Factors Associated with Underutilization of Maternity Health Care Cascade in Mozambique

Analysis of the 2015 National Health Survey

Datos Bibliográficos

ID15463546
AutoresSérgio Chicumbe (0000-0002-2498-9373, Instituto Nacional de Saúde, autor de correspondencia), Maria do Rosário Oliveira Martins (0000-0002-7941-0285, Universidade Nova de Lisboa)
Año2022
Volumen19
Número13
Páginas7861-7861
Fecha de publicación2022-06-27
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaInternational Journal of Environmental Research and Public Health (JOURNAL)
Identificadores de la revistaISSN: 1661-7827 • E-ISSN: 1660-4601
EditorialMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph19137861
PMID35805519
OpenAlexW4283646410
IdiomaEN
Citas recibidas1
Referencias citadas56

Maternity health care services utilization determines maternal and neonate outcomes. Evidence about factors associated with composite non-utilization of four or more antenatal consultations and intrapartum health care services is needed in Mozambique. This study uses data from the 2015 nationwide Mozambique's Malaria, Immunization and HIV Indicators Survey. At selected representative households, women ( n = 2629) with child aged up to 3 years answered a standardized structured questionnaire. Adjusted binary logistic regression assessed associations between women-child pairs characteristics and non-utilization of maternity health care. Seventy five percent (95% confidence interval (CI) = 71.8-77.7%) of women missed a health care cascade step during their last pregnancy. Higher education (adjusted odds ratio (AOR) = 0.65; 95% CI = 0.46-0.91), lowest wealth (AOR = 2.1; 95% CI = 1.2-3.7), rural residency (AOR = 1.5; 95% CI = 1.1-2.2), living distant from health facility (AOR = 1.5; 95% CI = 1.1-1.9) and unknown HIV status (AOR = 1.9; 95% CI = 1.4-2.7) were factors associated with non-utilization of the maternity health care cascade. The study highlights that, by 2015, recommended maternity health care cascade utilization did not cover 7 out of 10 pregnant women in Mozambique. Unfavorable sociodemographic and economic factors increase the relative odds for women not being covered by the maternity health care cascade

Cascade · Environmental health · Health care · Political science · Engineering · Global Health and Epidemiology · Global Maternal and Child Health · Healthcare Systems and Reforms · Medicine