0064/2025 - Controle pré-natal na Venezuela: resultados do inquérito “Encuesta Nacional sobre Condiciones de Vida” Prenatal care in Venezuela: resultsthe “Encuesta Nacional sobre Condiciones de Vida” survey
Objetivou-se estimar a prevalência de mães que realizaram um controle pré-natal inadequado na Venezuela, identificando fatores sociodemográficos, econômicos e relativos à assistência pré-natal associados. A “Encuesta Nacional de Condiciones de Vida” (ENCOVI, 2021) foi utilizada como fonte. A amostra incluiu mulheres residentes na Venezuela que tiveram filhos entre 09/02/2016 e 27/03/2020 (n=2.218). Considerou-se inadequado o controle pré-natal iniciado após o 3º mês de gestação ou com menos de 6 consultas ao total. Para identificar os fatores associados à inadequação foram realizadas análises brutas e ajustadas de razão de prevalência por modelos de regressão de Poisson com variância robusta. Identificou-se que 36,3% (IC95% 34,3-38,3) das mães tiveram controle inadequado, sendo 25% iniciando tardiamente e 28% com menos de 6 consultas. Na análise ajustada, características associadas foram: ter mais de 3 filhos (RP=1,22 IC95% 1,04-1,44) em comparação com quem não tinha outros filhos; estar em situação de extrema pobreza (RP=1,55 IC95% 1,22-1,97); e baixa escolaridade, com prevalência cerca de 2 vezes maior entre mulheres de menor nível educacional. Os achados expõem um dos invisibilizados desfechos da crise humanitária no país, contribuindo para a elucidação do aumento da mortalidade materna e infantil, e reforçando a importância do combate a política de desinformação vigente.
Palavras-chave:
Cuidado Pré-Natal, Venezuela, Equidade no Acesso aos Serviços de Saúde
Abstract:
This study aimed to estimate the prevalence of inadequate prenatal care among mothers in Venezuela and to identify associated sociodemographic, economic, and healthcare-related factors. Data were sourcedthe Encuesta Nacional de Condiciones de Vida (ENCOVI, 2021). The sample included women residing in Venezuela who gave birth between February 9, 2016, and March 27, 2020 (n=2,218). Prenatal care was classified as inadequate if it was initiated after the third month of pregnancy or included fewer than six visits. To examine associated factors, crude and adjusted prevalence ratio analyses were conducted using Poisson regression models with robust variance estimation. Findings indicate that 36.3% (95% CI: 34.3–38.3) of mothers received inadequate prenatal care, with 25% initiating care late and 28% attending fewer than six visits. In adjusted analyses, key risk factors included having more than three children (PR=1.22, 95% CI: 1.04–1.44) compared to mothers without other children, living in extreme poverty (PR=1.55, 95% CI: 1.22–1.97), and having lower educational attainment, with prevalence nearly twice as high among women with less formal education. These findings underscore a neglected consequence of Venezuela’s ongoing humanitarian crisis, contributing to a broader understanding of rising maternal and infant mortality. The results also emphasize the urgent need to counteract misinformation and strengthen policies that promote equitable access to maternal healthcare.
Keywords:
Prenatal Care, Venezuela, Equity in Access to Health Services
Prenatal care in Venezuela: resultsthe “Encuesta Nacional sobre Condiciones de Vida” survey
Resumo (abstract):
This study aimed to estimate the prevalence of inadequate prenatal care among mothers in Venezuela and to identify associated sociodemographic, economic, and healthcare-related factors. Data were sourcedthe Encuesta Nacional de Condiciones de Vida (ENCOVI, 2021). The sample included women residing in Venezuela who gave birth between February 9, 2016, and March 27, 2020 (n=2,218). Prenatal care was classified as inadequate if it was initiated after the third month of pregnancy or included fewer than six visits. To examine associated factors, crude and adjusted prevalence ratio analyses were conducted using Poisson regression models with robust variance estimation. Findings indicate that 36.3% (95% CI: 34.3–38.3) of mothers received inadequate prenatal care, with 25% initiating care late and 28% attending fewer than six visits. In adjusted analyses, key risk factors included having more than three children (PR=1.22, 95% CI: 1.04–1.44) compared to mothers without other children, living in extreme poverty (PR=1.55, 95% CI: 1.22–1.97), and having lower educational attainment, with prevalence nearly twice as high among women with less formal education. These findings underscore a neglected consequence of Venezuela’s ongoing humanitarian crisis, contributing to a broader understanding of rising maternal and infant mortality. The results also emphasize the urgent need to counteract misinformation and strengthen policies that promote equitable access to maternal healthcare.
Palavras-chave (keywords):
Prenatal Care, Venezuela, Equity in Access to Health Services
Romero, DE, Maia, LR, Freitez, A.. Controle pré-natal na Venezuela: resultados do inquérito “Encuesta Nacional sobre Condiciones de Vida”. Cien Saude Colet [periódico na internet] (2025/mar). [Citado em 25/06/2026].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/controle-prenatal-na-venezuela-resultados-do-inquerito-encuesta-nacional-sobre-condiciones-de-vida/19540?id=19540&id=19540
