ArticleBMC pregnancy and childbirth2014
Coverage, quality of and barriers to postnatal care in rural Hebei, China: a mixed method study.
Article in BMC pregnancy and childbirth, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 3 of them syntheses that pooled it.
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Who cites it
37 citing papers in PubMed, 3 syntheses or guidelines pooled it, 71 citations in OpenAlex.
- Framework for systems of pediatric well-care visits: a scoping review.BMC global and public health · 2025Pooled it
- Inhibitors and facilitators to the utilization of postpartum care in China: an integrative review.Archives of public health = Archives belges de sante publique · 2022Pooled it
- Disrespect and abuse as a predictor of postnatal care utilisation and maternal-newborn well-being: a mixed-methods systematic review.BMJ global health · 2021Pooled it
- The lived experience, perceptions, and barriers of continuum of maternal health care services utilization: a qualitative study.BMC pregnancy and childbirth · 2026Article
- Observational
- Research progress in postpartum visit competency.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2024Review
- Impact of policy reforms on hospital-at-home services: an interrupted time series analysis of Shanghai.BMC health services research · 2024Observational
- Postnatal care utilization within 48 h after birth and its determinants in northwest Ethiopia: a multilevel logistic regression analysis.Scientific reports · 2024Article
- Article
- Determinants and geographic distribution of early newborn care in Ethiopia: evidence from the 2019 Ethiopian Mini Demographic Health Survey.Scientific reports · 2023Article
- Development and psychometric testing of a Chinese version of the postnatal care experience scale for postpartum women.BMC pregnancy and childbirth · 2023Article
- Prevalence and determinants of adequate postnatal care in Ethiopia: evidence from 2019 Ethiopia mini demographic and health survey.BMC pregnancy and childbirth · 2023Article
- Comparison of inequality in utilization of postnatal care services between Bangladesh and Pakistan: Evidence from the Demographic and Health Survey 2017-2018.BMC pregnancy and childbirth · 2023Article
- Postnatal care services in rural Zambia: a qualitative exploration of user, provider, and community perspectives on quality of care.BMC pregnancy and childbirth · 2023Article
- Prevalence of adequate postnatal care and associated factors in Rwanda: evidence from the Rwanda demographic health survey 2020.Archives of public health = Archives belges de sante publique · 2022Article
- Utilization of Postnatal Care Service in Indonesia and its Association with Women's Empowerment: An Analysis of 2017 Indonesian Demographic Health Survey Data.Maternal and child health journal · 2022Article
- Level of Postnatal Checkup in Ethiopia - Implications for Child Health Services.Frontiers in pediatrics · 2022Article
- Exploration of barriers to postnatal care service utilization in Debre Libanos District, Ethiopia: A descriptive qualitative study.Frontiers in global women's health · 2022Article
- Exploring Potential Achievements and Barriers to Provide Homecare for Women with Preeclampsia: A Qualitative Study.International journal of community based nursing and midwifery · 2022Article
- Factors that influence uptake of routine postnatal care: Findings on women's perspectives from a qualitative evidence synthesis.PloS one · 2022Article
Corrections and comments
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Authors and funding
9 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPostnatal care is an important link in the continuum of care for maternal and child health. However, coverage and quality of postnatal care are poor in low- and middle-income countries. In 2009, the Chinese government set a policy providing free postnatal care services to all mothers and their newborns in China. Our study aimed at exploring coverage, quality of care, reasons for not receiving and barriers to providing postnatal care after introduction of this new policy.
methodsWe carried out a mixed method study in Zhao County, Hebei Province, China from July to August 2011. To quantify the coverage, quality of care and reasons for not using postnatal care, we conducted a household survey with 1601 caregivers of children younger than two years of age. We also conducted semi-structured interviews with 24 township maternal and child healthcare workers to evaluate their views on workload, in-service training and barriers to postnatal home visits.
resultsOf 1442 (90% of surveyed caregivers) women who completed the postnatal care survey module, 8% received a timely postnatal home visit (within one week after delivery) and 24% of women received postnatal care within 42 days after delivery. Among women who received postnatal care, 37% received counseling or guidance on infant feeding and 32% on cord care. 24% of women reported that the service provider checked jaundice of their newborns and 18% were consulted on danger signs and thermal care of their newborns. Of 991 mothers who did not seek postnatal care within 42 days after birth, 65% of them said that they did not knew about postnatal care and 24% of them thought it was unnecessary. Qualitative findings revealed that staff shortages and inconvenient transportation limited maternal and child healthcare workers in reaching out to women at home. In addition, maternal and child healthcare workers said that in-service training was inadequate and more training on postnatal care, hands-on practice, and supervision were needed.
conclusionsCoverage and quality of postnatal care were low in rural Hebei Province and far below the targets set by Chinese government. We identified barriers both from the supply and demand side.
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