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Exploring status and determinants of prenatal and postnatal visits in western China: in the background of the new health system reform

Overview of attention for article published in BMC Public Health, July 2017
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Title
Exploring status and determinants of prenatal and postnatal visits in western China: in the background of the new health system reform
Published in
BMC Public Health, July 2017
DOI 10.1186/s12889-017-4601-4
Pubmed ID
Authors

Xiaojing Fan, Zhongliang Zhou, Shaonong Dang, Yongjian Xu, Jianmin Gao, Zhiying Zhou, Min Su, Dan Wang, Gang Chen

Abstract

Prenatal 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. Data 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. The 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. This 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.

Twitter Demographics

The data shown below were collected from the profile of 1 tweeter who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 94 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 94 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 15 16%
Student > Bachelor 10 11%
Researcher 9 10%
Student > Ph. D. Student 8 9%
Student > Doctoral Student 6 6%
Other 13 14%
Unknown 33 35%
Readers by discipline Count As %
Medicine and Dentistry 21 22%
Nursing and Health Professions 18 19%
Social Sciences 4 4%
Economics, Econometrics and Finance 3 3%
Arts and Humanities 2 2%
Other 11 12%
Unknown 35 37%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 23 July 2017.
All research outputs
#9,209,224
of 11,505,507 outputs
Outputs from BMC Public Health
#6,783
of 7,892 outputs
Outputs of similar age
#192,017
of 262,177 outputs
Outputs of similar age from BMC Public Health
#130
of 147 outputs
Altmetric has tracked 11,505,507 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
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We're also able to compare this research output to 147 others from the same source and published within six weeks on either side of this one. This one is in the 4th percentile – i.e., 4% of its contemporaries scored the same or lower than it.