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Published in: BMC Public Health 1/2022

Open Access 01-12-2022 | Research

Relative acquisition evaluation of health poverty alleviation project: a quantitative study of data from different regions of China

Authors: Xinjie Zhang, Ying Luo, Wei Chen, Jingru Huang

Published in: BMC Public Health | Issue 1/2022

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Abstract

Background

Poverty is the greatest obstacle to the realization of human rights, among which illness is the leading cause in China. In 2015, China began to implement the health poverty alleviation project (HPAP). By 2020, all rural households living below the current poverty level (2300 yuan per person per year) have been lifted out of poverty.

Methods

This study introduces the concept of relative acquisition and constructs a scale based on the capability approach to measure the relative acquisition and compares its fairness of HPAP.

Results

The findings show that the values of the relative acquisition of HPAP in survey areas are all reached middle level (0.4–0.6), with 0 indicating the worst level and 1 indicating the best level. Specifically, the values of the functional activities of "health care", "health ability", "equal treatment opportunities" and "social support" are all above 0.4, while the values of "economic conditions" and "health education" are below 0.4.

Conclusions

The HPAP plays a significant role in reducing the economic burden of disease on patients. However, due to insufficient social support and health education, the HPAP objects lack endogenous motivation to fight against poverty, and the fairness also needs to be improved.
Literature
5.
go back to reference Wang NS, Xu J, Ma MY, Shan LH, et al. Targeting vulnerable groups of HPA in rural China—— What is the role of the New Rural Cooperative Medical Scheme for the middle age and elderly population? Int J Equity Health. 2020;19(1):8–11.CrossRef Wang NS, Xu J, Ma MY, Shan LH, et al. Targeting vulnerable groups of HPA in rural China—— What is the role of the New Rural Cooperative Medical Scheme for the middle age and elderly population? Int J Equity Health. 2020;19(1):8–11.CrossRef
6.
go back to reference Zhai SG, Yuan SP, Dong QF. The impact of health insurance on poverty among rural older adults: An evidence from nine counties of Western China. Int J Equity Health. 2021;20(1):17–21.CrossRef Zhai SG, Yuan SP, Dong QF. The impact of health insurance on poverty among rural older adults: An evidence from nine counties of Western China. Int J Equity Health. 2021;20(1):17–21.CrossRef
7.
go back to reference Liu YH, Chen C, Deng M, et al. An empirical study on the implementation effect of HPA policy —— Based on the Hebei province data. Health Econ Res. 2019;36(11):3–6. Liu YH, Chen C, Deng M, et al. An empirical study on the implementation effect of HPA policy —— Based on the Hebei province data. Health Econ Res. 2019;36(11):3–6.
8.
go back to reference Xu LZ, Wei CY, Wang J. Effects and problems in HPA program in Shandong province:2015–2017. Chin J Public Health. 2019;35(9):1110–3. Xu LZ, Wei CY, Wang J. Effects and problems in HPA program in Shandong province:2015–2017. Chin J Public Health. 2019;35(9):1110–3.
9.
go back to reference Wei Y, Xu Y, Gao YX. Study on performance evaluation of HPA in poor-stricken areas —— Based on the survey in five provinces. World Surv Res. 2020;4:24–30. Wei Y, Xu Y, Gao YX. Study on performance evaluation of HPA in poor-stricken areas —— Based on the survey in five provinces. World Surv Res. 2020;4:24–30.
10.
go back to reference Ryan RM, Deci EL, et al. On happiness and human potentials: A review of research on hedonic and eudaimonic well-being. Ann Rev Psychol. 2001;3:2–6. Ryan RM, Deci EL, et al. On happiness and human potentials: A review of research on hedonic and eudaimonic well-being. Ann Rev Psychol. 2001;3:2–6.
11.
go back to reference Strotmann H, Volkert J. Multidimensional poverty index and happiness. J Happiness Stud. 2018;4:3–8. Strotmann H, Volkert J. Multidimensional poverty index and happiness. J Happiness Stud. 2018;4:3–8.
12.
go back to reference Kollamparambil U. Happiness, happiness inequality and income dynamics in south Africa. J Happiness Stud. 2020;2:21. Kollamparambil U. Happiness, happiness inequality and income dynamics in south Africa. J Happiness Stud. 2020;2:21.
13.
