Determinants of pregnancy outcomes and targeting of maternal health services in Jamaica
Soc Sci Med
; 37(2): 199-211, July 1993.
Article
en En
| MedCarib
| ID: med-8472
Biblioteca responsable:
JM3.1
Ubicación: JM3.1; RA418.S64
ABSTRACT
Detailed nationally representative population level data were used to investigate the pre-natal care and delivery experiences of pregnant women in Jamiaca. The results of this study show that (a) demographic criteria (particularly first births) and self-reported clinical pregnancy complications are valid predictors of deleterious maternal health outcomes and can be used to stratify mothers into risk groups. (b) There appears to be a significant problems of under and inappropriate utilization of pre-natal care services by all women and in particular by demographically 'high risk' women, i.e. young , first time mothers. Significant proportions of the latter group report either no pre-natal care visits at all or visits which are later than the first trimester. The problem of delayed initiation of pre-natal care are specially exacerbated for poor, teenage mothers who happen to be living in the Kingston Metropolitan Area. (c) In terms of the content and quality of pre-natal care services the message is somewhat mixed. On the positive side the pre-natal care system is doing a moderately satisfactory job with regards to diagnostic tests and educational advice. On the negative side however, the fact that once women entered the health care system they all receive the same moderately adequate care (in terms of diagnostic evaluations and educational advice) with no attempt to focus particular attention on high risk mothers is troublesome. (d) With regards to appropriate delivery venues for pregnant women, pre-natal care visits do not appear to significantly influence the choice of delivery venues. Moreover, rich urban women are much more likely to deliver in a hospital than their rural peers. In conclusion, the study discusses the social and behavioral context of these results, addresses the policy implications and makes some recommendations to improve maternal health services (AU)
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Colección:
01-internacional
Base de datos:
MedCarib
Asunto principal:
Atención Prenatal
/
Resultado del Embarazo
/
Servicios de Salud Materna
Tipo de estudio:
Etiology_studies
/
Guideline
/
Prognostic_studies
/
Risk_factors_studies
Aspecto:
Equity_inequality
Límite:
Adult
/
Female
/
Humans
País/Región como asunto:
Caribe ingles
/
Jamaica
Idioma:
En
Revista:
Soc Sci Med
Año:
1993
Tipo del documento:
Article