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Antenatal care in Southern Brazil: Coverage, trends and inequalities.
Cesar, Juraci A; Black, Robert E; Buffarini, Romina.
Afiliação
  • Cesar JA; Postgraduate Program in Public Health, Faculty of Medicine, Universidade Federal do Rio Grande, Rua Visconde de Paranaguá, 102, 4th floor, Rio Grande 96210.900, RS, Brazil. Electronic address: juraci.a.cesar@gmail.com.
  • Black RE; Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 North Wolfe Street, Baltimore, MD 21205, USA.
  • Buffarini R; Universidade Federal de Pelotas, Marechal Deodoro 1160, 3rd floor, Pelotas, RS 96020-220, Brazil.
Prev Med ; 145: 106432, 2021 04.
Article em En | MEDLINE | ID: mdl-33485999
We described prenatal care quality for four indicators over a 12-years period among puerperae living in Southern Brazil. Five surveys including all women giving birth between 01/01 to 31/12 in 2007, 2010, 2013, 2016, and 2019 were conducted in Rio Grande, Rio Grande do Sul state, Brazil. A single standardized questionnaire was applied within 48 h after delivery in all the city's maternity hospitals. Outcomes included the followings proportion of pregnant women who started prenatal care in the first trimester and performed at least six medical visits, completed at least two HIV, two syphilis and two qualitative urine tests. These indicators were stratified according to quartiles of household income. Absolute and relative measures of inequalities were calculated. A total of 12,645 (98% of the total) of the 12,914 mothers eligible in the five surveys were successfully interviewed. Coverage for all indicators increased substantially, especially in the poorest quartile for six prenatal care visits starting in the first trimester, and for HIV and qualitative urine tests. The slope index (SII) and the concentration index (CIX) of inequality showed clear disadvantage among the poorest for prenatal visits starting in the first trimester and performing two or more urine tests. There was a substantial increase in coverage for all variables studied in the period. The reduced inequity, mainly for the beginning of the first trimester and for visits and urine tests, was due to the higher coverage achieved in the poorest quartile.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cuidado Pré-Natal / Sífilis Tipo de estudo: Qualitative_research Aspecto: Determinantes_sociais_saude / Equity_inequality Limite: Female / Humans / Pregnancy País/Região como assunto: America do sul / Brasil Idioma: En Revista: Prev Med Ano de publicação: 2021 Tipo de documento: Article País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cuidado Pré-Natal / Sífilis Tipo de estudo: Qualitative_research Aspecto: Determinantes_sociais_saude / Equity_inequality Limite: Female / Humans / Pregnancy País/Região como assunto: America do sul / Brasil Idioma: En Revista: Prev Med Ano de publicação: 2021 Tipo de documento: Article País de publicação: Estados Unidos