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China: Policy and Practice of MCH Since the Early 1990s

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Abstract

Since the socioeconomic reforms in China in the late 1970s the improvement of maternal and child health (MCH), which was once considered one of the great achievements of China after 1949, has slowed and some indicators show that the situation in some regions, especially in rural areas, is getting worse instead of better. This article will focus on policy and policy-related issues in the delivery of MCH services. It will cover historical changes in policy and their effects, especially in the financing of MCH. In addition, it will also touch upon new practices of MCH in the new cooperative medical scheme (NCMS) in present-day rural China.

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References

  1. Hong, Y. P., & Yang, L. (1999). Management method of the classified evaluation of high risk pregnancy and its effect. Maternal and Child Health Care of China, 14(6), 39–40.

    Google Scholar 

  2. Li, X. Y., et al. (2003). Comprehensive evaluation of the pregnant women and influencing factors analysis. Chinese Primary Health Care, 17(10), 39–40.

    Google Scholar 

  3. Ling, M. X. (2005). Analysis on the effects of pregnant women management. Journal of Chinese Modern Gynecology and Obstetrics, 3, 279–281.

    Google Scholar 

  4. Wang, X. P. (2001). Factors related to perinatal death and major care for it. Maternal and Child Health Care of China, 16(4), 239–240.

    Google Scholar 

  5. National Statistical Bureau (2005). Bulletin of surveillance on China rural poverty 2004.

  6. Chen, Y. C., et al. (2006). Compare health development of rural areas in different districts of china—about social economy and inhabitant’s health condition. Chinese Health Economics, 25(2), 37–38.

    CAS  Google Scholar 

  7. MOH (2005). National Surveillance Report on MCH. http://www.MOH.gov.cn/public/open.aspx?n_id=9410&seq=0/ National report on Child Development of China 2003–2004.

  8. Women and Child Work Committee of the State Council (2005). China: National Report on the Status of Children Development (2003–2004). http://www.China-gad.org/ReadNews.asp?NewsID=1028.

  9. Shanghai Municipal Health Bureau (2005). Health data: http://www.smhb.gov.cn/node2/wssj/userobject1ai152.html.

  10. WHO (2007). World Health Statistics 2007 http://www.who.int/whosis/whostat2007_1mortality.pdf. Accessed on July 11, 2007.

  11. Xinhuanet (2005). Experts warning: Regional disparity will affect the progress of MCH care. http://www.news.xinhuanet.com/newscenter/2005-04/06/content_2795947.htm.

  12. Luo, L., et al. (2002). Thinking on policy to decrease the maternal death rate further. Maternal and Child Health Care of China, 17(17), 392–393.

    Google Scholar 

  13. Xiao, W. L., & Feng, Z. C. (2005). The current study situation of the influencing factors of maternal mortality and some problems existing in the study. Chinese Primary Health Care, 19(8), 30–31.

    Google Scholar 

  14. State Council (2001). Status Report of Children Development in China during 1990s.

  15. National Statistics Bureau (2002, 2003). Yearly surveillance data for children and women development planning.

  16. UNICEF (1990). World Summit for Children. World declaration on the survival, protection and development of children. http://www.unicef.org/wsc/ (access on July 15, 2007).

  17. United Nations (2000). Millennium development goals. http://www.undp.org/mdg/basics.shtml. Accessed on August 2nd, 2007.

  18. Zhang, B. (1995). MCH as a priority in the promotion of health care. China Health Policy, 3, 4–6.

    Google Scholar 

  19. Fan, Y. J., et al. (2004). Analysis of the current situation, opportunity and challenge in the personnel of the MCH care. Maternal and Child Health Care of China, 19(9), 7–8.

    Google Scholar 

  20. Wang, F. L. (1997). The relationship of ‘Mother and Infant Health Law of the People’s Republic of China’ and Population Policy in China. Maternal and Child Health Care of China, 12(6), 323–324.

    Google Scholar 

  21. Chen, Z. M., et al. (2005). Analysis of the government input into the MCH care. Maternal and Child Health Care of China, 20(23), 3047–3049.

    Google Scholar 

  22. Jin, X. (2005). Discussion on the subsidies on the maternal and child care institution. Chinese Rural Health Service Administration, 26(9), 57–58.

    Google Scholar 

  23. Liu, R. P., & Fu, M. S. (2005). Current situation of the maternal care institutions at the county level and its development strategies. Maternal and Child Health Care of China, 20(14), 1702–1704.

    Google Scholar 

  24. Hu, A. G., & Hu, L. L. (2003). Promote health equity between Urban and rural areas. Outlook, 23, 28–29.

    Google Scholar 

  25. Jiang, K. W. (2000). The major issues and solving strategies of the rural health care. Chinese Primary Health Care, 14(7), 11–12.

