomes. Evidence about factors associated with composite non-utilization of four or more antenatal con-sultations and intrapartum health care services is needed in Mozambique. This study uses data from the 2015 nationwide Mozambique’s Malaria, Immunization and HIV Indicators Survey. At selected representative households, women (n = 2629) with child aged up to 3 years answered a standardized structured questionnaire. Adjusted binary logistic regression assessed associations between women-child pairs characteristics and non-utilization of maternity health care. Seventy five percent (95% confidence interval (CI) = 71.8–77.7%) of women missed a health care cascade step during their last pregnancy. Higher education (adjusted odds ratio (AOR) = 0.65; 95% CI = 0.46–0.91), lowest wealth (AOR = 2.1; 95% CI = 1.2–3.7), rural residency (AOR = 1.5; 95% CI = 1.1–2.2), living distant from health facility (AOR = 1.5; 95% CI = 1.1–1.9) and unknown HIV status (AOR = 1.9; 95% CI = 1.4–2.7) were factors associated with non-utilization of the maternity health care cascade. The study highlights that, by 2015, recommended maternity health care cascade utilization did not cover 7 out of 10 pregnant women in Mozambique. Unfavorable sociodemographic and economic factors increase the relative odds for women not being covered by the maternity health care cascade.
Descrição
Funding Information: Funding: This research received no external funding. S.C. was a doctoral scholar partially funded by Canada Aid through the International Development Research Center grant number 102278-001 to the Mozambique’s Instituto Nacional de Saúde. Publisher Copyright: © 2022 by the authors. Licensee MDPI, Basel, Switzerland.
Palavras-chave
factors maternity health care Mozambique underutilization Public Health, Environmental and Occupational Health SDG 3 - Good Health and Well-being SDG 10 - Reduced Inequalities