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Influences of health facility type for delivery and experience of cesarean section on maternal and newborn postnatal care between birth and facility discharge in Malawi
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Abstract:
Abstract Background A number of studies in the past have looked at determinants of postnatal care. However, many of them do not distinguish between postnatal care (PNC) before discharge and after discharge for women delivering at health facilities. Conceptually and practically, factors associated with PNC before discharge and after discharge should be different. This study examines key factors for maternal and newborn PNC before discharge. Methods Data from the 2015–16 Malawi Demographic and Health Survey were used for the study. Three categorical endogenous variables examined in the study were whether or not mothers received a postnatal check between birth and facility discharge, whether or not newborns received a postnatal check between birth and facility discharge and whether or not women delivered by cesarean section. Delivery by cesarean section was considered as a mediator in the model. The main predictor of interest was type of health facility where women delivered. Other exogenous variables included were women’s age at most recent birth, number of antenatal visits, women’s education, household wealth, parity, newborn size, region of the country and residence. Simultaneous equation modeling was used to examine the associations of interest. Results 47% of the mothers and 68% of the newborns had PNC before facility discharge. The total and direct effects of delivering in private hospitals on maternal and newborn PNC before facility discharge were significantly higher than the effects of delivering in government hospitals. The total effects of delivering in government health centers or health posts on maternal and newborn PNC before facility discharge were significantly lower than the effects of delivering in government hospitals. Delivering by cesarean section compared to delivering vaginally was positively associated with maternal and newborn PNC before facility discharge. Conclusion It is important that all women and newborns receive PNC before they are discharged from the facility regardless of whether or not they had a complication. The same standard of quality PNC should be provided equitably across all types and affiliations of health facilities.
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BMC HEALTH SERVICES RESEARCH
BMC HEALTH SERV RES
| 最新影响因子：2.908 | 期刊ISSN：1472-6963 | CiteScore：2.18 |
| 出版周期：Irregular | 是否OA：YES | 出版年份：2001 |
| 自引率：7.00% | 研究方向：医学-卫生保健 |
| 出版地区：ENGLAND |
SCI期刊coverage：Science Citation Index Expanded（科学引文索引扩展）
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BMC HEALTH SERVICES RESEARCH 期刊简介
英文简介：
Published by BioMed Central. ISSN: 1472-6963. BMC Health Services Research publishes original research articles in all aspects of health services research.
中文简介：（来自Google、百度翻译）
由生物医学中心出版。ISSN: 1472 - 6963。 BMC健康服务研究在健康服务研究的所有方面出版原始的研究文章。
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BMC HEALTH SERVICES RESEARCH 期刊中科院评价数据
最新中科院分区
| 大类(学科) | 小类(学科) | 学科排名 |
| 医学 |
HEALTH CARE SCIENCES & SERVICES (卫生保健与服务) 4区 |
53/94 |
最新公布的期刊年发文量
| 年度总发文量 | 年度论文发表量 | 年度综述发表量 |
| 820 | 769 | 51 |
总被引频次：15675
特征因子：0.036690
影响因子趋势图
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BMC HEALTH SERVICES RESEARCH 期刊CiteScore评价数据
最新CiteScore值
2.18
=
引文计数(2018)
文献(2015-2017)
=
4446次引用
2036篇文献
文献总数（2014-2016）：2036
被引比率：71%
SJR：1.151
SCLmago期刊等级衡量经过加权后的期刊受引用次数，引用次数的加权值由施引期刊的学科领域和声望(SJR)决定。
SNIP：1.195
每篇文章中来源出版物的标准化影响将实际受引用情况对照期刊所属学科领域中预期的受引用情况进行衡量。
CiteScore排名
| 序号 | 类别 | 排名 | 百分位 |
| 1 |
大类(学科)：Medicine
小类(学科)：Health Policy
|
#34/216
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CiteScore趋势图
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liting7111
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BMC系列杂志，速度从来没有快过。如果以后能改善的话，应该还是不错的。2020-06-28 -
liting7111
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liting7111
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