Individual and local level factors and antenatal care use in Colombia: a multilevel analysis

This paper examined the association between individual and local level factors and the number of antenatal care visits completed by women in Colombia using data from the 2010 Colombian Demographic and Health Survey and multilevel logistic regression models. Our findings suggest that, in addition to...

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Main Authors: Ana María Osorio, Luis Miguel Tovar, Katharina Rathmann
Format: Article
Language:English
Published: Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz 2014-05-01
Series:Cadernos de Saúde Pública
Subjects:
Online Access:http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2014000501079&lng=en&tlng=en
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author Ana María Osorio
Luis Miguel Tovar
Katharina Rathmann
author_facet Ana María Osorio
Luis Miguel Tovar
Katharina Rathmann
author_sort Ana María Osorio
collection DOAJ
description This paper examined the association between individual and local level factors and the number of antenatal care visits completed by women in Colombia using data from the 2010 Colombian Demographic and Health Survey and multilevel logistic regression models. Our findings suggest that, in addition to maternal socioeconomic status, contextual factors influence whether pregnant women complete the minimum recommended number of antenatal care visits. These factors include: level of women’s autonomy in the community, regional inequalities and access barriers caused by distance (OR = 0.057), costs of services (OR = 0.035), and/or a lack of confidence in doctors (OR = 0.036). Our results highlight the existence of inequalities in access to antenatal care and the importance of considering the local context in the design of effective maternal care policies in Colombia. Furthermore, our findings regarding individual factors corroborate the evidence from other countries and offer new insights into the association between local level factors and number of antenatal care visits.
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spelling doaj.art-83d683a4a70145f09bd640176946c9572022-12-21T23:31:15ZengEscola Nacional de Saúde Pública, Fundação Oswaldo CruzCadernos de Saúde Pública0102-311X2014-05-013051079109210.1590/0102-311X00073513S0102-311X2014000501079Individual and local level factors and antenatal care use in Colombia: a multilevel analysisAna María OsorioLuis Miguel TovarKatharina RathmannThis paper examined the association between individual and local level factors and the number of antenatal care visits completed by women in Colombia using data from the 2010 Colombian Demographic and Health Survey and multilevel logistic regression models. Our findings suggest that, in addition to maternal socioeconomic status, contextual factors influence whether pregnant women complete the minimum recommended number of antenatal care visits. These factors include: level of women’s autonomy in the community, regional inequalities and access barriers caused by distance (OR = 0.057), costs of services (OR = 0.035), and/or a lack of confidence in doctors (OR = 0.036). Our results highlight the existence of inequalities in access to antenatal care and the importance of considering the local context in the design of effective maternal care policies in Colombia. Furthermore, our findings regarding individual factors corroborate the evidence from other countries and offer new insights into the association between local level factors and number of antenatal care visits.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2014000501079&lng=en&tlng=enAtención PrenatalAccesibilidad a los Servicios de SaludAnálisis Multinivel
spellingShingle Ana María Osorio
Luis Miguel Tovar
Katharina Rathmann
Individual and local level factors and antenatal care use in Colombia: a multilevel analysis
Cadernos de Saúde Pública
Atención Prenatal
Accesibilidad a los Servicios de Salud
Análisis Multinivel
title Individual and local level factors and antenatal care use in Colombia: a multilevel analysis
title_full Individual and local level factors and antenatal care use in Colombia: a multilevel analysis
title_fullStr Individual and local level factors and antenatal care use in Colombia: a multilevel analysis
title_full_unstemmed Individual and local level factors and antenatal care use in Colombia: a multilevel analysis
title_short Individual and local level factors and antenatal care use in Colombia: a multilevel analysis
title_sort individual and local level factors and antenatal care use in colombia a multilevel analysis
topic Atención Prenatal
Accesibilidad a los Servicios de Salud
Análisis Multinivel
url http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2014000501079&lng=en&tlng=en
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AT luismigueltovar individualandlocallevelfactorsandantenatalcareuseincolombiaamultilevelanalysis
AT katharinarathmann individualandlocallevelfactorsandantenatalcareuseincolombiaamultilevelanalysis