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Abstract
Objetivo: determinar si las condiciones locales de gestión de los centros de salud de primer nivel
de atención están asociadas con la utilización de servicios prenatales. Metodología: se llevó
a cabo un estudio transversal en el año 2003, basado en una encuesta a madres recientes de la
provincia de Buenos Aires. Como factores determinantes de la utilización fueron consideradas
variables socio-demográficas, familiares, de necesidad de salud y características locales de los
servicios. Resultados: completas capacidades de gestión local del centro de salud y menores
ingresos estuvieron asociados con una mayor utilización de servicios prenatales. Conclusiones:
en una población de bajos recursos las capacidades locales de gestión se constituyen como un
predictor de la utilización de servicios prenatales.
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