go back to reference SK Liang. Three-dimensional pattern constraints: A study on the influence mechanism of social policy on different families' economic sense of gain east China economic management. East China Economic Management. 2019;33(8):95–102. SK Liang. Three-dimensional pattern constraints: A study on the influence mechanism of social policy on different families' economic sense of gain east China economic management. East China Economic Management. 2019;33(8):95–102.
14.
go back to reference Ma HG, Xi H. Income gap, social insurance and improvement of residents’ happiness. Soc Sec Stud. 2020;1:86–98. Ma HG, Xi H. Income gap, social insurance and improvement of residents’ happiness. Soc Sec Stud. 2020;1:86–98.
15.
go back to reference Wang Y. Does participation in e-commerce increase rural households’ sense of economic gain? the difference between registered poor households and non-poor households. China’s Rural Economy. 2019;7:37–50. Wang Y. Does participation in e-commerce increase rural households’ sense of economic gain? the difference between registered poor households and non-poor households. China’s Rural Economy. 2019;7:37–50.
16.
go back to reference Liburd LC, Hall JE, Mpofu JJ, et al. Addressing health equity in public health practice: frameworks, promising strategies, and measurement considerations. Annu Rev Public Health. 2020;41(1):18–21.CrossRef Liburd LC, Hall JE, Mpofu JJ, et al. Addressing health equity in public health practice: frameworks, promising strategies, and measurement considerations. Annu Rev Public Health. 2020;41(1):18–21.CrossRef
17.
go back to reference Jing LW, Hou QH, Liu Z, et al. Analysis and countermeasures on social determinants of health equity among elderly in China. Chin J Health Policy. 2020;13(9):1–7. Jing LW, Hou QH, Liu Z, et al. Analysis and countermeasures on social determinants of health equity among elderly in China. Chin J Health Policy. 2020;13(9):1–7.
18.
go back to reference Tang S, Yao L, Ye C, et al. Can health service equity alleviate the health expenditure poverty of Chinese patients? Evidence from the CFPS and China health statistics yearbook. BMC Health Serv Res. 2021;21(1):9–13.CrossRef Tang S, Yao L, Ye C, et al. Can health service equity alleviate the health expenditure poverty of Chinese patients? Evidence from the CFPS and China health statistics yearbook. BMC Health Serv Res. 2021;21(1):9–13.CrossRef
19.
go back to reference Fan HL, Wang YC, Qi R. An empirical study on urban- rural integrated basic medical insurance and health equity ——Striding over the health poverty trap in rural China. China’s Rural Economy. 2021;4:69–84. Fan HL, Wang YC, Qi R. An empirical study on urban- rural integrated basic medical insurance and health equity ——Striding over the health poverty trap in rural China. China’s Rural Economy. 2021;4:69–84.
20.
go back to reference Sen A. Development as freedom. In: Ren Z, Yu Z, editors. China Renmin University Press. New York: Alfred Knopf; 2012. p. 132–157. Sen A. Development as freedom. In: Ren Z, Yu Z, editors. China Renmin University Press. New York: Alfred Knopf; 2012. p. 132–157.
21.
22.
go back to reference Quizilbash M, Clark DA. The capability approach and fuzzy poverty measures: an application to the south African context. Soc Indic Res. 2005;1:103–39.CrossRef Quizilbash M, Clark DA. The capability approach and fuzzy poverty measures: an application to the south African context. Soc Indic Res. 2005;1:103–39.CrossRef
23.
go back to reference Wang SG, Liu MY. Mechanism, implementation dilemma and policy choice of HPA. Journal of Xinjiang Normal University (Edition of Philosophy and Social Science). 2019;40(3):82–91. Wang SG, Liu MY. Mechanism, implementation dilemma and policy choice of HPA. Journal of Xinjiang Normal University (Edition of Philosophy and Social Science). 2019;40(3):82–91.
24.
go back to reference Boch SJ, Taylor DM, Danielson ML, et al. ‘Home is where the health is’: Housing quality and adult health outcomes in the survey of income and program participation. Prev Med. 2020;132(3): 105990.CrossRefPubMedPubMedCentral Boch SJ, Taylor DM, Danielson ML, et al. ‘Home is where the health is’: Housing quality and adult health outcomes in the survey of income and program participation. Prev Med. 2020;132(3): 105990.CrossRefPubMedPubMedCentral
25.
go back to reference Vitalis B, Augustine A, Williams WA, et al. Rural healthcare providers coping with clinical care delivery challenges: lessons from three health centres in Ghana. BMC Fam Pract. 2021;22(32):2–8. Vitalis B, Augustine A, Williams WA, et al. Rural healthcare providers coping with clinical care delivery challenges: lessons from three health centres in Ghana. BMC Fam Pract. 2021;22(32):2–8.
26.
