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Changes and Equity in Use of Maternal Health Care in China: From 1991 to 2003

Wu, Zhuochun, Lei, Peng, Hemminki, Elina, Xu, Ling, Tang, Shenglan, Li, Xiaoyun, Raven, Joanna ORCID: https://orcid.org/0000-0002-4112-6959, Gao, Jun and Tolhurst, Rachel (2012) 'Changes and Equity in Use of Maternal Health Care in China: From 1991 to 2003'. Maternal and Child Health Journal, Vol 16, Issue 2, pp. 501-509.

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Abstract

To examine changes and equity in use of maternal care in different types of rural and urban areas in China from the early 1990s to early 2000s. Data were drawn from three National Health Household Interview Surveys conducted in 1993, 1998, and 2003. Analysis was based on married women aged between 15 and 49 who had live births within the 24 months prior to the survey. Nationally, the proportion of women receiving their first pre-natal visit within 12 weeks of gestation and the hospital delivery rate increased rapidly from 20.56 and 37.61% in the early 1990s to 52.60 and 74.02% in the early 2000s, respectively, while the proportion of women receiving at least one post-natal care visit dropped slightly from 56.46 to 54.12% in the same time period. There were large disparities in use of maternal care between urban and rural areas and among different sized cities and rural areas with different levels of socio-economic development. But the disparities narrowed over time, especially among different types of rural areas. The proportion of delivery out of hospital attended by trained staff in rural areas decreased considerably from 68.01% in 1991–1993 to 51.57% in 2001–2003. Maternal care utilization made remarkable progress in the study period, and the gap between rural and urban areas and among different classes of cities and rural areas significantly narrowed. This was probably due to both socio-economic development and targeted investments in improving health services. However, significant gaps remained, requiring attention

Item Type: Article
Uncontrolled Keywords: Maternal Health Care,China, Equity
Subjects: WA Public Health > WA 20.5 Research (General)
WA Public Health > Health Problems of Special Population Groups > WA 309 Women's health
WA Public Health > Health Problems of Special Population Groups > WA 310 Maternal welfare
WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries
WQ Obstetrics > Childbirth. Prenatal Care > WQ 175 Prenatal care
WQ Obstetrics > WQ 500 Postnatal care
Digital Object Identifer (DOI): https://doi.org/10.1007/s10995-011-0773-1
Depositing User: Faye Moody
Date Deposited: 05 Apr 2012 08:12
Last Modified: 13 Sep 2019 17:44
URI: https://archive.lstmed.ac.uk/id/eprint/2283

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