Clan-involved approaches to increasing antenatal care use in a rural minority area of China: implementation research.
Acta Paediatr
; 107 Suppl 471: 7-16, 2018 12.
Article
en En
| MEDLINE
| ID: mdl-30570796
ABSTRACT
AIM:
This study aimed to test a model which involved clans and health providers to increase antenatal care attendance in rural minority areas of China with high HIV prevalence.METHODS:
Formative research was conducted to determine barriers and facilitators to antenatal care use. A strategy involving clans in addressing the barriers identified was developed. Implementation of the new strategy was done through three plan-do-study-act (PDSA) cycles, lasting four months each.RESULTS:
Awareness and uptake of antenatal care increased significantly after the intervention. The proportion of post-partum women who used any antenatal care increased from 21.3% to 64.5% (p < 0.001), and the proportion who knew that antenatal care is necessary increased from 77.8% to 89.8% (p < 0.001). The proportion of pregnant women who attended antenatal care (p < 0.001) and the proportion of pregnant women who went for a first antenatal care visit in early pregnancy (p < 0.001) all showed increasing trends during the study period.CONCLUSION:
Involving clans in antenatal care programmes in rural minority areas of China had an impact on antenatal care use. A quality improvement approach incorporating PDSA cycles can help local health authorities make context-specific, evidence-informed decisions to improve uptake of health services.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Atención Prenatal
/
Aceptación de la Atención de Salud
/
Infecciones por VIH
/
Conocimientos, Actitudes y Práctica en Salud
/
Relaciones Familiares
Tipo de estudio:
Prognostic_studies
/
Risk_factors_studies
/
Sysrev_observational_studies
Límite:
Female
/
Humans
/
Male
/
Pregnancy
País como asunto:
Asia
Idioma:
En
Año:
2018
Tipo del documento:
Article