    Google Scholar 

  26. Ren, K. Q., et al. (2001). Strengthen the role of the government to facilitate the ‘reducing the pregnancy-related deaths and eliminating tetanus infections of the newborn babies’ project. Maternal and Child Health Care of China, 16(9), 560–561.

    Google Scholar 

  27. MOH (2004). A decision on further strengthening the rural health jointly made by the Central Committee of the Communist Party of China and the State Council. Document from CCCPC 2002(13): http://www.MOH.gov.cn/news/sub_index.aspx?tp_class=B7.

  28. UNDP (2006). Beyond scarcity: Power, poverty and the global water crisis. Human Development Report 2006 New York, United Nations.

  29. Cai, L., et al. (2005). Issues on sustainable financing new-type rural cooperative medical scheme. Chinese Health Resources, 8(6), 248–250.

    Google Scholar 

  30. Shao, H. Y., & Meng, G. X. (2006). Considerations on several issues in the newly cooperative medical system. Chinese Primary Health Care, 20(1), 14–16.

    Google Scholar 

  31. Wang, X. L., & Xie, Y. H. (2006). Analysis of the shortcomings in the new cooperative medical system. Chinese Primary Health Care, 20(1), 10–11.

    Google Scholar 

  32. Guo, Y., & Liang, H. (2004). The relationship between public finance and public health—a case study of Pudong New area. Shanghai, A research report.

  33. Hu, X. S. (1996). Issues of fee-for-service of the Anti-epidemic station. Health Economic Studies, 9, 35.

    Google Scholar 

  34. Zhang, H., et al. (2005). Analysis of the operation of maternal health facilities at county level of China. Maternal and Child Health Care of China, 20(8), 906–908.

    Google Scholar 

  35. Akin, J., Birdsall, N., & Ferranti, D. (1987). Financing health services in developing countries: An agenda for reform. Washington: World Bank.

    Google Scholar 

  36. MOH (2007). The eleventh 5-year planning for the Chinese health system development. http://www.moh.gov.cn/newshtml/19160.htm. Accessed July 17, 2007.

  37. Margaret, W., Goran, D., & Timothy, E. (2001). Equity and health sector reform: Can low-income countries escape the medical poverty trap? LANCET, 358, 833–836.

    Article  Google Scholar 

  38. Huang, Y. F., & Chen, S. L. (1996). A discussion of establishing fund system for MCH in rural China. Chinese Rural Health Service Administration, 16(11), 55–56.

    Google Scholar 

  39. Chen, J., & Guo, Y. (2002). The problem and opinion of fund raising on poverty relief project of health VI loaned by world bank. Chinese Primary Health Care, 16(7), 34–35.

    Google Scholar 

  40. Chen, J. Y., et al. (1997). Reimbursing models and evaluation of corporative medical system in kaifeng county. Chinese Primary Health Care, 11(8), 10–11.

    Google Scholar 

  41. Tong, Y. Y., et al. (2002). The strength of MCH and birth-control be mutually supplement, Start reproduction health and birth-control work new situation. Maternal and Child Health Care of China, 17(1), 18–19.

    Google Scholar 

  42. Wu, X. W. (2005). Issues of resource-sharing of facilities among family planning and MCH. Chinese Journal of Family Planning, 7, 400–402.

    Google Scholar 

  43. Men, Y. Z., & Zhang, Y. X. (2003). Discussion of integrating family planning and MCH services grass-roots. Chinese Journal of Family Planning, 9, 529–530.

    Google Scholar 

  44. Wang, F. L. (1994). Create a beautiful future of MCH in China by taking cooperative health projects as a breakthrough. Maternal and Child Health Care of China, 9(3), 6–13.

    Google Scholar 

  45. Park, R. (1996). China’s great achievement in ‘Strengthening MCH/FP at Grassroots level’ Program. Maternal and Child Health Care of China, 11(6), 21.

    Google Scholar 

  46. Wang, F. L. (1996). Push MCH by making great effort to do cooperative health projects. Maternal and Child Health Care of China, 11(6), 2–10.

    Google Scholar 

  47. World Bank (2003). http://www-wds.worldbank.org/external/default/main?pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187511&siteName=WDS&entityID=000094946_0303111102363.

  48. Wang, Y. Z. (2004). An investigation on public health issues in western China. Review of Economic Research, 54, 2–8, 33.

    Google Scholar 

  49. Liu, F. Y., et al. (2002). Practice and effect of technology guiding and running of World Bank Loan Health VI Item of Yunnan Province. Maternal and Child Health Care of China, 17(7), 403–406.

