Consequences of birth policies and practices in post-reform China

A Harris, Yu Gao, Lesley Barclay, Suzanne Belton, Z Yue, H Min, X Auqun, Li Hua, Z Yun

    Research output: Contribution to journalArticleResearchpeer-review

    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. � 2007 Reproductive Health Matters.
    Original languageEnglish
    Pages (from-to)114-124
    Number of pages11
    JournalReproductive Health Matters
    Volume15
    Issue number30
    Publication statusPublished - 2007

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    Women's Health
    China
    Parturition
    Birth Certificates
    Maternity Hospitals
    Maternal Mortality
    Policy Making
    Reproductive Health
    Health
    Administrative Personnel
    Economics
    Interviews
    Morbidity

    Cite this

    Harris, A., Gao, Y., Barclay, L., Belton, S., Yue, Z., Min, H., ... Yun, Z. (2007). Consequences of birth policies and practices in post-reform China. Reproductive Health Matters, 15(30), 114-124.
    Harris, A ; Gao, Yu ; Barclay, Lesley ; Belton, Suzanne ; Yue, Z ; Min, H ; Auqun, X ; Hua, Li ; Yun, Z. / Consequences of birth policies and practices in post-reform China. In: Reproductive Health Matters. 2007 ; Vol. 15, No. 30. pp. 114-124.
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    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. � 2007 Reproductive Health Matters.",
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    Harris, A, Gao, Y, Barclay, L, Belton, S, Yue, Z, Min, H, Auqun, X, Hua, L & Yun, Z 2007, 'Consequences of birth policies and practices in post-reform China', Reproductive Health Matters, vol. 15, no. 30, pp. 114-124.

    Consequences of birth policies and practices in post-reform China. / Harris, A; Gao, Yu; Barclay, Lesley; Belton, Suzanne; Yue, Z; Min, H; Auqun, X; Hua, Li; Yun, Z.

    In: Reproductive Health Matters, Vol. 15, No. 30, 2007, p. 114-124.

    Research output: Contribution to journalArticleResearchpeer-review

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    AU - Belton, Suzanne

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    AB - 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. � 2007 Reproductive Health Matters.

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    Harris A, Gao Y, Barclay L, Belton S, Yue Z, Min H et al. Consequences of birth policies and practices in post-reform China. Reproductive Health Matters. 2007;15(30):114-124.