Título

Measuring the adequacy of antenatal health care: a national cross sectional study in Mexico

Autor

BLAIR GRANT DARNEY

HORTENCIA REYES MORALES

Ileana Beatriz Heredia Pi

Edson Servan Mori

Rafael Lozano

Nivel de Acceso

Acceso Abierto

Resumen o descripción

Objective To propose an antenatal care classification for measuring the continuum of health care based on the concept of adequacy:

timeliness of entry into antenatal care, number of antenatal care visits key processes of care.

Methods In a cross sectional, retrospective study we used data from the Mexican National Health Nutrition Survey (ENSANUT) in

2012. This contained self reported information about antenatal care use by 6494 women during their last pregnancy ending in live birth.

Antenatal care was considered to be adequate if a woman attended her first visit during the first trimester of pregnancy, made a minimum

of four antenatal care visits underwent at least seven of the eight recommended procedures during visits. We used multivariate ordinal

logistic regression to identify correlates of adequate antenatal care predicted coverage.

Findings Based on a population weighted sample of 9 052 044, 98.4% of women received antenatal care during their last pregnancy, but

only 71.5% (95% confidence interval, CI: 69.7 to 73.2) received maternal health care classified as adequate. Significant geographic differences

in coverage of care were identified among states. The probability of receiving adequate antenatal care was higher among women of higher

socioeconomic status, with more years of schooling with health insurance.

Conclusion While basic antenatal care coverage is high in Mexico, adequate care remains low. Efforts by health systems, governments

researchers to measure improve antenatal care should adopt a more rigorous definition of care to include important elements of

quality such as continuity processes of care.

Fecha de publicación

9 de febrero de 2018 9 de febrero de 2018 16 de agosto de 2017 2016

Tipo de publicación

Artículo

Recurso de información

http://repositorio.insp.mx:8080/jspui/handle/20.500.12096/6934

http://doi.org/DOI: 10.2471/BLT.15.168302.

siid.insp.mx:1001-260

Formato

application/pdf

application/pdf

Idioma

Español

Cobertura

Internacional

Repositorio Orígen

Repositorio Institucional Abierto de Conocimiento en Salud Pública

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