Abstract:
BACKGROUND:China has made impressive progress towards the Millennium Development Goal (MDG) for maternal and reproductive health, but ensuring that progress reaches all segments of the population remains a challenge for policy makers. The aim of this review is to map disadvantaged populations in terms of maternal health in China, and to explain the causes of these inequities to promote policy action. METHODS:We searched PUBMED, Popline, Proquest and WanFang and included primary studies conducted in mainland China. Experts were also contacted to identify additional studies. Disadvantaged populations in terms of MDG 5 and the reasons for this disadvantage explored by authors were identified and coded based on the conceptual framework developed by the WHO Commission on the Social Determinants of Health. RESULTS:In China, differences in maternal health service utilization and the maternal mortality ratio among different income groups, and among regions with different socio-economic development still exist, although these differences are narrowing. Groups with low levels of education and ethnic minorities utilize maternal health care less frequently and experience higher maternal mortality, although we could not determine whether these differences have changed in the last decade. Rural-to-urban migrants use maternal health care and contraception to a lower extent than permanent residents of cities, and differential maternal mortality shows a widening trend among these groups. Gender inequity also contributes to the disadvantaged position of women. Intermediary factors that explain these inequities include material circumstances such as long distances to health facilities for women living in remote areas, behavioral factors such as traditional beliefs that result in reduced care seeking among ethnic minorities, and health system determinants such as out-of-pocket payments posing financial barriers for the poor. CONCLUSIONS:Inequity in maternal health continues to be an issue worthy of greater programmatic and monitoring efforts in China.
journal_name
Glob Health Actionjournal_title
Global health actionauthors
Yuan B,Qian X,Thomsen Sdoi
10.3402/gha.v6i0.19542subject
Has Abstractpub_date
2013-04-03 00:00:00pages
19542eissn
1654-9716issn
1654-9880pii
19542journal_volume
6pub_type
杂志文章abstract:BACKGROUND AND OBJECTIVES:The global architecture for providing development assistance for health (DAH) has become increasing complex in the last decade, with many new funding agencies entering the health sector. This study presents a detailed picture of European Union (EU) and EU member state originating DAH between 2...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v7.23510
更新日期:2014-02-13 00:00:00
abstract:BACKGROUND:Despite considerable global attention to the issues of climate change, relatively little priority has been given to the likely effects on human health of current and future changes in the global climate. We identify three major societal determinants that influence the impact of climate change on human health...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v6i0.20513
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:Following the launch of District Health Information System 2 across facilities in Kenya, more health facilities are now capable of carrying out malaria parasitological testing and reporting data as part of routine health information systems, improving the potential value of routine data for accurate and time...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2017.1413266
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Participation of private practitioners in routine disease surveillance in India is minimal despite the fact that they account for over 70% of the primary healthcare provision. We aimed to investigate the knowledge, attitudes, and practices of private practitioners in the city of Pune toward disease surveilla...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v8.28413
更新日期:2015-10-01 00:00:00
abstract:OBJECTIVE:This study explores violence against women in a low-income setting in relation to residency and literacy. SETTING:The study was conducted within the Butajira Rural Health Programme (a Health and Demographic Surveillance Site), which includes rural and semi-urban settings in south-central Ethiopia. DESIGN:Th...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v3i0.2070
更新日期:2010-02-25 00:00:00
abstract:BACKGROUND:Previous research has shown that men who have sex with men (MSM) avoid formal healthcare services because of the fear of discrimination as homosexuality is illegal and stigmatized in Tanzania. Instead, self-treatment by medications obtained directly from pharmacies or drugstores may be common when MSM experi...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2017.1389181
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Early medical checkups during and after delivery are key strategies to detect, prevent and treat maternal health concerns. Knowledge of interrelationships between early Antenatal Care (ANC), skilled delivery and early postnatal care (EPNC) is essential for focused and well-targeted interventions. This paper ...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2020.1830463
更新日期:2020-12-31 00:00:00
abstract:BACKGROUND:Although community engagement (CE) is widely used in health promotion, components of CE models associated with improved health are poorly understood. This study aimed to examine the magnitude of the impact of CE on health and health inequalities among disadvantaged populations, which methodological approache...
journal_title:Global health action
pub_type: 杂志文章,评审
doi:10.3402/gha.v8.29842
更新日期:2015-12-18 00:00:00
abstract:BACKGROUND:Low-cost mobile devices, such as mobile phones, tablets, and personal digital assistants, which can access voice and data services, have revolutionised access to information and communication technology worldwide. These devices have a major impact on many aspects of people's lives, from business and educatio...
