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Chinese Maternal Health in Adjustment

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Bibliographic Data

ID4823261
AuthorsLennart Bogg (0000-0003-0368-050X), Curtis Carter (corresponding author), Keli Wang (0000-0002-8838-3012), Vinod Diwan (0000-0002-5831-2037)
Year2002
Volume10
Issue20
Pages95-107
Publication date2002-01-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueReproductive Health Matters (JOURNAL)
Journal identifiersISSN: 0968-8080 • E-ISSN: 1460-9576
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1016/s0968-8080(02)00076-9
OpenAlexW12557646
LanguageEN
Citations received7
References cited8

Health sector reforms in China, instituted starting in 1985, have centred on cost recovery, with fee-for-service revenue replacing public budget funding. The share of public funding for maternal health services was reduced greatly, forcing an increasing proportion of pregnant women to pay for deliveries and treatment of pregnancy-related complications out of pocket, as most had no health insurance to cover these costs. This study aimed to identify socio-economic variables associated with utilisation of essential maternal health services and linked to health sector reforms in China, with a focus on cost recovery. A retrospective household survey (n = 5756) was carried out in six counties in three provinces of Central China in 1995. Antenatal service utilisation continued to improve in 1990-95, but only in relation to the number of visits, which were pre-paid if the woman was participating in a maternal pre-payment scheme or covered by another health insurance scheme. Significant decreases were found in the utilisation of skilled attendance at delivery and hospital delivery, as well as differences in adverse pregnancy outcomes (miscarriages and stillbirths) between women paying out of pocket and those covered by insurance. This study confirms a strong association between utilisation of delivery services and financing variables of amount of savings in the bank, maternal pre-payment schemes and health insurance. It also shows the critical importance of out-of-pocket, fee-for-service payments for maternity care as a barrier to the utilisation of these services

Aesthetics · Art · Art history · Avant garde · Globalization · Political science · Art, Politics, and Modernism · Cultural Industries and Urban Development · Law

  • Prenatal care in urban China

    Open Access•Haruka Nagao•SSM - Qualitative Research in…•2024

  • Determinants of Choice of Care Providers During Childbirth in Rural West Bengal, India

    Open Access•Mampi Bose•Indian Journal of Human Development•2019

  • Health Sector Reforms

    Marge Berer•Reproductive Health Matters•2002

  • Dramatic increase of Cesarean deliveries in the midst of health reforms in rural China

    Open Access•Lennart Bogg, Kun Huang et al.•Social Science & Medicine•2010

  • Community-based health insurance and access to maternal health services

    Open Access•Kimberly V Smith, Sara Sulzbach•Social Science & Medicine•2008

  • Son preference, use of maternal health care, and infant mortality in rural China, 1989-2000

    Jiajian Chen, Zhenming Xie et al.•Population Studies•2007

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    Amanda Harris, Yu Gao et al.•Reproductive Health Matters•2007

  • Spotlight on international organizations Unicef

    Open Access•Anne Lafond•Health Policy and Planning•1994

  • The cost of coverage

    Open Access•Lennart Bogg, DONG HENGJIN et al.•Health Policy and Planning•1996

  • Spotlight on international organizations The World Bank

    Open Access•Katherine Buse, Kent Buse•Health Policy and Planning•1994

  • Family planning in China

    Lennart Bogg•American Journal of Public Health•1998

  • The socio-economic determinants of maternal health care utilization in Turkey

    Open Access•Yusuf Çelik, David R Hotchki et al.•Social Science & Medicine•2000

  • The Chinese health care system

    Open Access•William C Hsiao, William C L Hsiao•Social Science & Medicine•1995

Unique citing works7
Citations per year0,29
Citation span2002 - 2024 (23)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 7

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