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学科主题: 公共卫生
题名:
Effectiveness of an intervention on uptake of maternal care in four counties in Ningxia, China
作者: Zhou, Hong; Zhao, Chun-Xia2; Wang, Xiao-Li; Xv, Yi-Chong; Shi, Ling3; Wang, Yan1
关键词: maternal mortality ratio ; intervention ; prenatal care ; pregnant women ; taux de mortalite maternelle ; intervention ; soins prenataux ; femmes enceintes ; tasa de mortalidad materna ; intervencion ; cuidados prenatales ; mujeres embarazadas
刊名: TROPICAL MEDICINE & INTERNATIONAL HEALTH
发表日期: 2012-12-01
DOI: 10.1111/j.1365-3156.2012.03092.x
卷: 17, 期:12, 页:1441-1448
收录类别: SCI ; SSCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Public, Environmental & Occupational Health ; Tropical Medicine
研究领域[WOS]: Public, Environmental & Occupational Health ; Tropical Medicine
关键词[WOS]: OBSTETRIC CARE ; MORTALITY ; STRATEGIES ; SERVICES ; DEATH
英文摘要:

Objectives To understand the utilisation of prenatal care and hospitalised delivery among pregnant Muslim women in Ningxia, China, and to explore the effectiveness of the integrated interventions to reduce maternal mortality. Methods Cross-sectional surveys before and after the intervention were carried out. Using multistage sampling, 1215 mothers of children <5 years old were recruited: 583 in the pre-intervention survey and 632 in the post-intervention study. Data on prenatal care and delivery were collected from face-to-face interviews. Maternal mortality ratio (MMR) data were obtained from the local Maternal and Child Mortality Report System. Results After the intervention, the MMR significantly decreased (45.5 deaths per 100 000 live births to 32.7 deaths). Fewer children were born at home after the intervention than before the intervention (OR, 0.11; 95% CI, 0.080.15). The proportion of women who attended prenatal care at least once increased from 78.2% to 98.9% (OR, 24.55; 95% CI, 11.3753.12). The proportion of women who had prenatal visit(s) in the first trimester of pregnancy increased from 35.1% to 82.6% (OR, 8.77; 95% CI, 6.5811.69). The quality of prenatal care was greatly improved. Effects of the intervention on the utilisation of maternal care remained significant after adjusting for education level and household possessions. Conclusions The findings suggest that integrated strategies can effectively reduce maternal mortality.

语种: 英语
WOS记录号: WOS:000311394900004
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/59241
Appears in Collections:北京大学公共卫生学院_期刊论文

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作者单位: 1.Peking Univ, Dept Child Adolescent & Womens Hlth, Sch Publ Hlth, Beijing 100191, Peoples R China
2.UN Childrens Fund China Off, Beijing, Peoples R China
3.Univ Massachusetts, Dept Nursing, Coll Nursing & Hlth Sci, Boston, MA 02125 USA

Recommended Citation:
Zhou, Hong,Zhao, Chun-Xia,Wang, Xiao-Li,et al. Effectiveness of an intervention on uptake of maternal care in four counties in Ningxia, China[J]. TROPICAL MEDICINE &amp; INTERNATIONAL HEALTH,2012,17(12):1441-1448.
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