Consequences of birth policies and practices in post-reform China

Harris, Amanda, Gao, Yu, Barclay, Lesley, Belton, Suzanne, Yue, Zweng Wei, Min, Hao, Auqun, Xu, Hua, Liao and Yun, Zhou (2007) Consequences of birth policies and practices in post-reform China. Reproductive Health Matters, 15 30: 114-124. doi:10.1016/S0968-8080(07)30315-7

Author Harris, Amanda
Gao, Yu
Barclay, Lesley
Belton, Suzanne
Yue, Zweng Wei
Min, Hao
Auqun, Xu
Hua, Liao
Yun, Zhou
Title Consequences of birth policies and practices in post-reform China
Journal name Reproductive Health Matters   Check publisher's open access policy
ISSN 0968-8080
Publication date 2007-11-01
Sub-type Article (original research)
DOI 10.1016/S0968-8080(07)30315-7
Open Access Status Not Open Access
Volume 15
Issue 30
Start page 114
End page 124
Total pages 11
Place of publication Amsterdam, Netherlands
Publisher Elsevier
Language eng
Abstract This paper comments on the provision of birthing services in Sichuan and Shanxi Provinces in China within a policy context. The goal was to understand possible unintended and harmful health outcomes for women in the light of international evidence, to better inform practice and policy development. Data were collected from October 2005 to April 2007 in 25 hospitals across 13 counties and one city. Normal and caesarean birth records were audited, observations made of facilities and interviews conducted with officials, administrators, health workers, women who delivered in hospital facilities and women who delivered at home. We argue that in the context of a neo-liberal health economy with poorly developed government regulatory policies, those with the power to pay for maternity care may be vulnerable to a new range of risks to their health from those positioned to make a profit. While poor communities may lack access to basic services, wealthier socio-economic groups may risk an increase in maternal morbidity and mortality through the overuse of avoidable intervention. We recommend a stronger evidence base for hospital maternity services and changes to the role of the State in countering systemic problems.
Keyword Antenatal care
Maternal mortality and morbidity
Health policy and programmes
User fees
Socio-economic status
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Nursing, Midwifery and Social Work Publications
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Created: Thu, 17 Dec 2015, 20:28:01 EST by Yu Gao on behalf of School of Nursing, Midwifery and Social Work