Timeliness, frequency and content of antenatal care: which is most important to reducing indigenous disparities in birth weight in Mexico?

Health Policy and Planning
Edson Servan-MoriBlair G Darney

Abstract

This article examines the role of components of adequate antenatal care (ANC) in disparities in birth weight between indigenous and non-indigenous women in Mexico. We estimate the potential for added weight gain among indigenous infants if their mothers received timely, frequent ( ≥4 visits) and complete ANC (≥75% of recommended processes of care). We used population-based survey data (2012;N= 6612 women 12-49). We applied quantile regression to examine heterogeneity of the association between adequate ANC, indigenous ethnicity and birth weight across quantiles of the birth weight distribution. A greater proportion of indigenous women reported a low-birth weight infant (<2.5 kg) at last delivery (14 vs 8% among non-indigenous women). Coverage of adequate ANC (timely, frequent and complete care) is lower among indigenous (59%, CI:53;65) than non-indigenous (68%, CI:66;70) women. Indigenous ethnicity is associated with a lower birth weight across quantiles of the observed birth weight distribution: between 300 g in the 0.05, 0.10 and 0.25 quantiles. Among indigenous women, greater newborn weight gains are achieved in the lowest quantiles if they have access to ≥75% of the content of ANC compared with those that did not have acces...Continue Reading

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Citations

Dec 25, 2015·International Journal for Equity in Health·Midiam Ibáñez-CuevasMiguel A González-Block
Apr 30, 2017·Health Policy and Planning·Edson Serván-MoriRafael Lozano
Jun 15, 2021·BMC Public Health·Wenling HuJiangli Di
Sep 24, 2021·Health Policy and Planning·Medjo Obia Liliane Odette

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