Antenatal care in Mozambique: Number of visits and gestational age at the beginning of antenatal care

Reis-Muleva, Belarmina; Duarte, Luciane Simões; Silva, Carla Marins; Gouveia, Luciana Magnoni Reberte; Borges, Ana Luíza Vilela

doi:10.1590/1518-8345.4964.3481

Cited by 4 publications

(5 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Based on an analysis of 10 primary studies, it was found that mothers with higher education were 2.93 times more likely to take advantage of antenatal care than mothers with low education (aOR = 2.93; 95% CI = 1.93 to 4.45; p = 0.001). This is in line with Reis-Muleva et al (2021) which revealed that mothers with higher education were 2.91 times more likely to utilize antenatal services compared to mothers with low education.…”

Section: Discussionsupporting

confidence: 89%

See 1 more Smart Citation

Meta-Analysis the Effects of Education, Pregnancy Planning, Husband Support, and Distance to Health Facilities on the Utilization of Antenatal Care Service

Sitepu,

Tamtomo,

Prasetya

2023

J Matern Child Health

View full text Add to dashboard Cite

Background: Antenatal care (ANC) is comprehensive and quality antenatal care provided to pregnant women in the form of antenatal checks to prevent causes of morbidity and mortality in pregnant women and children. The decrease in the number of visits of pregnant women to health facilities has resulted in high maternal mortality due to complications of pregnancy and childbirth. This study aimed to analyze the effect of education, pregnancy planning, husband's support, and distance to health facilities on the utilization of ANC. Subjects and Method: This was a meta-analysis. Population was pregnant women. Intervention: higher education, planned pregnancies, strong husband support, and distance to close facilities. Comparison: low education, unplanned pregnancies, weak spousal support, and long distances to facilities. Outcome: utilization of ANC. The articles used were obtained from Google Scholar, BMC Pregnancy and Childbirth, PubMed, and Science Direct. The keywords used “Antenatal Care” AND “Utilization of ANC” AND “Husband Support and ANC”. The articles used were full text in English from 2009 to 2022. Articles were selected using the PRISMA diagram and analyzed using the Review Manager 5.3 application. Results: 14 cross-sectional studies showed that mothers with higher education (aOR=2.93; 95% CI=1.93 to 4.45; p=0.001); planned pregnancy (aOR= 1.99; 95% CI= 1.26 to 3.15; p=0.003); had husband support (aOR=2.89; 95% CI= 1.23 to 6.81; p=0.020); and closer distance to health facilities (aOR=3.07; 95% CI=1.43 to 6.55; p=0.003) had high and significant posibility to utilize ANC. Conclusion: Higher education, pregnancy planning, husband's support, and proximity to health facilities influence the utilization of antenatal care. Keywords: antenatal care, pregnant women, morbidity.

show abstract

Section: Discussionsupporting

confidence: 89%

“…Efforts to plan a pregnancy are made so that the 4Ts do not occur, namely Too Young, Too Old, Too Often, and Too Many. Based on research in Mozambique, 47.5% of those who used antenatal care did not plan a pregnancy, while 55.9% did not plan a pregnancy (Reis-Muleva et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

Meta-Analysis the Effects of Education, Pregnancy Planning, Husband Support, and Distance to Health Facilities on the Utilization of Antenatal Care Service

Sitepu,

Tamtomo,

Prasetya

2023

J Matern Child Health

View full text Add to dashboard Cite

show abstract

“…Furthermore, some women may have attended their first ANC visit at >6 months' gestation and therefore did not reach retesting eligibility during pregnancy. However, in a 2019 study conducted in Nampula, 40% of pregnant women attended their first ANC visit by 16 weeks [17] indicating that most women tested at the first ANC visit should have had a least one additional ANC visit prior to delivery where they could have received retesting.…”

Section: Plos Onementioning

confidence: 99%

HIV retesting for pregnant and breastfeeding women across maternal child health services in Nampula, Mozambique

Teasdale

Choy²,

Tsiouris³

et al. 2023

PLoS ONE

View full text Add to dashboard Cite

Background Repeat HIV testing during pregnancy and breastfeeding identifies women with incident infections, those living with HIV who have been lost to care, and infants at risk for HIV infection. We report data from repeat testing for women in maternal and child health (MCH) services at 10 health facilities in Mozambique. Methods Routinely collected data from health facility registers are reported from April-November 2019. From antenatal care (ANC), we report numbers and proportions of women eligible for retesting; returned for care when retesting eligible; retested; and HIV-positive (HIV+) at retesting. From child welfare clinics (CWC), we report mothers retested; tested HIV-positive; HIV+ mothers linked to ART services; HIV-exposed infants (HEI) tested for HIV with polymerase chain reaction (PCR) tests; HEI testing PCR positive; PCR-positive infants linked to care. Results In ANC, 28,233 pregnant women tested HIV-negative at first ANC visit, 40.7% had a follow-up visit when retesting eligible, among whom 84.8% were retested and 0.3%(N = 26) tested HIV+. In CWC, 26,503 women were tested; 0.8%(N = 212) tested HIV+ and 74.1%(N = 157) of HIV+ women were linked to care. Among 157 HEI identified in CWC, 68.4%(N = 145) received PCR testing and 19.3%(N = 28) tested positive. Conclusion In ANC, less than half of pregnant women eligible for retesting returned for follow-up visits, and test positivity was low among women retested in ANC and CWC. In CWC, linkage to infant testing was poor and almost 20% of HEI were PCR-positive. Implementing retesting for pregnant and breastfeeding women is challenging due to high numbers of women and low testing yield.

show abstract

“…Only 34.1% of women start antenatal consultations before the 16th gestational week and attend at least 4 visits; moreover, they report lack of easy access to the health facility as one of the reasons for late initiation of antenatal care. (23) However, progress in utilisation of antenatal services has been made since equipment and supplies. As part of their training, they learned how to prioritise health care and how to recruit community volunteers to help run the unit.…”

Section: Care In Mozambiquementioning

confidence: 99%

Peripartum access to care in Mozambique: Opportunities for reducing maternal mortality

Mocumbi¹,

Jacinto²,

Mocumbi³

2022

SAHJ

View full text Add to dashboard Cite

Women's health is prioritised in national health policies and strategies in Mozambique. However, only 34.1% of women start antenatal consultations before the 16th gestational week and attend at least 4 visits – the reported lack of easy access to health facilities contributing to late initiation of antenatal care. Data from the Mozambique National Audit Committee of maternal, perinatal, and neonatal deaths demonstrate institutional maternal mortality ratio increased from 81 deaths per 100 000 live births in 2016 to 84 in 2019, highlighting the need for greater surveillance and a vigorous response to this increase. In Mozambique, there are opportunities for improving access to and quality of peripartum care to reduce maternal morbidity and mortality. Research is needed to uncover the major causes of maternal mortality and morbidity, particularly the role of cardiovascular disease.

show abstract

Antenatal care in Mozambique: Number of visits and gestational age at the beginning of antenatal care

Cited by 4 publications

References 18 publications

Meta-Analysis the Effects of Education, Pregnancy Planning, Husband Support, and Distance to Health Facilities on the Utilization of Antenatal Care Service

Meta-Analysis the Effects of Education, Pregnancy Planning, Husband Support, and Distance to Health Facilities on the Utilization of Antenatal Care Service

HIV retesting for pregnant and breastfeeding women across maternal child health services in Nampula, Mozambique

Peripartum access to care in Mozambique: Opportunities for reducing maternal mortality

Contact Info

Product

Resources

About