Factors Associated with the Utilization and Quality of Prenatal Care in Western Rural Regions of China

Autor/inn/en	Dongxu, Wang; Yuhui, Shi; Stewart, Donald; Chun, Chang; Chaoyang, Li
Titel	Factors Associated with the Utilization and Quality of Prenatal Care in Western Rural Regions of China
Quelle	In: Health Education, 112 (2012) 1, S.4-14 (11 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0965-4283
DOI	10.1108/09654281211190227
Schlagwörter	Prenatal Care; Mothers; National Standards; Social Indicators; Rural Areas; Foreign Countries; Performance Factors; Questionnaires; Medical Care Evaluation; Predictor Variables; Parent Attitudes; Quality Assurance; Community Surveys; Use Studies; China + Suchen Sie Ihr Suchwort? Pränatale Versorgung; Mother; Mutter; Social indicator; Sozialer Indikator; Rural area; Ländlicher Raum; Ausland; Leistungsindikator; Fragebogen; Prädiktor; Elternverhalten; Qualitätssicherung; Benutzerschulung
Abstract	Purpose: The paper seeks to identify key features of prenatal care utilization and quality in western regions of China and to determine the factors affecting the quality of prenatal care. Design/methodology/approach: A descriptive, cross-sectional study was conducted. The instrument for the study was a 10-stem respondent-administered, structured questionnaire, designed in Chinese, composed of two segments: general information on infants who were under two years old; and their mothers. The authors determined the quality (both amount and content) of prenatal care using recommendations made by UNICEF and the Chinese Ministry of Health (MOH) jointly for rural areas of China. Findings: The median number of prenatal visits was three and rate of first trimester visits was 53.6 per cent (n=1,474). Over three quarters (75.3 per cent) of respondents had fewer than five prenatal visits, with this proportion highest in Gansu (95.8 per cent) and lowest in Shanxi (55.4 per cent) provinces. The percentage of women who received qualitatively adequate prenatal care services was only 1.8 per cent. No respondents in Gansu received a completely correct prenatal test, while this rate was 4.0 per cent in Shanxi and 0.2 per cent in Sichuan. Mothers' age (p=0.05), level of educational attainment (p=0.07) and place of prenatal care (p=0.01) were related to the quality of care. Originality/value: The prenatal care utilization among women in western regions of China is not adequate. Those women who have received prenatal care seldom receive qualitatively adequate prenatal care services, according to national standards. This situation clearly requires urgent attention and improvement. (Contains 3 tables.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10