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首页> 外文期刊>The International journal of health planning and management >Factors impacting the use of antenatal care and hospital child delivery services: a case study of rural residents in the Enshi Autonomous Prefecture, Hubei Province, China
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Factors impacting the use of antenatal care and hospital child delivery services: a case study of rural residents in the Enshi Autonomous Prefecture, Hubei Province, China

机译：影响使用产前护理和医院分娩服务的因素：以湖北省恩施自治州农村居民为例

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This study was undertaken to understand the factors that impact whether rural women obtain antenatal care (ANC) and choose to use hospital delivery services in central and western China. We chose to conduct field research with the rural residents in Hubei Province through a combination of random sampling and purposive sampling methods. A mixed method approach was taken to analyze the factors impacting the use of ANC and hospital delivery services from the perspective of the villagers. Our results indicate that the quality of the available ANC services is poor. In particular, women who have special circumstances and unplanned pregnancies or who become pregnant prior to marriage are confronted with inadequate ANC and hospital child delivery services. The factors that impact whether women use or not use ANC and hospital delivery services and that cause women to choose hospital or home delivery can be understood at three levels: macro, middle, and micro. We strongly suggest that the policies and projects that promote maternal healthcare in rural areas be sustained with an added focus on including women with special circumstances. Village doctors can be enlisted to regularly visit pregnant women at home and to provide extra explanation about the ANC services available and the purpose of maternal healthcare. These findings and suggestions can be used by local health providers and decision-makers to improve the quality of ANC and hospital delivery services. Copyright (c) 2014 John Wiley & Sons, Ltd.
机译：进行这项研究是为了了解影响农村妇女是否获得产前护理（ANC）并选择在中国中西部地区使用医院分娩服务的因素。我们选择通过随机抽样和目的抽样相结合的方式对湖北省农村居民进行田野调查。从村民的角度，采取了一种混合方法的方法来分析影响ANC和医院分娩服务使用的因素。我们的结果表明，可用的ANC服务质量很差。特别是，有特殊情况，计划外怀孕或在结婚前怀孕的妇女面临着不足的ANC和医院分娩服务。可以从三个层面来理解影响妇女是否使用ANC和医院分娩服务以及导致妇女选择医院或家庭分娩的因素：宏观，中度和微观。我们强烈建议，应继续执行促进农村地区孕产妇保健的政策和项目，并更多地关注包括有特殊情况的妇女。可以请乡村医生定期在家中拜访孕妇，并提供有关可用的ANC服务和孕产妇保健目的的更多说明。这些发现和建议可供当地医疗服务提供者和决策者用来提高ANC和医院分娩服务的质量。版权所有（c）2014 John Wiley＆Sons，Ltd.

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