Abstract

RODRIGUEZ-PAEZ, Fredy Guillermo et al. Effect of the Access Barriers on Attending to Pregnant Control Appointments and its Perinatal Outcomes. Rev. Gerenc. Polit. Salud [online]. 2014, vol.13, n.27, pp.212-227. ISSN 1657-7027.  https://doi.org/10.11144/Javeriana.rgyps13-27.ebas.

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 biopsychosocial 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.

Keywords : pregnant women; prenatal attention; health care provision; social determinants of health; accessibility to health services; support to health planning.

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