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Child Poverty in Mozambique. A Situation and Trend ... - Unicef

Child Poverty in Mozambique. A Situation and Trend ... - Unicef

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The coverage of antenatal care has improved significantly <strong>in</strong> recent years, with<br />

the proportion of women attended at least once by skilled health personnel dur<strong>in</strong>g<br />

pregnancy <strong>in</strong>creas<strong>in</strong>g from 71 per cent <strong>in</strong> 1997 to 85 per cent <strong>in</strong> 2003. As a result of<br />

<strong>in</strong>creased coverage of health services, most ga<strong>in</strong>s <strong>in</strong> antenatal care were recorded <strong>in</strong><br />

rural areas, where antenatal care <strong>in</strong>creased from 65 per cent <strong>in</strong> 1997 to 79 per cent <strong>in</strong><br />

2003. Antenatal care <strong>in</strong> urban areas rema<strong>in</strong>ed almost universal, with a slight <strong>in</strong>crease<br />

from 96 per cent <strong>in</strong> 1997 to 97 per cent <strong>in</strong> 2003. The vast majority of ante-natal care<br />

is provided by nurses <strong>and</strong> midwives, with doctors account<strong>in</strong>g for only 2 per cent of<br />

antenatal care provided (6.2 per cent <strong>in</strong> urban areas <strong>and</strong> 0.6 per cent <strong>in</strong> rural areas).<br />

With the exception of Zambezia prov<strong>in</strong>ce, where antenatal care was only 58 per cent,<br />

all prov<strong>in</strong>ces <strong>in</strong> which antenatal care was less than 80 per cent <strong>in</strong> 1997 succeeded<br />

<strong>in</strong> reach<strong>in</strong>g rates over 80 per cent <strong>in</strong> 2003, with some remarkable results achieved<br />

<strong>in</strong> Sofala prov<strong>in</strong>ce, where antenatal care improved from 46 per cent to 82 per cent.<br />

Antenatal care varies accord<strong>in</strong>g to the socio-economic status of women, from 67 per<br />

cent among the poorest women to 98 per cent among the best-off women.<br />

Figure 3.4: Women attended at least once by a skilled health personnel dur<strong>in</strong>g<br />

pregnancy: comparison between 1997 <strong>and</strong> 2003<br />

%<br />

100<br />

80<br />

91<br />

82<br />

86 86<br />

84<br />

78<br />

89 90<br />

76<br />

97<br />

93<br />

93 91<br />

100 100<br />

99<br />

93<br />

60<br />

58<br />

68<br />

69<br />

40<br />

48<br />

46<br />

20<br />

0<br />

Zambezia Niassa Sofala Nampula Tete Cabo<br />

Delgado<br />

Manica Inhambane Gaza Maputo Maputo<br />

City<br />

1997 2003<br />

Source: DHS 2003<br />

The number of antenatal consultations <strong>in</strong>creased between 1997 <strong>and</strong> 2003, as shown<br />

by the decl<strong>in</strong>e <strong>in</strong> the proportion of women that were never attended dur<strong>in</strong>g pregnancy<br />

(from 27 per cent to 15 per cent) <strong>and</strong> the <strong>in</strong>crease <strong>in</strong> the proportion of women<br />

attended four times or more dur<strong>in</strong>g pregnancy, from 37 per cent <strong>in</strong> 1997 to 53 per<br />

cent <strong>in</strong> 2003. However, only 18 per cent of women received their first consultation<br />

before the fourth month of their pregnancy. The majority of <strong>in</strong>itial consultations<br />

occurred dur<strong>in</strong>g the fourth or fifth months of pregnancy (44 per cent), while 22 per<br />

cent of first consultations occurred dur<strong>in</strong>g the sixth or seventh month of pregnancy.<br />

CHILDHOOD POVERTY IN MOZAMBIQUE: A SITUATION AND TRENDS ANALYSIS<br />

79

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