Effect of China's maternal health policy on improving rural hospital delivery: Evidence from two cross-sectional surveys
- PMID: 30120264
- PMCID: PMC6098125
- DOI: 10.1038/s41598-018-29830-8
Effect of China's maternal health policy on improving rural hospital delivery: Evidence from two cross-sectional surveys
Abstract
This population-based cross-sectional study aims to explore the effect of China's Rural Hospital Delivery Subsidy (RHDS) policy on the utilization of women's hospital delivery between rural and urban areas. A total of 2398 women were drawn from the Fourth and Fifth National Health Service Surveys, from the Shaanxi province. A generalized linear mixed model was used to analyze the influence of the RHDS policy on the hospital delivery rate. Concentration index and decomposition methods were used to explore the equity of hospital delivery utilization. Prior to introduction of the RHDS policy, the difference in hospital delivery rates was -0.09 (95% CL: -0.16, -0.01) between rural and urban women when adjusting the influence of socioeconomic factors on hospital delivery; after implementation of the policy, the difference was reduced to 0.02 (95% CL: -0.01, 0.06). The horizontal inequity index was reduced from 0.084 to 0.009 for rural women and from 0.070 to 0.011 for urban women. China's Rural Hospital Delivery Subsidy policy had some positive effect on reducing the gap between rural and urban women's hospital delivery rate and inequity. However, there is still a pro-rich inequity of hospital delivery utilization for both rural and urban women.
Conflict of interest statement
The authors declare no competing interests.
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References
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- Alkema L, et al. Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group. Lancet. 2016;387:462–474. doi: 10.1016/S0140-6736(15)00838-7. - DOI - PMC - PubMed
-
- Tuncalp, O., Hindin, M. J., Adu-Bonsaffoh, K. & Adanu, R. M. Assessment of maternal near-miss and quality of care in a hospital-based study in Accra, Ghana. Int J Gynaecol Obstet123, 10.1016/j.ijgo.2013.06.003 (2013). - PubMed
-
- Moreira, D. D. S. & Gubert, M. B. Healthcare and sociodemographic conditions related to severe maternal morbidity in a state representative population, Federal District, Brazil: A cross-sectional study. PLOS ONE12, e0180849, doi:10.0181371/journal.pone.0180849.eCollection0182017 (2017). - PMC - PubMed
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