Tracking progress towards equitable maternal and child health in Yunnan: a systematic assessment for the Health Programme for Poverty Alleviation in China during 2015–2020

ObjectivesTo inform the impacts of health programmes which aimed at preventing women and children from being trapped in or returning to poverty because of illness in Yunnan, the main battlefield against poverty in China.DesignThe longitudinal comparative evaluation design.Data collection and analysi...

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Published in:BMJ open 2023-10, Vol.13 (10), p.e070809-e070809
Main Authors: Huang, Yuan, Xiao, Xia, Wan, Ying, Ye, Qingyun, Yang, Zhongting, Xu, Lingling, Chen, Shuqi, Li, Huifang, Wang, Fangfang, Chen, Yurong, Zhao, Dandan, Zhang, Qian, Zheng, Jiarui, Guo, Guangping, Li, Yan
Format: Article
Language:English
Subjects:
Birth defects
Cesarean section
Children & youth
Childrens health
Expenditures
Family income
health economics
Health Policy
Illnesses
Maternal & child health
Maternal mortality
Medical screening
Minority & ethnic groups
Poverty
Pregnancy
public health
Rural areas
Womens health
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Summary:ObjectivesTo inform the impacts of health programmes which aimed at preventing women and children from being trapped in or returning to poverty because of illness in Yunnan, the main battlefield against poverty in China.DesignThe longitudinal comparative evaluation design.Data collection and analysisNational and Yunnan policy documents related to maternal and child health programmes for poverty alleviation during 2015–2020 were analysed. The changes in disparities in maternal and child health system inputs, service coverage, and health outcomes between poor and non-poor areas, as well as out-of-pocket payments between poor and non-poor populations were assessed before and after 2017.ResultsIn total 12 policies and 15 programmes related to poverty alleviation for poor women and children in Yunnan were summarised. As a result of health system strengthening in Yunnan, the densities of licensed doctors, nurses, obstetricians, midwives, township health workers and female village doctors had been increased substantially in poor areas, with the annual rates of 14.3%, 22.5%, 21.8%, 23.9%, 14.1% and 7.1% separately. Although disparities existed in some of service coverage between poor and non-poor areas, the health programmes had narrowed the gaps in utilisation of facility birth, caesarean section, prenatal screening and newborn screening across Yunnan (p
ISSN:2044-6055
2044-6055
DOI:10.1136/bmjopen-2022-070809