journal_title:Global health action
pub_type: 杂志文章,评审
doi:10.3402/gha.v7.25606
更新日期:2014-10-27 00:00:00
abstract:BACKGROUND:Job satisfaction among health workers is an important indicator in assessing the performance and efficiency of health services. OBJECTIVE:This study measured job satisfaction and determined associated factors among health workers in 38 commune health stations in an urban district and a rural district of Han...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v6i0.18619
更新日期:2013-01-30 00:00:00
abstract:BACKGROUND:Although Vietnam has taken great efforts to reduce child mortality in recent years, a large number of children still die at early age. Only a few studies have been conducted to identify at-risk groups in order to provide baseline information for effective interventions. OBJECTIVE:The study estimated the ove...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v9.29312
更新日期:2016-02-29 00:00:00
abstract:BACKGROUND:Diarrheal diseases are a major cause of child mortality and one of the main causes of medical consultation for children in sub-Saharan countries. This paper attempts to determine the risk factors and neighborhood inequalities of diarrheal morbidity among under-5 children in selected countries in sub-Saharan ...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v9.30166
更新日期:2016-05-11 00:00:00
abstract:BACKGROUND:Strengthening surgical services in resource-constrained settings is contingent on using high-quality data to inform decision making at clinical, facility, and policy levels. However, the evidence is sparse on gaps in paper-based medical record quality for surgical and obstetric patients in low-resource setti...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2020.1765526
更新日期:2020-12-31 00:00:00
abstract::Background: mHealth applications assist workflow, help move towards equitable access to care, and facilitate care delivery. They have great potential to impact care in low-resource countries, but have significant ethical concerns pertaining to patient autonomy, safety, and justice. Objective: To achieve consensus amon...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2019.1666695
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Women in sub-Saharan Africa bear the brunt of the human immunodeficiency virus (HIV) epidemic, and older married women and those in cohabiting relationships are regarded as the largest HIV risk group. Although preventing HIV infection in married or stable relationships is an international HIV prevention prio...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2017.1341597
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:The World Health Organization emphasized that climate change is a significant and emerging threat to public health, especially in lower income populations and tropical/subtropical countries. However, people in Asia and Africa were the least likely to perceive global warming as a threat. In Vietnam, little re...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v7.23025
更新日期:2014-12-08 00:00:00
abstract:BACKGROUND:A number of individual risk factors for intimate partner violence (IPV) have been identified in Bangladesh. However, the etiology of IPV, intergenerational transmission, has never been tested in Bangladesh. OBJECTIVE:We examined whether witnessing inter-parental physical violence (IPPV) was associated with ...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v7.23591
更新日期:2014-05-23 00:00:00
abstract:BACKGROUND:Indonesia still faces challenges in maternal health. Specifically, the lack of information on community-level maternal morbidity. The relatively high maternal healthcare non-utilization in Indonesia intensifies this problem. OBJECTIVE:To describe the burden of community-level maternal morbidity in Indonesia...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2017.1339534
更新日期:2017-01-01 00:00:00
abstract::The objective of this study is to critically assess the possible roles of information and communications technology (ICT) in supporting global health goals. This is done by considering privilege and connectibility. In short, ICT can contribute by providing health information via four different kinds of access, each wi...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2017.1321904
更新日期:2017-06-01 00:00:00
abstract:AIM:The Västerbotten Intervention Programme (VIP) addresses cardiovascular disease and diabetes in the middle-aged population of Västerbotten County, Sweden. Self-reported health (SRH) is one of the risk factors for both conditions. The aim of this study was to analyse the development patterns of SRH among the VIP part...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v4i0.5435
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:There is a serious shortage of skilled nutrition professionals in West Africa. Investing in nutrition training is one of the strategies for strengthening the human resource base in nutrition. However, little is known about how nutrition training in the region is financed and the levels of tuition fees charge...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v8.29415
更新日期:2015-11-09 00:00:00
abstract:BACKGROUND:Non-communicable chronic diseases (NCDs) have increased in South Africa over the past 15 years. While these usually manifest during mid-to-late adulthood, the development of modifiable risk factors that contribute to NCDs are usually adopted early in life. OBJECTIVE:To describe the urban-rural and gender pa...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v6i0.19216
更新日期:2013-01-29 00:00:00
abstract::Managing a deadly pandemic in low- and middle-income countries (LMIC) is challenging. The task becomes tougher when there is an outbreak of an equally deadly disease. This is the present situation of Ghana, a low-resource country, that is confronted with the coronavirus disease 2019 (COVID-19) pandemic and cerebrospin...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2020.1795963
更新日期:2020-12-31 00:00:00
abstract:BACKGROUND:Disease-specific costing studies can be used as input into cost-effectiveness analyses and provide important information for efficient resource allocation. However, limited data availability and limited expertise constrain such studies in low- and middle-income countries (LMICs). OBJECTIVE:To describe a ste...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v7.23573
更新日期:2014-03-28 00:00:00
abstract:BACKGROUND:Diagnostic support for clinicians is a domain of application of mHealth technologies with a slow uptake despite promising opportunities, such as image-based clinical support. The absence of a roadmap for the adoption and implementation of these types of applications is a further obstacle. OBJECTIVES:This ar...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2017.1340254
更新日期:2017-06-01 00:00:00
abstract:BACKGROUND:Migrant health workers fill care gaps in their destination countries, but they also actively engage in improving living conditions for people of their countries of origin through expatriate professional networks. This paper aims to explore the professional links that migrant health workers from sub-Saharan A...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v8.29210
更新日期:2015-12-09 00:00:00
abstract:BACKGROUND:An m-health application has been developed and implemented with community health workers to improve their counseling in a rural area of India. The ultimate aim was to generate demand and improve utilization of key maternal, neonatal, and child health services. The present study aims to assess the impact and ...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v9.31473
更新日期:2016-05-13 00:00:00
abstract:BACKGROUND:The burden of diabetes mellitus in Sub-Saharan Africa is growing rapidly, and yet the prevalence and patient characteristics are still largely unknown. OBJECTIVES:We analyzed clinical and demographic characteristics of Type 2 diabetes (T2DM) patients attending a diabetes clinic in Guinea-Bissau from Februar...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2020.1802136
更新日期:2020-12-31 00:00:00
abstract::Since the theoretical frameworks and conceptual tools we employ shape research outcomes by guiding research pathways, it is important that we subject them to ongoing critical reflection. A thoroughgoing analysis of the global production of women's health inequality calls for a comprehensive theorization of how social ...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2019.1669353
更新日期:2018-11-23 00:00:00
abstract:BACKGROUND:Noma is an infectious but opportunistic disease that often results in severe facial disfigurements and mortality if untreated. As noma progresses quickly, early detection and treatment are important to prevent its development. OBJECTIVES:The objective of this study was to investigate primary healthcare work...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2017.1340253
更新日期:2017-01-01 00:00:00