IR@PKUHSC  > 北京大学公共卫生学院
学科主题公共卫生
Effectiveness of an intervention on uptake of maternal care in four counties in Ningxia, China
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
2012-12-01
DOI10.1111/j.1365-3156.2012.03092.x
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
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被引频次:1[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/59241
专题北京大学公共卫生学院
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
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GB/T 7714
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.
APA Zhou, Hong,Zhao, Chun-Xia,Wang, Xiao-Li,Xv, Yi-Chong,Shi, Ling,&Wang, Yan.(2012).Effectiveness of an intervention on uptake of maternal care in four counties in Ningxia, China.TROPICAL MEDICINE & INTERNATIONAL HEALTH,17(12),1441-1448.
MLA Zhou, Hong,et al."Effectiveness of an intervention on uptake of maternal care in four counties in Ningxia, China".TROPICAL MEDICINE & INTERNATIONAL HEALTH 17.12(2012):1441-1448.
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