Effect of the access barriers on attending to pregnant control appointments and its perinatal outcomes
ABSTRACT IN ENGLISH: Objective: To determine conditions that may explain the failure to attend the programmed prenatal control appointments (cpn), and assessing whether eliminating the access barriers improves the health conditions of pregnant women. Methodology: We performed a mixed design prospect...
Gespeichert in:
Veröffentlicht in: | Revista gerencia y políticas de salud 2014-07, Vol.13 (27), p.212-227 |
---|---|
Hauptverfasser: | , , , , , |
Format: | Artikel |
Sprache: | spa |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
Zusammenfassung: | ABSTRACT IN ENGLISH: Objective: To determine conditions that may explain the failure to attend the programmed prenatal control appointments (cpn), and assessing whether eliminating the access barriers improves the health conditions of pregnant women. Methodology: We performed a mixed design prospective cohort study in several stages. Results: The main access barrier that caused failures to attend was difficulties to pay for transportation. By giving transportation subsidies, the failures to attend to the appointments were reduced by 87%. The health determinants associated with a higher probability of having perinatal complications were: low socio-economic status, distance from their residence to the attention site, and a high score in the bio-psychosocial risk scale. Additionally, factors like tertiary education and economic support in charge of the man head of the household were associated with a decrease in the risk of maternal-fetal complications. Conclusions: the economic, socio-cultural and geographical barriers ignored by the Colombian health system affect access to the cpn. // ABSTRACT IN SPANISH: Objetivo: determinar qué condiciones pueden explicar la inasistencia a citas programadas de control prenatal (cpn) y evaluar si la eliminación de las barreras de acceso mejora las condiciones de salud de las gestantes. Metodología: se realizó un estudio de diseño mixto, multietápico, de cohorte prospectivo. Resultados: la dificultad para el pago de transporte fue la principal barrera de acceso causante de inasistencia. Mediante la entrega de subsidios de transporte, las inasistencias disminuyeron 87 %. Los determinantes de la salud asociados con mayor probabilidad de presentar complicaciones perinatales fueron: estrato socioeconómico bajo, distancia de la vivienda respecto al sitio de atención y alta puntuación en escala de riesgo biopsicosocial. Adicionalmente, factores como educación superior y sustento económico a cargo del hombre cabeza de familia se asociaron a reducción del riesgo de complicaciones materno-fetales. Conclusiones: las barreras económicas, socioculturales y geográficas, obviadas por el sistema de salud colombiano, afectan la accesibilidad al cpn. Reprinted by permission of the: Revista Gerencia y Políticas de Salud |
---|---|
ISSN: | 1657-7027 |