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Primary Health Care during the COVID-19 pandemic in Fortaleza, Brazil: associated factors and pattern of use by mothers and children up to 18 months of age.
- Source :
-
Revista brasileira de epidemiologia = Brazilian journal of epidemiology [Rev Bras Epidemiol] 2022 Nov 14; Vol. 25, pp. e220036. Date of Electronic Publication: 2022 Nov 14 (Print Publication: 2022). - Publication Year :
- 2022
-
Abstract
- Objective: To analyze the delay or failure to seek primary health care by the mother-child dyads during the COVID-19 pandemic, a practice that has a high potential to increase maternal and child morbidity and mortality.<br />Methods: Data from three survey rounds of the Iracema-COVID cohort study, collected 6, 12, and 18 months after birth, showed the patterns of postpartum attendance to primary health care consultation of the mother-child dyad. Crude and adjusted multinomial logistic regressions with robust variance were used to assess factors associated with nonattendance.<br />Results: Among the 314 cohort mothers, 25% did not attend any primary health care consultation during the 18-months postpartum, while 30% of the mothers did all three. Regarding the child, 75% had regular primary health care consultations in all three survey rounds, while 4% did not attend any in their first 18 months of life. By the end of the first COVID-19 wave, the proportion of mother and child who attended the consultations had fallen by 23 and 18%, respectively. The main factors associated with nonattendance were mothers aged below 25 years, and mothers with more than one child.<br />Conclusion: An important delay or nonattendance to primary health care consultation by the mother-child dyad was observed during the COVID-19 pandemic. Such practice, with a high potential to increase maternal and child morbidity and mortality, was particularly frequent among younger mothers and those with more than one child.
Details
- Language :
- English
- ISSN :
- 1980-5497
- Volume :
- 25
- Database :
- MEDLINE
- Journal :
- Revista brasileira de epidemiologia = Brazilian journal of epidemiology
- Publication Type :
- Academic Journal
- Accession number :
- 36383846
- Full Text :
- https://doi.org/10.1590/1980-549720220036