NDLI: Family health strategy and equity in prenatal care: a population based cross-sectional study in Minas Gerais, Brazil

Content Provider	Springer Nature : BioMed Central
Author	Andrade, Mônica Viegas Noronha, Kenya Valéria Micaela de Souza Queiroz Barbosa, Allan Claudius Souza, Michelle Nepomuceno Calazans, Júlia Almeida Carvalho, Lucas Resende de Rocha, Thiago Augusto Hernandes Silva, Núbia Cristina
Abstract	Background Prenatal care coverage is still not universal or adequately provided in many low and middle income countries. One of the main barriers regards the presence of socioeconomic inequalities in prenatal care utilization. In Brazil, prenatal care is supplied for the entire population at the community level as part of the Family Health Strategy (FHS), which is the main source of primary care provided by the public health system. Brazil has some of the greatest income inequalities in the world, and little research has been conducted to investigate prenatal care utilization of FHS across socioeconomic groups. This paper addresses this gap investigating the socioeconomic and regional differences in the utilization of prenatal care supplied by the FHS in the state of Minas Gerais, Brazil. Methods Data comes from a probabilistic household survey carried out in 2012 representative of the population living in urban areas in the state of Minas Gerais. The sample size comprises 1,420 women aged between 13 and 45 years old who had completed a pregnancy with a live born in the last five years prior to the survey. The outcome variables are received prenatal care, number of antenatal visits, late prenatal care, antenatal tests, tetanus immunization and low birthweight. A descriptive analysis and logistic models were estimated for the outcome variables. Results The coverage of prenatal care is almost universal in catchment urban areas of FHT of Minas Gerais state including both antenatal visits and diagnostic procedures. Due to this high level of coverage, socioeconomic inequalities were not observed. FHS supplied care for around 80% of the women without private insurance and 90% for women belonging to lower socioeconomic classes. Women belonging to lower socioeconomic classes were at least five times more likely to receive antenatal visits and any of the antenatal tests by the FHS compared to those belonging to the highest classes. Moreover, FHS was effective in reducing low birthweight. Women who had prenatal care through FHS were 40% less likely to have a child with low birthweight. Conclusion This paper presents strong evidence that FHS promotes equity in antenatal care in Minas Gerais, Brazil.
Related Links	https://equityhealthj.biomedcentral.com/counter/pdf/10.1186/s12939-016-0503-9.pdf
Ending Page	10
Page Count	10
Starting Page	1
File Format	HTM / HTML
ISSN	14759276
DOI	10.1186/s12939-016-0503-9
Journal	International Journal for Equity in Health
Issue Number	1
Volume Number	16
Language	English
Publisher	BioMed Central
Publisher Date	2017-01-21
Access Restriction	Open
Subject Keyword	Public Health Health Promotion and Disease Prevention Health Services Research Health Policy Social Justice Equality and Human Rights Social Policy Antenatal care Prenatal care Primary health care Family health strategy Health equity Brazil
Content Type	Text
Resource Type	Article
Subject	Health Policy Public Health, Environmental and Occupational Health
Journal Impact Factor	4.5/2023
5-Year Journal Impact Factor	4.7/2023

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Access to community-based eye services in Meru, Kenya: a cross-sectional equity analysis

Horizontal equity in health care utilization in Brazil, 1998–2008

Area deprivation and attachment to a general practitioner through centralized waiting lists: a cross-sectional study in Quebec, Canada

Inequity in the utilization of antenatal and delivery care in Yangon region, Myanmar: a cross-sectional study

Primary care priorities in addressing health equity: summary of the WONCA 2013 health equity workshop

Erratum to: Horizontal equity in health care utilization in Brazil, 1998-2008

Equity in reproductive and maternal health services in Bangladesh

Equity and efficiency of primary health care resource allocation in mainland China

Interventions in Primary Care and their contributions to improving equity in health

Family health strategy and equity in prenatal care: a population based cross-sectional study in Minas Gerais, Brazil

Similar Documents

Access to community-based eye services in Meru, Kenya: a cross-sectional equity analysis

Horizontal equity in health care utilization in Brazil, 1998–2008

Area deprivation and attachment to a general practitioner through centralized waiting lists: a cross-sectional study in Quebec, Canada

Inequity in the utilization of antenatal and delivery care in Yangon region, Myanmar: a cross-sectional study

Primary care priorities in addressing health equity: summary of the WONCA 2013 health equity workshop

Erratum to: Horizontal equity in health care utilization in Brazil, 1998-2008

Equity in reproductive and maternal health services in Bangladesh

Equity and efficiency of primary health care resource allocation in mainland China

Interventions in Primary Care and their contributions to improving equity in health

Family health strategy and equity in prenatal care: a population based cross-sectional study in Minas Gerais, Brazil