Skip to main content
Top
Published in: BMC Public Health 1/2023

Open Access 01-12-2023 | Public Health | Research

Does China’s Equalization of Basic Public Health Services policy improve delivery care for migrant women?

Authors: Hong Zou, Han Xiao, Hongwei Xu

Published in: BMC Public Health | Issue 1/2023

Login to get access

Abstract

Background

As of 2020, 1 in 4 people in China is a domestic migrant. However, their lack of access to health care in destination cities has been largely neglected by the Chinese government until recently.

Methods

Drawing on data from the 2010–2016 China Migrants Dynamic Survey, this study evaluated the impact of a pilot program of the Equalization of Basic Public Health Services launched in 2014 and focused on place of childbirth, an important indicator of delivery care. A difference-in-differences design was employed for statistical inference.

Results

The migrant pilot program increased the likelihood of a migrant childbirth at a migration destination by about 4 to 8 percentage points, depending on the model specification. Further analyses revealed that this positive effect was short-term and benefited relatively better-off migrant families.

Conclusion

The migrant pilot program improved delivery care for migrant women. The Chinese government needs to expand this pilot program to more cities and improve its benefits to better serve the massive migrant population.
Appendix
Available only for authorised users
Literature
1.
go back to reference National Bureau of Statistics of China. Data Briefing from China’s 2020 Census. 2021. National Bureau of Statistics of China. Data Briefing from China’s 2020 Census. 2021.
2.
go back to reference Statistical Communique of National. Economic and Social Development in 2019 [press release]. 2020. Statistical Communique of National. Economic and Social Development in 2019 [press release]. 2020.
3.
go back to reference Wang F-L. Reformed Migration Control and New targeted people: China’s Hukou System in the 2000s. China Q. 2004;177:115–32.CrossRef Wang F-L. Reformed Migration Control and New targeted people: China’s Hukou System in the 2000s. China Q. 2004;177:115–32.CrossRef
4.
go back to reference Liang Z. China’s Great Migration and the prospects of a more Integrated Society. Ann Rev Sociol. 2016;42(1):451–71.CrossRef Liang Z. China’s Great Migration and the prospects of a more Integrated Society. Ann Rev Sociol. 2016;42(1):451–71.CrossRef
5.
go back to reference Müller A. Hukou and Health Insurance Coverage for migrant workers. J Curr Chin Affairs. 2016;45(2):53–82.CrossRef Müller A. Hukou and Health Insurance Coverage for migrant workers. J Curr Chin Affairs. 2016;45(2):53–82.CrossRef
6.
go back to reference Chen S, Chen Y, Feng Z, Chen X, Wang Z, Zhu J, et al. Barriers of effective health insurance coverage for rural-to-urban migrant workers in China: a systematic review and policy gap analysis. BMC Public Health. 2020;20(1):408.CrossRef Chen S, Chen Y, Feng Z, Chen X, Wang Z, Zhu J, et al. Barriers of effective health insurance coverage for rural-to-urban migrant workers in China: a systematic review and policy gap analysis. BMC Public Health. 2020;20(1):408.CrossRef
7.
go back to reference Tong L, Kawachi I. Experiences of discrimination and self-reported health in chinese migrants: a structural equation model. BMC Public Health. 2020;20(1):1477.CrossRef Tong L, Kawachi I. Experiences of discrimination and self-reported health in chinese migrants: a structural equation model. BMC Public Health. 2020;20(1):1477.CrossRef
8.
go back to reference Lu L, Zeng J, Zeng Z. Demographic, socio-economic, and health factors associated with use of health services among internal migrants in China: an analysis of data from a nationwide cross-sectional survey. The Lancet. 2016;388:5.CrossRef Lu L, Zeng J, Zeng Z. Demographic, socio-economic, and health factors associated with use of health services among internal migrants in China: an analysis of data from a nationwide cross-sectional survey. The Lancet. 2016;388:5.CrossRef
