A comparison between antenatal care quality in public and private sector in rural Hebei, China.
A comparison between antenatal care quality in public and private sector in rural Hebei, China.
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DOI：
10.3325/cmj.2013.54.146
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发表时间：
2013-04
影响因子：
1.9
通讯作者：
Scherpbier RW
中科院分区：
文献类型：
--
作者：
Chen L;Dai Y;Zhang Y;Wu Q;Rudan D;Saftić V;van Velthoven MH;Su J;Tan Z;Scherpbier RW
评估河北省的产前护理（ANC）质量，并在公共部门和私营部门之间以及公共部门内部进行比较。 2010 年，我们采用两阶段抽样程序开展了孕产妇、新生儿和儿童健康家庭调查，调查对象为 1079 名母亲。 ANC 的质量根据 ANC 就诊次数、首次 ANC 就诊时间、16 种不同的 ANC 程序、拥有孕产妇保健手册以及服务提供者类型进行评估。几乎所有女性 (98%) 至少接受过一次 ANC 服务，80% 至少接受过四次，54% 至少接受过五次。大约一半的女性 (46%) 在怀孕前三个月访问过 ANC 机构。公共部门和私营部门均未提供全部 16 项标准化服务，但公共部门中接受 ANC 程序的女性明显增多。大多数女性在县级以上医院接受 ANC 治疗（75%），在乡镇医院接受治疗的女性很少（8%）。乡镇接受艾滋病毒/艾滋病检测的妇女人数明显少于县级以上医院。河北省非国大的质量低于中国国家和世界卫生组织标准的要求。尽管公共部门的表现优于私营部门，但该部门 ANC 服务的利用率和护理质量各不相同，而且妇女普遍前往县级或更高级别的医疗机构就诊。
To evaluate the quality of antenatal care (ANC) in Hebei Province and compare it between the public and private sector and within the public sector. We conducted a Maternal, Newborn and Child Health Household Survey in 2010 using a two-stage sampling procedure and included 1079 mothers. The quality of ANC was assessed on the basis of the number of ANC visits, the time of the first ANC visit, 16 different ANC procedures, owning a maternal health care booklet, and the type of service provider. Almost all women (98%) received ANC services at least once, 80% at least four times, and 54% at least five times. About half of the women (46%) visited ANC facility within their first trimester. Neither public nor private sector provided all 16 standardized services, but significantly more women in public sector received ANC procedures. Most women received ANC in county or higher-level hospitals (75%) and very few in township hospitals (8%). Significantly fewer women were weighed and tested for HIV/AIDS in township than in county or higher-level hospitals. The quality of ANC in Hebei was poorer than required by China’s national and World Health Organization norms. Although the public sector performed better than the private sector, the utilization and quality of care of ANC services in this sector varied and women generally visited county or higher-level health facilities.
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影响因子：
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作者：
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DOI：
10.1016/s0140-6736(09)60080-5
发表时间：
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期刊：
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