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Published in: Maternal and Child Health Journal 2/2008

01-03-2008

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

Authors: Youde Guo, David Zakus, Hong Liang

Published in: Maternal and Child Health Journal | Issue 2/2008

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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.
Literature
1.
go back to reference 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. 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.
2.
go back to reference Li, X. Y., et al. (2003). Comprehensive evaluation of the pregnant women and influencing factors analysis. Chinese Primary Health Care, 17(10), 39–40. Li, X. Y., et al. (2003). Comprehensive evaluation of the pregnant women and influencing factors analysis. Chinese Primary Health Care, 17(10), 39–40.
3.
go back to reference Ling, M. X. (2005). Analysis on the effects of pregnant women management. Journal of Chinese Modern Gynecology and Obstetrics, 3, 279–281. Ling, M. X. (2005). Analysis on the effects of pregnant women management. Journal of Chinese Modern Gynecology and Obstetrics, 3, 279–281.
4.
go back to reference 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. 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.
5.
go back to reference National Statistical Bureau (2005). Bulletin of surveillance on China rural poverty 2004. National Statistical Bureau (2005). Bulletin of surveillance on China rural poverty 2004.
6.
go back to reference 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. 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.
12.
go back to reference 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. 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.
13.
go back to reference 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. 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.
14.
go back to reference State Council (2001). Status Report of Children Development in China during 1990s. State Council (2001). Status Report of Children Development in China during 1990s.
15.
go back to reference National Statistics Bureau (2002, 2003). Yearly surveillance data for children and women development planning. National Statistics Bureau (2002, 2003). Yearly surveillance data for children and women development planning.
18.
go back to reference Zhang, B. (1995). MCH as a priority in the promotion of health care. China Health Policy, 3, 4–6. Zhang, B. (1995). MCH as a priority in the promotion of health care. China Health Policy, 3, 4–6.
19.
go back to reference 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. 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.
20.
go back to reference 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. 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.
21.
go back to reference 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. 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.
22.
go back to reference Jin, X. (2005). Discussion on the subsidies on the maternal and child care institution. Chinese Rural Health Service Administration, 26(9), 57–58. Jin, X. (2005). Discussion on the subsidies on the maternal and child care institution. Chinese Rural Health Service Administration, 26(9), 57–58.
23.
go back to reference 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. 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.
24.
go back to reference Hu, A. G., & Hu, L. L. (2003). Promote health equity between Urban and rural areas. Outlook, 23, 28–29. Hu, A. G., & Hu, L. L. (2003). Promote health equity between Urban and rural areas. Outlook, 23, 28–29.
25.
go back to reference Jiang, K. W. (2000). The major issues and solving strategies of the rural health care. Chinese Primary Health Care, 14(7), 11–12. Jiang, K. W. (2000). The major issues and solving strategies of the rural health care. Chinese Primary Health Care, 14(7), 11–12.
26.
go back to reference 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. 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.
28.
go back to reference UNDP (2006). Beyond scarcity: Power, poverty and the global water crisis. Human Development Report 2006 New York, United Nations. UNDP (2006). Beyond scarcity: Power, poverty and the global water crisis. Human Development Report 2006 New York, United Nations.
29.
go back to reference Cai, L., et al. (2005). Issues on sustainable financing new-type rural cooperative medical scheme. Chinese Health Resources, 8(6), 248–250. Cai, L., et al. (2005). Issues on sustainable financing new-type rural cooperative medical scheme. Chinese Health Resources, 8(6), 248–250.
30.
go back to reference 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. 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.
31.
go back to reference 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. 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.
32.
go back to reference Guo, Y., & Liang, H. (2004). The relationship between public finance and public health—a case study of Pudong New area. Shanghai, A research report. 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.
go back to reference Hu, X. S. (1996). Issues of fee-for-service of the Anti-epidemic station. Health Economic Studies, 9, 35. Hu, X. S. (1996). Issues of fee-for-service of the Anti-epidemic station. Health Economic Studies, 9, 35.
34.
go back to reference 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. 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.
35.
go back to reference Akin, J., Birdsall, N., & Ferranti, D. (1987). Financing health services in developing countries: An agenda for reform. Washington: World Bank. Akin, J., Birdsall, N., & Ferranti, D. (1987). Financing health services in developing countries: An agenda for reform. Washington: World Bank.
37.
go back to reference 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.CrossRef 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.CrossRef
38.
go back to reference 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. 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.
39.
go back to reference 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. 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.
40.
go back to reference 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. 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.
41.
go back to reference 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. 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.
42.
go back to reference Wu, X. W. (2005). Issues of resource-sharing of facilities among family planning and MCH. Chinese Journal of Family Planning, 7, 400–402. Wu, X. W. (2005). Issues of resource-sharing of facilities among family planning and MCH. Chinese Journal of Family Planning, 7, 400–402.
43.
go back to reference 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. 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.
44.
go back to reference 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. 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.
45.
go back to reference 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. 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.
46.
go back to reference 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. 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.
48.
go back to reference Wang, Y. Z. (2004). An investigation on public health issues in western China. Review of Economic Research, 54, 2–8, 33. Wang, Y. Z. (2004). An investigation on public health issues in western China. Review of Economic Research, 54, 2–8, 33.
49.
go back to reference 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. 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.
50.
go back to reference 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. 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.
52.
go back to reference 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. 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.
56.
go back to reference Zhu, L. (2004). Restructuring basic health protection system in rural China. China and World Economy, 12(1), 75–98. Zhu, L. (2004). Restructuring basic health protection system in rural China. China and World Economy, 12(1), 75–98.
57.
go back to reference Carpenter, M. (2000). Health for some: Global health and social development since Alma Ata. Community Development Journal, 35(4), 336–351. Carpenter, M. (2000). Health for some: Global health and social development since Alma Ata. Community Development Journal, 35(4), 336–351.
58.
go back to reference Cueto, M. (2004). The ORIGINS of primary health care and SELECTIVE primary health care. American Journal of Public Health, 94(11), 1864–1874.PubMedCrossRef Cueto, M. (2004). The ORIGINS of primary health care and SELECTIVE primary health care. American Journal of Public Health, 94(11), 1864–1874.PubMedCrossRef
59.
go back to reference 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. 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.
60.
go back to reference 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. 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.
go back to reference 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. 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.
63.
go back to reference 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. 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.
go back to reference 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. 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.
65.
go back to reference 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. 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.
66.
go back to reference Zakus, D., & Lysack, C. (1998). Revisiting community participation. Health Policy and Planning, 13(1), 1–12.PubMedCrossRef Zakus, D., & Lysack, C. (1998). Revisiting community participation. Health Policy and Planning, 13(1), 1–12.PubMedCrossRef
67.
go back to reference 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. 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.
68.
go back to reference WHO (2005). Internet health learning to improve women’s health. Bulletin of the World Health Organization, 83(7), 557. WHO (2005). Internet health learning to improve women’s health. Bulletin of the World Health Organization, 83(7), 557.
Metadata
Title
China: Policy and Practice of MCH Since the Early 1990s
Authors
Youde Guo
David Zakus
Hong Liang
Publication date
01-03-2008
Publisher
Springer US
Published in
Maternal and Child Health Journal / Issue 2/2008
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI
https://doi.org/10.1007/s10995-007-0305-1

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