9.
go back to reference Zhang J, Lin S, Liang D, Qian Y, Zhang D, Hou Z. Public Health Services utilization and its determinants among internal Migrants in China: evidence from a nationally Representative Survey. Int J Environ Res Public Health. 2017;14(9):1002. Zhang J, Lin S, Liang D, Qian Y, Zhang D, Hou Z. Public Health Services utilization and its determinants among internal Migrants in China: evidence from a nationally Representative Survey. Int J Environ Res Public Health. 2017;14(9):1002.
10.
go back to reference Chen F, Liu H, Vikram K, Guo Y. For Better or worse: the Health Implications of marriage separation due to Migration in Rural China. Demography. 2015;52(4):1321–43.CrossRef Chen F, Liu H, Vikram K, Guo Y. For Better or worse: the Health Implications of marriage separation due to Migration in Rural China. Demography. 2015;52(4):1321–43.CrossRef
11.
go back to reference Chen J. Internal Migration and Health: re-examining the healthy migrant phenomenon in China. Soc Sci Med. 2011;72(8):1294–301.CrossRef Chen J. Internal Migration and Health: re-examining the healthy migrant phenomenon in China. Soc Sci Med. 2011;72(8):1294–301.CrossRef
12.
go back to reference Lin L, Brown KB, Yu F, Yang J, Wang J, Schrock JM, et al. Health Care Experiences and Perceived Barriers to Health Care Access: a qualitative study among african Migrants in Guangzhou, Guangdong Province, China. J Immigr Minor Health. 2015;17(5):1509–17.CrossRef Lin L, Brown KB, Yu F, Yang J, Wang J, Schrock JM, et al. Health Care Experiences and Perceived Barriers to Health Care Access: a qualitative study among african Migrants in Guangzhou, Guangdong Province, China. J Immigr Minor Health. 2015;17(5):1509–17.CrossRef
13.
go back to reference Asuamah MA, Agyenim-Boateng R. Access to Reproductive Healthcare Services among African Women living in Beijing: understanding the Challenges. J Racial Ethn Health Disparities. 2023;10(1):343–9. Asuamah MA, Agyenim-Boateng R. Access to Reproductive Healthcare Services among African Women living in Beijing: understanding the Challenges. J Racial Ethn Health Disparities. 2023;10(1):343–9.
14.
go back to reference Yuan B, Balabanova D, Gao J, Tang S, Guo Y. Strengthening public health services to achieve universal health coverage in China. BMJ. 2019;365:l2358.CrossRef Yuan B, Balabanova D, Gao J, Tang S, Guo Y. Strengthening public health services to achieve universal health coverage in China. BMJ. 2019;365:l2358.CrossRef
15.
go back to reference Qin J. Progress in Basic Health Service Projects in China. Chin J Public Health. 2017;33(9):1289–97. Qin J. Progress in Basic Health Service Projects in China. Chin J Public Health. 2017;33(9):1289–97.
16.
go back to reference NHFPCC. A Pilot Plan to Promote the Equalization of Basic Public Health Services for Migrants. In: National Health and Family Planning Commission of China, editor. Beijing. 2013. NHFPCC. A Pilot Plan to Promote the Equalization of Basic Public Health Services for Migrants. In: National Health and Family Planning Commission of China, editor. Beijing. 2013.
17.
go back to reference Wang F, Li Y, Ding X, Dai T. The national essential Public Health Services Project in China: Progress and Equity. Chin J Health Policy. 2013;6(5):9–14. Wang F, Li Y, Ding X, Dai T. The national essential Public Health Services Project in China: Progress and Equity. Chin J Health Policy. 2013;6(5):9–14.
18.
go back to reference Wu H, Sun G, Chen X, Chen F, Wang C, Wang P, et al. Comprehensive Assessment on implementation of National Basic Public Health Service Package. Chin J Public Health. 2014;30(6):715–7. Wu H, Sun G, Chen X, Chen F, Wang C, Wang P, et al. Comprehensive Assessment on implementation of National Basic Public Health Service Package. Chin J Public Health. 2014;30(6):715–7.
19.
