Sociodemographic determinants of maternal health service use in rural China: a cross-sectional study
Open Access
- 24 June 2020
- journal article
- research article
- Published by Springer Science and Business Media LLC in Health and Quality of Life Outcomes
- Vol. 18 (1), 201
- https://doi.org/10.1186/s12955-020-01453-6
Abstract
Objective This study examined the relationship between sociodemographic characteristics and maternal health use from a policy perspective. It aimed to provide an overview of maternal health in Heilongjiang’s rural provinces and its implications on rural areas in countries with low and middle income gross domestic products. Design, setting, and participants This cross-sectional study used data from the Fifth Health Service Survey of Heilongjiang Province. Participants included 481 mothers who delivered a baby after August 15, 2008. Trained investigators collected data on their family and sociodemographic characteristics, antenatal care, delivery at specialised obstetric institutions (e.g. hospitals, clinics, other medical institutions), and postnatal care services. Results The number of women with more than five antenatal care visits and the delivery rate at specialised obstetric institutions were high. Approximately 50% of the participants had three or more postnatal care visits. Maternal healthcare use among women less than 20 years old and those with natural deliveries were higher. There were fewer antenatal care visits among women who had been pregnant once or twice before. Conclusions Delivery rates at specialised obstetric institutions and the number of antenatal care visits were higher than the World Health Organization requirements, while the frequency of postnatal care visits were better than most countries. This study identified several demographic characteristics that influenced maternal health service use. Policymakers should consider these findings when developing maternal health policies that protect women’s interests and expand free services. Additional resources should be given to increase the postnatal care capacity and quality of maternal healthcare.Keywords
Funding Information
- National Natural Science Foundation of China (71473064, 71673073)
- Program for New Century Excellent Talents in University (1252-NCET02)
- Heilongjiang Provincial Association of Social Sciences (15058)
This publication has 22 references indexed in Scilit:
- Use of maternal healthcare services in 10 provinces of rural western ChinaInternational Journal of Gynecology & Obstetrics, 2011
- Utilization of maternal health services among young women in Kenya: Insights from the Kenya Demographic and Health Survey, 2003BMC Pregnancy and Childbirth, 2011
- Factors affecting the use of maternal health services in Madhya Pradesh state of India: a multilevel analysisInternational Journal for Equity in Health, 2011
- Determinants of use of maternal health services in Nigeria - looking beyond individual and household factorsBMC Pregnancy and Childbirth, 2009
- Provision and Use of Maternal Health Services among Urban Poor Women in Kenya: What Do We Know and What Can We Do?Journal of Urban Health, 2008
- Generating Political Priority for Maternal Mortality Reduction in 5 Developing CountriesAmerican Journal of Public Health, 2007
- Maternal health in poor countries: the broader context and a call for actionThe Lancet, 2006
- Strategies for reducing maternal mortality: getting on with what worksThe Lancet, 2006
- Antenatal care: provision and inequality in rural north IndiaSocial Science & Medicine (1982), 2004
- WHO's World Health Report 2003BMJ, 2004