Association of topography with demographic and socioeconomic factors to the compliance and non-compliance of mothers to reproductive health services

@#<p style="text-align: justify;"><strong>BACKGROUND AND OBJECTIVE:</strong> In order to alleviate the reproductive health status of mothers in the Philippines, there should be a better understanding of the factors influencing their compliance to reproductive health services. The study examined the association of topography with demographic and socioeconomic characteristics on the compliance of reproductive health services.</p><p style="text-align: justify;"><strong>METHODOLOGY: </strong>This study analyzed survey data collected in 2017 among mothers in the rural community of Maasin, Iloilo, Philippines. The statistical tools Chi-square, T-test and logistic regression were used to determine the factors associated with the likelihood of mothers to comply with prenatal care, family planning and delivery care services.</p><p style="text-align: justify;"><strong>RESULTS:</strong> There is no significant difference in the number of mothers who comply with prenatal care services and family planning services between lowland and highland barangays. However, mothers from the highland barangays are more likely to have non facility-based delivery (NFBD). Only educational attainment was found to be significantly associated for prenatal services. Only parity was significantly associated with compliance to family planning services. Age, parity, educational attainment and occupation were significantly associated with compliance to delivery care service. The odds of NFBD in the highland area is 2.44 (95% CI: 1.40 to 4.23) times higher as compared to the mothers residing in the lowland area. The odds of NFBD also increases by 7% (95% CI: 3% to 11%) per year increase in age.</p><p style="text-align: justify;"><strong>CONCLUSION:</strong> There is a great need to restructure the delivery of reproductive health services to accommodate mothers from highland barangays who still opt for NFBD. Topography, demographic and socioeconomic factors should be considered in developing strategies and implementation of reproductive health care services in the Philippines. Furthermore, the researchers recommend to include in future studies other reproductive health services such as postnatal care in order to fully grasp the reproductive health in the country. </p>

Retardo do tratamento de mulheres com câncer do colo do útero / Delayed treatment of women with cervical cancer

INTRODUÇÃO: O câncer do colo do útero é uma doença que apresenta um alto potencial de cura quando diagnosticado e tratado precocemente. Entretanto, sua morbimortalidade em todo o mundo ainda é elevada, constituindo-se um grande problema de Saúde Pública. O diagnóstico tardio desta neoplasia e o atraso no início do tratamento são fatores que comprometem a sobrevivência das mulheres acometidas. Assim, os determinantes para o retardo no atendimento especializado e no início do tratamento precisam ser melhor compreendidos para a efetiva assistência a essas mulheres. OBJETIVO: Descrever as características demográficas, socioeconômicas, clínicas e relacionadas ao acesso a serviços de saúde de mulheres com câncer do colo do útero e investigar a associação destas características com o retardo para um atendimento especializado e para o início do tratamento. METODOLOGIA: Trata-se de um estudo de coorte onde foram incluídas mulheres com câncer do colo do útero atendidas no Hospital Aristides Maltez, no período de 2011 a 2014...

INTRODUCTION: Cervical cancer is a disease that presents a high potential of cure when is diagnosed and treated early. However, their morbidity and mortality worldwide is still high, becoming a major public health problem. The late diagnosis of this tumor and the delay in the start of treatment are factors that compromise the survival of affected women. Thus, the decisive for the delay in specialized care and early treatment need to be better understood for effective assistance to these women. OBJECTIVE: To describe the demographic, socioeconomic , clinical and the access to health care characteristcs of women with cervical cancer and to investigate the association of these characteristics with the delay for specialized care and treatment initiation. METHODOLOGY: This is a cohort study where were included women with cervical cancer treated at Hospital Aristides Maltez, from 2011 to 2014...

A esquistossomose mansônica e a relação com o saneamento básico no estado de Pernambuco no período de 2008 a 2014 / Schistosomiasis mansoni and the relationship with basic sanitation in the state of Pernambuco in the period from 2008 to 2014

Este estudo teve como objetivo analisar a correlação entre o acesso ao saneamento básico, características socioeconômicas e a Esquistossomose nos municípios do estado de Pernambuco, no período de 2008 a 2014. Para tanto, realizou-se um estudo descritivo e analítico com dados coletados nos seguintes sistemas de informação: Departamento de Informática do SUS/MS (DATASUS), Sistema de Controle da Esquistossomose (SISPCE), Sistema de Mortalidade (SIM), Instituto Brasileiro de Geografia e Estatística (IBGE) e do Sistema Informação da Atenção Básica (SIAB), tendo como unidade de análise os municípios do estado de Pernambuco. Para avaliar a correlação entre a prevalência de esquistossomose com o número de casos, quantidade de exames realizados, óbito, cobertura de atenção básica, renda, taxa de analfabetismo, fornecimento de água pública, coleta de lixo, sistema de esgoto, % de domicilio atendido por saneamento básico nos municípios de estudo, foram aplicados o teste de correlação de Spearman. Todas as conclusões foram tiradas considerando o nível de significância de 5% e 1%. Verificou-se correlação significativa e negativa entre a prevalência da esquistossomose e o esgotamento sanitário, analfabetismo e renda. Em relação ao abastecimento da água, observou-se uma correlação pouco significativa e positiva. Diante disso, conclui-se que fatores socioeconômicos como analfabetismo, renda e saneamento básico estão correlacionados com a prevalência da esquistossomose nos municípios de Pernambuco.(AU)

This study aimed to analyze the correlation between access to basic sanitation, socioeconomic characteristics and Schistosomiasis in the municipalities of the state of Pernambuco, from 2008 to 2014. Therefore, there was a descriptive and analytical study with data collected in the following information systems: SUS Department of Informatics / MS (DATASUS), Control System Schistosomiasis (SISPCE) Mortality System (SIM), the Brazilian Institute of Geography and Statistics (IBGE) and System information Primary Care (SIAB) , with the unit of analysis municipalities in the state of Pernambuco. To evaluate the correlation between the prevalence of schistosomiasis with the number of cases, number of tests performed, death, primary care coverage, income, illiteracy, public water supply, garbage collection, sewage system,% of household attended by sanitation in the study municipalities were applied the Spearman correlation test. All conclusions were drawn considering the significance level of 5% and 1%. There was a significant negative correlation between the prevalence of schistosomiasis and sanitation, literacy and income. Regarding the supply of water, it was observed a minor positive correlation. Therefore, it i concluded that socioeconomic factors such as illiteracy, income and sanitation are correlated with the prevalence of schistosomiasis in the municipalities of Pernambuco.(AU)