LONGITUDINAL ANALYSIS OF MATERNAL AND CHILD HEALTH INDICATORS IN BACĂU COUNTY, ROMANIA (2021-2024)
DOI:
https://doi.org/10.22551/Abstract
This longitudinal observational study assessed the evolution of maternal and child health indicators in Bacau County, Romania, between 2021 and 2024, using annual administrative data collected from hospitals and medical practices involved in maternal and child health services. Materials and methods: The analysis focused on service coverage, year-to-year variations, and discontinuities in key program-related interventions. Descriptive statistical analyses were performed using SPSS version 28 and Microsoft Excel. Results: During the study period, improvements were observed in several components, particularly neonatal screening activities and nutritional support for low-birth-weight newborns. Coverage of Rh immunological prophylaxis among Rh-negative pregnant women increased alongside better orientation of services toward vulnerable population groups. Nevertheless, persistent challenges were identified in postnatal follow-up of preterm infants and in ensuring equitable access to infant formula. Additionally, a declining birth rate was noted, with potential implications for resource allocation and service planning. Overall, the findings indicate heterogeneous longitudinal trends in maternal and child health indicators, reflecting variable continuity and performance across service components. Conclusions: These results underline the need for targeted adjustments to enhance the consistency and quality of maternal and child health interventions at the local level.
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