    Google Scholar 

  50. Chen, H., et al. (2003). Evaluation on maternal health of Health VI Project at village level. Maternal and Child Health Care of China, 18(9), 524–526.

    Google Scholar 

  51. MOH (2003). A summarization of the project of ‘Decrease the maternal mortality and annul newborn infant tetanus’. http://www.MOH.gov.cn.

  52. Peng Y. (2000). Fulfill the goals set in the ‘Women and Children Development planning’ by careful implementing the Project of ‘Reduce the maternal mortality and eliminate the incidence of tetanus infection of newborn babies’. Maternal and Child Health Care of China, 15(2), 68–72.

    CAS  Google Scholar 

  53. Kennedy, S. (2004). Results-based management set to impact the future of development, RBM: The way forward for many sectors. http://www.209.225.62.100/Documents/Periodicals/NARO/1st-quarter-2004.pdf. Accessed on August 3rd, 2007.

  54. CIDA (2006). Case Study #2: Yunnan Mother and Child Health Project China Country Program, Asia Branch http://www.acdi-cida.gc.ca/CIDAWEB/acdicida.nsf/prnEn/EMA-218131833-PJC. Accessed on August 3rd, 2007.

  55. Lin, R. Z. (2003). Barefoot doctor. The Earth 21. http://www.people.com.cn/GB/paper81/10994/997005.html. Accessed on July 18, 2007.

  56. Zhu, L. (2004). Restructuring basic health protection system in rural China. China and World Economy, 12(1), 75–98.

    Google Scholar 

  57. Carpenter, M. (2000). Health for some: Global health and social development since Alma Ata. Community Development Journal, 35(4), 336–351.

    Google Scholar 

  58. Cueto, M. (2004). The ORIGINS of primary health care and SELECTIVE primary health care. American Journal of Public Health, 94(11), 1864–1874.

    Article  PubMed  Google Scholar 

  59. White, S. D. (1998). From barefoot doctor to village doctor in Tiger Springs village: A case study of rural health care transformations in socialist China. Human organization, 57(4), 480–490.

    Google Scholar 

  60. Zakus, D., & Andrea, C. (2002). Primary health care and community participation: Its origins, implementation and future, Chap. 3. In B. Fried & L. Gaydos (Eds.), World Health Systems: Challenges and Perspectives. Chicago: Health Administration Press.

  61. Huang, C. L., et al. (2004). Considerations on establishing new Cooperative Medical System in rural China. Chinese Rural Health Service Administration, 24(4), 3–6.

    Google Scholar 

  62. Central Committee of Communist Party and State Council of China (1997). Decisions on health reform and development. http://www.moh.gov.cn/newshtml/8478.htm. Accessed on July 18, 2007.

  63. State Council (2003). Circular of the General Office under the State Council on suggestions to construct a New Rural Cooperation Medical Schemes submitted by Ministry of Health, Ministry of Finance, and Ministry of Agriculture, http://www.moh.gov.cn/newshtml/8348.htm. Accessed on November 13, 2007.

  64. Mao, Y., et al. (2005). Study of compensation schemes of new cooperative medical system in Mengzi County. Chinese Health Quality Management, 12(5), 10–12.

    Google Scholar 

  65. Chen, L., et al. (2002). An exploratory study on sustainability development of poverty alleviation fund program for MCH. Maternal and Child Health Care of China, 17(2), 87–89.

    Google Scholar 

  66. Zakus, D., & Lysack, C. (1998). Revisiting community participation. Health Policy and Planning, 13(1), 1–12.

    Article  PubMed  CAS  Google Scholar 

  67. Liu, Y. (2005). Mid-period evaluation on maternity and child health intervention of basic health service in rural poverty-stricken areas of China. Chinese Primary Health Care, 19(5), 23–28.

    Google Scholar 

  68. WHO (2005). Internet health learning to improve women’s health. Bulletin of the World Health Organization, 83(7), 557.

    Google Scholar 

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Author information

Authors and Affiliations

  1. School of Social Development and Public Policy, Fudan University, 220 Handan Road, Shanghai, 200433, China

    Youde Guo & Hong Liang

  2. Centre for International Health, Department of Public Health Sciences, Faculty of Medicine, University of Toronto, Toronto, ON, Canada, M5T 3M7

    David Zakus

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  1. Youde Guo
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  2. David Zakus
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  3. Hong Liang
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Correspondence to Youde Guo.

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His current research interests are focused on health management and policy, especially for rural health reform in China.

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Guo, Y., Zakus, D. & Liang, H. China: Policy and Practice of MCH Since the Early 1990s. Matern Child Health J 12, 139–148 (2008). https://doi.org/10.1007/s10995-007-0305-1

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  • DOI: https://doi.org/10.1007/s10995-007-0305-1

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