go back to reference Wang Z, Yang J, Chen X, Li X, Xie P, Liu W, et al. Evaluation on implementation effect of National Basic Public Health Service Project. Chin Health Econ. 2018;37(10):63–6. Wang Z, Yang J, Chen X, Li X, Xie P, Liu W, et al. Evaluation on implementation effect of National Basic Public Health Service Project. Chin Health Econ. 2018;37(10):63–6.
20.
go back to reference Deng C, Hao X, Jiang Y, Bo T, Liu X, Liu Z, et al. Research on the Progress and Equity of Disease Control Projects in Basic Public Health Services. Chin Health Econ. 2018;37(6):64–8. Deng C, Hao X, Jiang Y, Bo T, Liu X, Liu Z, et al. Research on the Progress and Equity of Disease Control Projects in Basic Public Health Services. Chin Health Econ. 2018;37(6):64–8.
21.
go back to reference Liu Z, Xiao Y, Zhao K, Liu A. Implementation progress and effect of national essential Public Health Services Program in China. Chin J Public Health. 2019;35(6):657–64. Liu Z, Xiao Y, Zhao K, Liu A. Implementation progress and effect of national essential Public Health Services Program in China. Chin J Public Health. 2019;35(6):657–64.
22.
go back to reference Fu M, Liu C, Yang M. Effects of public health policies on the health status and medical service utilization of chinese internal migrants. China Econ Rev. 2020;62:101464.CrossRef Fu M, Liu C, Yang M. Effects of public health policies on the health status and medical service utilization of chinese internal migrants. China Econ Rev. 2020;62:101464.CrossRef
23.
go back to reference Tang X, Ding L, Feng Y, Wang Y, Zhou C. Antenatal care use and its determinants among migrant women during the first delivery: a nation-wide cross-sectional study in China. BMC Pregnancy Childbirth. 2019;19(1):355.CrossRef Tang X, Ding L, Feng Y, Wang Y, Zhou C. Antenatal care use and its determinants among migrant women during the first delivery: a nation-wide cross-sectional study in China. BMC Pregnancy Childbirth. 2019;19(1):355.CrossRef
24.
go back to reference Ding L, Li X, Tang X, Feng Y, Wang Y, Cheng J, et al. Effect of social integration on childbirth return among internal migrant pregnant women: a nationally representative study in China. BMC Health Serv Res. 2020;20(1):918.CrossRef Ding L, Li X, Tang X, Feng Y, Wang Y, Cheng J, et al. Effect of social integration on childbirth return among internal migrant pregnant women: a nationally representative study in China. BMC Health Serv Res. 2020;20(1):918.CrossRef
25.
go back to reference Gabrysch S, Campbell OMR. Still too far to walk: literature review of the determinants of delivery service use. BMC Pregnancy Childbirth. 2009;9(1):34.CrossRef Gabrysch S, Campbell OMR. Still too far to walk: literature review of the determinants of delivery service use. BMC Pregnancy Childbirth. 2009;9(1):34.CrossRef
26.
go back to reference Tschirhart N, Jiraporncharoen W, Angkurawaranon C, Hashmi A, Nosten S, McGready R, et al. Choosing where to give birth: factors influencing migrant women’s decision making in two regions of Thailand. PLoS ONE. 2020;15(4):e0230407.CrossRef Tschirhart N, Jiraporncharoen W, Angkurawaranon C, Hashmi A, Nosten S, McGready R, et al. Choosing where to give birth: factors influencing migrant women’s decision making in two regions of Thailand. PLoS ONE. 2020;15(4):e0230407.CrossRef
27.
go back to reference Kumar S, Prakash N. Effect of political decentralization and female leadership on institutional births and child mortality in rural Bihar, India. Soc Sci Med. 2017;185:171–8.CrossRef Kumar S, Prakash N. Effect of political decentralization and female leadership on institutional births and child mortality in rural Bihar, India. Soc Sci Med. 2017;185:171–8.CrossRef
28.
go back to reference Gao Y, Zhou H, Singh NS, Powell-Jackson T, Nash S, Yang M, et al. Progress and challenges in maternal health in western China: a countdown to 2015 national case study. The Lancet Global Health. 2017;5(5):e523-e36.CrossRef Gao Y, Zhou H, Singh NS, Powell-Jackson T, Nash S, Yang M, et al. Progress and challenges in maternal health in western China: a countdown to 2015 national case study. The Lancet Global Health. 2017;5(5):e523-e36.CrossRef
