title: A comparison between antenatal care quality in public and private sector in rural Hebei, China.
abstract: OBJECTIVE
  To evaluate the quality of antenatal care (ANC) in Hebei Province and compare it between the public and private sector and within the public sector.
  
  
  METHODS
  We conducted a Maternal, Newborn and Child Health Household Survey in 2010 using a two-stage sampling procedure and included 1079 mothers. The quality of ANC was assessed on the basis of the number of ANC visits, the time of the first ANC visit, 16 different ANC procedures, owning a maternal health care booklet, and the type of service provider.
  
  
  RESULTS
  Almost all women (98%) received ANC services at least once, 80% at least four times, and 54% at least five times. About half of the women (46%) visited ANC facility within their first trimester. Neither public nor private sector provided all 16 standardized services, but significantly more women in public sector received ANC procedures. Most women received ANC in county or higher-level hospitals (75%) and very few in township hospitals (8%). Significantly fewer women were weighed and tested for HIV/AIDS in township than in county or higher-level hospitals.
  
  
  CONCLUSIONS
  The quality of ANC in Hebei was poorer than required by China's national and World Health Organization norms. Although the public sector performed better than the private sector, the utilization and quality of care of ANC services in this sector varied and women generally visited county or higher-level health facilities.
authors: Graduate School, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China.
authors: Li
authors: L
authors: Chen
authors: Yaohua
authors: Y
authors: Dai
authors: Yanfeng
authors: Y
authors: Zhang
authors: Qiong
authors: Q
authors: Wu
authors: Diana
authors: D
authors: Rudan
authors: Vanja
authors: V
authors: Saftić
authors: Michelle H M M T
authors: MH
authors: van Velthoven
authors: Jianqiang
authors: J
authors: Su
authors: Zangwen
authors: Z
authors: Tan
authors: Robert W
authors: RW
authors: Scherpbier
mesh_terms: D000328:Adult; D002681:China / Q000453:epidemiology; D005260:Female; D019538:Health Care Surveys; D006268:Health Facilities; D006801:Humans; D007231:Infant, Newborn; D008427:Maternal Health Services; D011247:Pregnancy; D011295:Prenatal Care / Q000706:statistics & numerical data*; D017149:Private Sector / Q000706:statistics & numerical data*; D017150:Public Sector / Q000706:statistics & numerical data*; D011787:Quality of Health Care / Q000706:statistics & numerical data*; D012424:Rural Population / Q000706:statistics & numerical data*
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