Edite Rosário|Manuel C. Gomes|Miguel Brito|Diogo Costa
Determinants of maternal health care and birth outcome in the Dande Health and Demographic Surveillance System area, Angola
Clínica Sagrada Esperança|i3S - Instituto de Investigação e Inovação em Saúde, Universidade do Porto|University of Lisbon|Clínica Sagrada Esperança|Instituto Politécnico de Lisboa|i3S - Instituto de Investigação e Inovação em Saúde, Universidade do Porto
maternal health care improvement reduction maternal child mortality priorities global health agenda angola maternal mortality remains high risk pregnancyrelated death 1 32 2015 study aims identify demographic social factors influencing antenatal care health facility delivery among women dande understand impact birth outcomesthis study based communitybased longitudinal data collected dande health demographic surveillance system 2009 2015 data pregnancy outcomes 10289 outcomes 8066 women collected reported pregnancies including sociodemographic information health services utilisation womens reproductive history logistic regression used investigate determinants birth outcomes antenatal care attendance institutionalised deliveryof 10289 pregnancy outcomes 985 resulted live births 968 attended antenatal care 825 four visits yet 507 women delivered outside health facility antenatal care attendance determinant birth outcomes stillbirth unadjusted 034 95 ci 016070 abortion 007 95 ci 004012 older women lower education living greater distance health facility rural areas less likely use maternal health care previous pregnancies namely resulting live births also decreased likelihood health care utilization pregnant womenthe study identifies relevant social determinants utilisation antenatal care place delivery impact birth outcome thereby providing insight best address inequities health care utilization