Are Essential Women’s Healthcare Services Fully Covered? A Comparative Analysis of Policy Documents in Shanghai and New York City from 1978–2017

Bibliographic Data

ID15512950
AuthorsQingyu Zhou (0000-0002-5409-4810, Fudan University), Qinwen Yu (Fudan University), Xin Wang (0000-0003-2833-6940, Fudan University), Peiwu Shi (Fudan University), Qunhong Shen (Fudan University), Zhaoyang Zhang (0009-0004-2599-8783, Fudan University), Zheng Chen (0000-0002-7695-1190, Collaborative Innovation Center of Social Risks Governance in Health, Fudan University, Shanghai 200032, China), Chen Zheng (0009-0009-0266-5309, Fudan University), Chuan Pu (Fudan University), Lingzhong Xu (0000-0002-5068-4012, Shandong University), Zhi Hu (0000-0001-5454-0422, Anhui Medical University), Anning Ma (Weifang Medical University), Zhaohui Gong (0000-0002-8959-6415, Fudan University), Tianqiang Xu (Fudan University), Panshi Wang (0000-0003-4063-1571, Fudan University), Hua Wang (0000-0001-8396-809X, Fudan University), Chao Hao (0000-0001-6700-9446, Fudan University), Li Li (0000-0001-9700-9682, Fudan University), Xiang Gao (0000-0001-6812-8156, Fudan University), Chengyue Li (0000-0002-6589-7942, Fudan University, corresponding author), Mo Hao (0000-0002-9756-5299, Fudan University, corresponding author)
Year2021
Volume18
Issue8
Pages4261-4261
Publication date2021-04-17
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph18084261
PMID33920527
OpenAlexW3154079784
LanguageEN
Citations received4
References cited37

This study aimed to analyze the changes in the 10 major categories of women's healthcare services (WHSs) in Shanghai (SH) and New York City (NYC) from 1978 to 2017, and examine the relationship between these changes and maternal mortality ratio (MMR). Content analysis of available public policy documents concerning women's health was conducted. Two indicators were designed to represent the delivery of WHSs: The essential women's healthcare service coverage rate (ESCR) and the assessable essential healthcare service coverage rate (AESCR). Spearman correlation was used to analyze the relationship between the two indicators and MMR. In SH, the ESCR increased from 10% to 90%, AESCR increased from 0% to 90%, and MMR decreased from 24.0/100,000 to 1.01/100,000. In NYC, the ESCR increased from 0% to 80%, the AESCR increased from 0% to 60%, and the MMR decreased from 24.7/100,000 to 21.4/100,000. The MMR significantly decreased as both indicators increased ( p < 0.01). Major advances have been made in women's healthcare in both cities, with SH having a better improvement effect. A common shortcoming for both was the lack of menopausal health service provision. The promotion of women's health still needs to receive continuous attention from governments of SH and NYC. The experiences of the two cities showed that placing WHSs among policy priorities is effective in improving service status

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