29.
go back to reference Lv L, Fu X. Migrant women’s choice of place of delivery and maternal and postnatal care. Popul Health. 2019;27(9):13–6. Lv L, Fu X. Migrant women’s choice of place of delivery and maternal and postnatal care. Popul Health. 2019;27(9):13–6.
30.
go back to reference Almeida LM, Caldas J, Ayres-de-Campos D, Salcedo-Barrientos D, Dias S. Maternal Healthcare in Migrants: a systematic review. Matern Child Health J. 2013;17(8):1346–54.CrossRef Almeida LM, Caldas J, Ayres-de-Campos D, Salcedo-Barrientos D, Dias S. Maternal Healthcare in Migrants: a systematic review. Matern Child Health J. 2013;17(8):1346–54.CrossRef
31.
go back to reference Tunstall H, Pickett K, Johnsen S. Residential mobility in the UK during pregnancy and infancy: are pregnant women, new mothers and infants ‘unhealthy migrants’? Soc Sci Med. 2010;71(4):786–98.CrossRef Tunstall H, Pickett K, Johnsen S. Residential mobility in the UK during pregnancy and infancy: are pregnant women, new mothers and infants ‘unhealthy migrants’? Soc Sci Med. 2010;71(4):786–98.CrossRef
32.
33.
go back to reference Li P, Lu Y, Wang J. Does flattening government improve economic performance? Evidence from China. J Dev Econ. 2016;123:18–37.CrossRef Li P, Lu Y, Wang J. Does flattening government improve economic performance? Evidence from China. J Dev Econ. 2016;123:18–37.CrossRef
34.
go back to reference Peng B, Zhang H, Shi L, Ling L. Migration status and healthcare seeking behaviours among the chinese labor-force: a nationally representative study. BMJ Open. 2019;9(11):e031798.CrossRef Peng B, Zhang H, Shi L, Ling L. Migration status and healthcare seeking behaviours among the chinese labor-force: a nationally representative study. BMJ Open. 2019;9(11):e031798.CrossRef
35.
go back to reference Zhang J, Lu C. A quantitative analysis on the reform of Household Registration in Chinese Cities. China Economic Quarterly. 2019;19(4):1509–30. Zhang J, Lu C. A quantitative analysis on the reform of Household Registration in Chinese Cities. China Economic Quarterly. 2019;19(4):1509–30.
36.
go back to reference National Bureau of Statistics of China, UNFPA, UNICEF. China’s migrant Population (2010): Trends, Challenges, and Policy Suggestions. United Nations Population Fund. 2019. National Bureau of Statistics of China, UNFPA, UNICEF. China’s migrant Population (2010): Trends, Challenges, and Policy Suggestions. United Nations Population Fund. 2019.
37.
go back to reference Health Commission of Jilin Province. Jilin Province has launched the Equalization of Basic Public Health Services program for its migrant population. 2015. Health Commission of Jilin Province. Jilin Province has launched the Equalization of Basic Public Health Services program for its migrant population. 2015.
38.
go back to reference Whyte MK, Sun Z. The Impact of China’s Market Reforms on the Health of Chinese Citizens: Examining Two Puzzles. China Int J. 2010;8(1):1–32.CrossRef Whyte MK, Sun Z. The Impact of China’s Market Reforms on the Health of Chinese Citizens: Examining Two Puzzles. China Int J. 2010;8(1):1–32.CrossRef
39.
go back to reference Hall BJ, Chen W, Latkin C, Ling L, Tucker JD. Africans in south China face social and health barriers. The Lancet. 2014;383(9925):1291–2.CrossRef Hall BJ, Chen W, Latkin C, Ling L, Tucker JD. Africans in south China face social and health barriers. The Lancet. 2014;383(9925):1291–2.CrossRef
Metadata
Title
Does China’s Equalization of Basic Public Health Services policy improve delivery care for migrant women?
Authors
Hong Zou
Han Xiao
Hongwei Xu
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2023
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-022-14950-8

Other articles of this Issue 1/2023

BMC Public Health 1/2023 Go to the issue