• Wang Dongxu Wang Dongxu
  • Shi Yuhui Shi Yuhui
  • Donald Stewart Donald Stewart
  • Chang Chun Chang Chun
  • Li Chaoyang Li Chaoyang

Purpose - The paper seeks to identify key features of pretal care utilization and quality in western regions of Chi and to determine the factors affecting the quality of pretal care. Design/methodology/approach - A descriptive, cross-sectiol study was conducted. The instrument for the study was a 10-stem respondent-administered, structured questionire, designed in Chinese, composed of two segments: general information on infants who were under two years old; and their mothers. The authors determined the quality (both amount and content) of pretal care using recommendations made by UNICEF and the Chinese Ministry of Health (MOH) jointly for rural areas of Chi. Findings - The median number of pretal visits was three and rate of first trimester visits was 53.6 per cent (n=1,474). Over three quarters (75.3 per cent) of respondents had fewer than five pretal visits, with this proportion highest in Gansu (95.8 per cent) and lowest in Shanxi (55.4 per cent) provinces. The percentage of women who received qualitatively adequate pretal care services was only 1.8 per cent. No respondents in Gansu received a completely correct pretal test, while this rate was 4.0 per cent in Shanxi and 0.2 per cent in Sichuan. Mothers' age (p=0.05), level of educatiol attainment (p=0.07) and place of pretal care (p=0.01) were related to the quality of care. Origility/value - The pretal care utilization among women in western regions of Chi is not adequate. Those women who have received pretal care seldom receive qualitatively adequate pretal care services, according to tiol standards. This situation clearly requires urgent attention and improvement.