RESUMO
To compare low birth weight (LBW: <2,500 g) between infants born to adolescent and adult mothers in Iquitos, Peru. A random sample of 4,467 records of women who delivered at the Hospital Apoyo Iquitos between 2005 and 2007 was collected from hospital birth registries. Multivariate logistic and linear regression analyses were performed to compare LBW in newborns of adolescents (10-14, 15-19 years) and adults (≥20 years) and then for primiparous mothers with a normal gestational age, adjusting for newborn sex, antenatal care, and location of the mother's residence. A total of 4,384 mothers had had a singleton live birth and 1,501 were primiparous with a normal gestational age. Early and late adolescents had significantly greater odds of having a LBW infant than adults (OR = 2.28, 95%CI: 1.09, 4.78; OR = 1.67, 95%CI: 1.30, 2.14, respectively). For primiparous mothers with a normal gestational age, the same was true only for early adolescents (OR = 3.07, 95%CI: 1.09, 8.61). There were significant differences in mean birth weight between adults (3178.7 g) and both adolescent age groups overall (10-14 years: 2848.9 g; 15-19 years: 2998.3 g) and for primiparous mothers with a normal gestational age (10-14 years: 2900.8 g; 15-19 years: 3059.2 g; ≥20 years: 3151.8 g). Results suggest there is an important difference between adolescent and adult mothers in terms of newborn birth weight, especially among early adolescents. Future research on LBW and possibly other adverse birth outcomes should consider early adolescents as a separate sub-group of higher risk.
Assuntos
Disparidades nos Níveis de Saúde , Recém-Nascido de Baixo Peso , Idade Materna , Bem-Estar Materno/estatística & dados numéricos , Serviços de Saúde Reprodutiva/estatística & dados numéricos , Adolescente , Adulto , Criança , Intervalos de Confiança , Estudos Transversais , Feminino , Humanos , Recém-Nascido , Modelos Logísticos , Masculino , Mães/estatística & dados numéricos , Razão de Chances , Peru , Gravidez , Resultado da Gravidez , Fatores de Risco , Fatores de Tempo , Adulto JovemRESUMO
Este artículo trata de la selección, capacitación, funciones y formas de supervisión de un grupo de promotores de salud en una zona rural de Haití. El objetivo es proveer un esquema modelo para quienes se propongan formar este tipo de promotores e impulsar y evaluar sus actividades. Además de los métodos de selección y adiestramiento, se describen también las relaciones que desarrollaron los promotores entre sí y con otros miembros del equipo de salud, la operación del programa y las farmacias comunitarias que establecieron los promotores en sus domicilios
Disponible en inglés en Bull. Pan Am. Health Organ 25(2), 1991
Assuntos
Agentes Comunitários de Saúde , Atenção Primária à Saúde , Saúde da População Rural , Voluntários , HaitiRESUMO
This article describes the selection, training, activities, and supervision of village health workers (VHWs) in a rural area of Haiti. The aim is to provide an overview of work that may serve as a useful example to others engaged or wishing to engage in VHW programs. The account describes selection and training of the VHWs, relationships established between themselves and with other health team members, operation of the VHW program, and development of community pharmacies by the VHWs in their homes
Available in spanish in Bol. Oficina Sanit. Panam 110(4), 1991