ArticleBMC public health2017
Exploring status and determinants of prenatal and postnatal visits in western China: in the background of the new health system reform.
Article in BMC public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 13 papers, 1 of them a synthesis that pooled it.
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13 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.
- 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
- Effect of flexible patterns of health education on enhancing the compliance of pregnant women from Tibet, China.Medicine · 2020Trial
- Changes in rural China's caregiver outcomes, behaviours, and health services utilisation following the COVID-19 pandemic: an observational study.Journal of global health · 2025Observational
- Inequality in Utilization of Maternal Healthcare Services in Low‑ and Middle‑Income Countries: A Scoping Review of the Literature.Maternal and child health journal · 2025Article
- The association of Chinese and American antenatal care utilization indices with birth outcomes.Frontiers in public health · 2024Article
- Changes and Determinants of Maternal Health Services Utilization in Ethnic Minority Rural Areas in Central China, 1991-2015: An Ecological Systems Theory Perspective.Healthcare (Basel, Switzerland) · 2023Article
- Factors Associated with Maternal Healthcare Utilization Before and After Delivery Among Migrant Pregnant Women in China: An Observational Study.Risk management and healthcare policy · 2023Article
- The benefits of an integrated social medical insurance for health services utilization in rural China: evidence from the China health and retirement longitudinal study.International journal for equity in health · 2021Article
- Assessing the contextual effect of community in the utilization of postnatal care services in Ghana.BMC health services research · 2021Article
- Comparison of inequity in health-related quality of life among unemployed and employed individuals in China.BMC public health · 2021Article
- Influence of China's 2009 healthcare reform on the utilisation of continuum of care for maternal health services: evidence from two cross-sectional household surveys in Shaanxi Province.International journal for equity in health · 2020Article
- Prenatal care among rural to urban migrant women in China.BMC pregnancy and childbirth · 2018Article
- Socioeconomic inequalities and determinants of maternal health services in Shaanxi Province, Western China.PloS one · 2018Article
Corrections and comments
- Erratum issued
Authors and funding
9 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrenatal and postnatal visits are two effective interventions for protection and promotion of maternal health by reducing maternal mortality and improving the quality of birth. There is limited nationally representative data regarding the changes of prenatal and postnatal visits since the latest health system reform initiated in 2009 in Shaanxi, China. The aim of this study was to explore the current status and determinants of prenatal and postnatal visits in the background of new health system reform.
methodsData were drawn from two waves of National Health Service Surveys in Shaanxi Province which were conducted prior and post the health system reform in 2008 and 2013, respectively. A concentration index was employed to measure the degree of income-related inequality of maternal health services utilization. Multilevel mix-effects logistic regressions were applied to study the factors associated with prenatal and postnatal visits.
resultsThe study sample consists of 2398 women aged 15-49 years old. The data of the 5th National Health Services Survey in 2013 showed in the criterion of the World Health Organization (WHO), the percentage of women receiving ≥4 prenatal visits was 84.79% for urban women and 82.20% for rural women, with women receiving ≥3 postnatal visits were 26.48 and 25.29% for urban and rural women respectively. In the criterion of China's ≥ 5 prenatal visits the percentages were 72.25% for urban women and 70.33% for rural women; 61.69% of urban women and 71.50% of rural women received ≥1 postnatal visits. As for urban women, the concentration index of postnatal visit utilization was -0.075 (95% CI:-0.148, -0.020) after the health system reform. The determinants related to prenatal and postnatal visits were the change of reform, women's education, parity and the delivery institution.
conclusionsThis study showed the utilization of prenatal and postnatal visits met the requirement of the WHO, higher than other areas in China and other developing countries after the new health system reform. The new health system reform increased the utilization of postnatal visits in poor urban women and improved the frequency of prenatal and postnatal visits in rural women.
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