go back to reference Liu L, Mei Q, Wu JN. College students’ cyberloafing behaviors: the localized scale, situation evaluation and intervention strategies. J High Educ Manage. 2019;13(3):107–15. Liu L, Mei Q, Wu JN. College students’ cyberloafing behaviors: the localized scale, situation evaluation and intervention strategies. J High Educ Manage. 2019;13(3):107–15.
27.
go back to reference Chin WW, Marcoulides G. The partial least squares approach to structural equation modeling. Adv Hosp Leisure. 1998;8(2):295–336. Chin WW, Marcoulides G. The partial least squares approach to structural equation modeling. Adv Hosp Leisure. 1998;8(2):295–336.
28.
go back to reference Zhang XJ, Zhou LL, Zeng Y. Measurement and evaluation on the citizenization level of migrated agricultural population. China Soft Sci. 2016;10:37–49. Zhang XJ, Zhou LL, Zeng Y. Measurement and evaluation on the citizenization level of migrated agricultural population. China Soft Sci. 2016;10:37–49.
29.
go back to reference Gao JY, Qiao YF. Analysis on variation in farmers welfare after rural-urban land conversion. China Popul Resour Environ. 2011;1:99–106. Gao JY, Qiao YF. Analysis on variation in farmers welfare after rural-urban land conversion. China Popul Resour Environ. 2011;1:99–106.
30.
go back to reference Cerioli A, Zani S. A fuzzy approach to the measurement of poverty. In: Boldrini M, Dagum C, Zenga M, editors. Italy: Springer Berlin Heidelberg; 1990. p. 98–124. Cerioli A, Zani S. A fuzzy approach to the measurement of poverty. In: Boldrini M, Dagum C, Zenga M, editors. Italy: Springer Berlin Heidelberg; 1990. p. 98–124.
32.
go back to reference Chen C, Pan J. The effect of the HPA project on financial risk protection for rural residents: evidence from Chishui city, China. Int J Equity Health. 2019;18(1):9–13.CrossRef Chen C, Pan J. The effect of the HPA project on financial risk protection for rural residents: evidence from Chishui city, China. Int J Equity Health. 2019;18(1):9–13.CrossRef
33.
go back to reference Ren T, Jin-Liang HU, Huang MJ, et al. Poverty, disease and HPA policy: based on quality oflife evaluation for the poor residents. Chin J Health Policy. 2018;11:24–7. Ren T, Jin-Liang HU, Huang MJ, et al. Poverty, disease and HPA policy: based on quality oflife evaluation for the poor residents. Chin J Health Policy. 2018;11:24–7.
34.
go back to reference Li C, Wu GQ. Research on the precise poverty alleviation under the cooperation of three-dimensional capital——Based on Marxism and Western capital theory. Southwest Finance. 2019;8:71–9. Li C, Wu GQ. Research on the precise poverty alleviation under the cooperation of three-dimensional capital——Based on Marxism and Western capital theory. Southwest Finance. 2019;8:71–9.
35.
go back to reference Glanz K, Rimer BK, Lewis FM. Health behavior and health education: theory, research, and practice. Jossey-Bass. 1997;7:34–8. Glanz K, Rimer BK, Lewis FM. Health behavior and health education: theory, research, and practice. Jossey-Bass. 1997;7:34–8.
36.
go back to reference Whitehead D, Russell G. How effective are health education programmes——resistance, reactance, rationality and risk? recommendations for effective practice. Int J Nurs Stud. 2004;41(2):163–72.CrossRefPubMed Whitehead D, Russell G. How effective are health education programmes——resistance, reactance, rationality and risk? recommendations for effective practice. Int J Nurs Stud. 2004;41(2):163–72.CrossRefPubMed
37.
go back to reference Hung N, Lau LL. The relationship between social capital and self-rated health: a multilevel analysis based on a poverty alleviation program in the philippines. BMC Public Health. 2019;19(1):1641.CrossRefPubMedPubMedCentral Hung N, Lau LL. The relationship between social capital and self-rated health: a multilevel analysis based on a poverty alleviation program in the philippines. BMC Public Health. 2019;19(1):1641.CrossRefPubMedPubMedCentral
38.
go back to reference Li Y, Wu W, Wang Y. Global poverty dynamics and resilience building for sustainable poverty reduction. J Geog Sci. 2021;31(8):1159–70.CrossRef Li Y, Wu W, Wang Y. Global poverty dynamics and resilience building for sustainable poverty reduction. J Geog Sci. 2021;31(8):1159–70.CrossRef
Metadata
Title
Relative acquisition evaluation of health poverty alleviation project: a quantitative study of data from different regions of China
Authors
Xinjie Zhang
Ying Luo
Wei Chen
Jingru Huang
Publication date
01-12-2022
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2022
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-022-14703-7

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