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Antenatal care in Maputo, Mozambique.

D Jelley, R J Madeley

    Journal of Epidemiology and Community Health
    |June 1, 1983
    PubMed
    Summary

    Mozambique

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    Area of Science:

    • Public Health
    • Maternal and Child Health
    • Health Services Research

    Background:

    • Mozambique prioritizes primary health care, focusing on maternal and child health.
    • The World Health Organization (WHO) advocates a "risk approach" to direct specialist care.
    • Antenatal care strategies are crucial for improving health outcomes.

    Purpose of the Study:

    • To evaluate the implementation of the "risk approach" strategy in Maputo's antenatal clinics.
    • To determine the incidence of risk among pregnant women.
    • To assess the effectiveness of specialist care referral for high-risk mothers.

    Main Methods:

    • Analysis of nearly 1000 completed antenatal control forms from three contrasting health centers in Maputo.
    • Evaluation of risk identification, referral, and monitoring processes.
    • Correlation of risk levels and child mortality with urban quality indicators.

    Main Results:

    • A significant number of high-risk pregnancies were identified and monitored.
    • Less than half of identified high-risk women were referred for specialist care.
    • High-risk women underutilized services compared to lower-risk women.
    • Risk levels and child mortality correlated with urban area quality.

    Conclusions:

    • The "risk approach" strategy shows potential but faces implementation challenges in referral and service utilization.
    • Disparities in service access and utilization exist among high-risk populations.
    • Socioeconomic factors, indicated by urban quality, influence health outcomes and service use.

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