Factors associated with the quality of prenatal care in Peru

Authors

  • Akram Hernández-Vásquez Universidad San Ignacio de Loyola, Vicerrectorado de Investigación, Centro de Excelencia en Investigaciones Económicas y Sociales en Salud. Lima, Perú. Médico cirujano; magíster en Gestión y Políticas Públicas http://orcid.org/0000-0003-1431-2526
  • Rodrigo Vargas-Fernández Universidad Científica del Sur. Lima, Perú. estudiante de Medicina;
  • Guido Bendezu-Quispe Universidad San Ignacio de Loyola, Vicerrectorado de Investigación, Unidad de Investigación para la Generación y Síntesis de Evidencias en Salud. Lima, Perú. Médico cirujano; magíster en Informática Biomédica en Salud Global con mención en Informática en Salud

DOI:

https://doi.org/10.17843/rpmesp.2019.362.4482

Keywords:

Prenatal care, Quality of healthcare, Cross-sectional studies, Maternal health, Peru

Abstract

Objective. To estimate the proportion of Peruvian women who received quality prenatal care (PNC) for their last childbirth in the last five years and to determine its associated factors. Materials and Methods. Analytical cross-sectional study of the 2017 Demographic and Family Health Survey. The proportion of quality PNC was calculated based on the number of PNC control visits. Bivariate and adjusted prevalence ratios (PRa) of quality PNC were estimated. Results. Data from 18,156 women were analyzed; 56.1% received quality PNC. Receiving more PNC visits increased the likelihood of receiving quality PNC (49.6% and 59.9% for six and eight control visits, respectively). Being from the highlands (PRa=0.85; 95% CI: 0.80-0.91), living in rural areas (PRa=0.94; 95% CI: 0.89-0.99), and belonging to a native ethnic group (PRa=0.72; 95% CI: 0.66-0.79) was associated with a lower likelihood of receiving quality PNC. Having completed high-school (PRa=1.16; 95% CI: 1.10-1.22) and higher education (PRa=1.15; 95% CI: 1.07-1.23), being from the 2nd wealth quintile (PRa=1.15; 95% CI: 1.08-1.22), 3rd quintile (PRa=1.18; 95% CI: 1.09-1.27), 4th quintile (PRa=1.16; 95% CI: 1.07-1.26), and 5th quintile (PRa=1.16; 95% CI: 1.05-1.28); being from the rest of the Coast (PRa=1.06; 95% CI: 1.00-1.12) and Jungle (PRa=1.31; 95% CI: 1.24-1.39); being enrolled in health insurance (PRa=1.24; 95% CI: 1.18-1.30); birth order 2-3 (PRa=1.10; 95% CI: 1.06-1.15) or ≥4 (PRa=1.20; 95% CI: 1.14-1.27), and having received PNC in the first trimester (PRa=1.20, 95% CI: 1.14-1.26) was related to an increased likelihood of receiving quality PNC. Conclusions. Four out of ten women did not receive quality PNC, especially in women of native ethnicity or residents of the highlands or rural areas, groups that would require prioritization in maternal health strategies.

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Author Biography

  • Rodrigo Vargas-Fernández, Universidad Científica del Sur. Lima, Perú. estudiante de Medicina;

    Universidad Científica del Sur. Lima, Perú.

Published

2019-06-28

Issue

Section

Original Article

How to Cite

1.
Hernández-Vásquez A, Vargas-Fernández R, Bendezu-Quispe G. Factors associated with the quality of prenatal care in Peru. Rev Peru Med Exp Salud Publica [Internet]. 2019 Jun. 28 [cited 2024 May 27];36(2):178-87. Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/4482

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