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