Antenatal care services in decreasing under-five mortality
Abstract Objectives: the first five years of life are critical for children’s physical and intellectual development. However, the under-five mortality rate in South Asia and ASEAN is relatively high, caused by complex etiologies. This paper identifies maternal high-risk fertility behaviors and heal...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Instituto Materno Infantil de Pernambuco
2023-12-01
|
| Series: | Revista Brasileira de Saúde Materno Infantil |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292023000100445&lng=en&tlng=en |
| _version_ | 1827587412779335680 |
|---|---|
| author | Sutanto Priyo Hastono Nurmalia Lusida Yosi Duwita Arinda Miftahul Arsyi Andriyani |
| author_facet | Sutanto Priyo Hastono Nurmalia Lusida Yosi Duwita Arinda Miftahul Arsyi Andriyani |
| author_sort | Sutanto Priyo Hastono |
| collection | DOAJ |
| description | Abstract Objectives: the first five years of life are critical for children’s physical and intellectual development. However, the under-five mortality rate in South Asia and ASEAN is relatively high, caused by complex etiologies. This paper identifies maternal high-risk fertility behaviors and healthcare services utilization and examines predictors of under-five mortality (U5M) in 7 Asian (South Asia - ASEAN) developing countries (Indonesia, Myanmar, Cambodia, Philippines, Bangladesh, Nepal, and Pakistan). Methods: a multivariate logistic regression model with a complex survey was used to examine predictors of U5M on the frequency of U5M adjusted for comorbidities. Results: according to multivariate models (model 2), U5M was 2.99 times higher in mothers with low weight at birth infants than in mothers without low weight at birth infants (aOR= 2.99; CI95%=2.49-3.58); Mothers without antenatal care contacts were 3.37 times more likely (aOR= 3.37; CI95%=2.83-4.00) to have a U5M than mothers with eight or more antenatal care contacts; U5M in Indonesia was 2.34 times higher (aOR= 2.34; CI95%= 1.89-2.89). It is investigated that antenatal care serves as a predictor in decreasing U5MR. Conclusions: in order to achieve significant U5MR reduction, intervention programs that encourage antenatal care consultations should be implemented. |
| first_indexed | 2024-03-09T00:17:43Z |
| format | Article |
| id | doaj.art-e4d05f2005be476ea6dfd4b9649a3275 |
| institution | Directory Open Access Journal |
| issn | 1806-9304 |
| language | English |
| last_indexed | 2024-03-09T00:17:43Z |
| publishDate | 2023-12-01 |
| publisher | Instituto Materno Infantil de Pernambuco |
| record_format | Article |
| series | Revista Brasileira de Saúde Materno Infantil |
| spelling | doaj.art-e4d05f2005be476ea6dfd4b9649a32752023-12-12T07:50:21ZengInstituto Materno Infantil de PernambucoRevista Brasileira de Saúde Materno Infantil1806-93042023-12-012310.1590/1806-9304202300000438-enAntenatal care services in decreasing under-five mortalitySutanto Priyo Hastonohttps://orcid.org/0000-0001-5754-3872Nurmalia Lusidahttps://orcid.org/0000-0002-6131-8958Yosi Duwita Arindahttps://orcid.org/0000-0002-7620-0725Miftahul Arsyihttps://orcid.org/0000-0002-6865-5156 Andriyanihttps://orcid.org/0000-0003-1529-3531Abstract Objectives: the first five years of life are critical for children’s physical and intellectual development. However, the under-five mortality rate in South Asia and ASEAN is relatively high, caused by complex etiologies. This paper identifies maternal high-risk fertility behaviors and healthcare services utilization and examines predictors of under-five mortality (U5M) in 7 Asian (South Asia - ASEAN) developing countries (Indonesia, Myanmar, Cambodia, Philippines, Bangladesh, Nepal, and Pakistan). Methods: a multivariate logistic regression model with a complex survey was used to examine predictors of U5M on the frequency of U5M adjusted for comorbidities. Results: according to multivariate models (model 2), U5M was 2.99 times higher in mothers with low weight at birth infants than in mothers without low weight at birth infants (aOR= 2.99; CI95%=2.49-3.58); Mothers without antenatal care contacts were 3.37 times more likely (aOR= 3.37; CI95%=2.83-4.00) to have a U5M than mothers with eight or more antenatal care contacts; U5M in Indonesia was 2.34 times higher (aOR= 2.34; CI95%= 1.89-2.89). It is investigated that antenatal care serves as a predictor in decreasing U5MR. Conclusions: in order to achieve significant U5MR reduction, intervention programs that encourage antenatal care consultations should be implemented.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292023000100445&lng=en&tlng=enUnder-five mortalityDemographic health surveyAntenatal care |
| spellingShingle | Sutanto Priyo Hastono Nurmalia Lusida Yosi Duwita Arinda Miftahul Arsyi Andriyani Antenatal care services in decreasing under-five mortality Revista Brasileira de Saúde Materno Infantil Under-five mortality Demographic health survey Antenatal care |
| title | Antenatal care services in decreasing under-five mortality |
| title_full | Antenatal care services in decreasing under-five mortality |
| title_fullStr | Antenatal care services in decreasing under-five mortality |
| title_full_unstemmed | Antenatal care services in decreasing under-five mortality |
| title_short | Antenatal care services in decreasing under-five mortality |
| title_sort | antenatal care services in decreasing under five mortality |
| topic | Under-five mortality Demographic health survey Antenatal care |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292023000100445&lng=en&tlng=en |
| work_keys_str_mv | AT sutantopriyohastono antenatalcareservicesindecreasingunderfivemortality AT nurmalialusida antenatalcareservicesindecreasingunderfivemortality AT yosiduwitaarinda antenatalcareservicesindecreasingunderfivemortality AT miftahularsyi antenatalcareservicesindecreasingunderfivemortality AT andriyani antenatalcareservicesindecreasingunderfivemortality |