ArticleReproductive health matters2014
Reducing high maternal mortality rates in western China: a novel approach.
Article in Reproductive health matters, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Factors influencing maternal death in Cambodia, Laos, Myanmar, and Vietnam countries: A systematic review.PloS one · 2024Pooled it
- Collaboration between local authorities and civil society organisations for improving health: a scoping review.BMJ open · 2025Article
- Disparities and determinants of maternal health services utilization among women in poverty-stricken rural areas of China: a cross-sectional study.BMC pregnancy and childbirth · 2023Article
- Maternal mortality ratio in China from 1990 to 2019: trends, causes and correlations.BMC public health · 2021Article
- 'Leaving no one behind': a scoping review on the provision of sexual and reproductive health care to nomadic populations.BMC women's health · 2019Article
- Mortality, morbidity, and risk factors in China and its provinces, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017.Lancet (London, England) · 2019 · on this mapArticle
- Uptake of maternal care and childhood immunization among ethnic minority and Han populations in Sichuan province: a study based on the 2003, 2008 and 2013 health service surveys.BMC pregnancy and childbirth · 2019Article
- Maternal Health Behaviors and Outcomes in a Nomadic Tibetan Population.Maternal and child health journal · 2018Article
- Amniotic fluid embolism as a cause of maternal mortality in China between 1996 and 2013: a population-based retrospective study.BMC pregnancy and childbirth · 2016Article
- Utilization of services provided by village based ethnic minority midwives in mountainous villages of Vietnam.International journal of women's health · 2016Article
- Maternal health care seeking by rural Tibetan women: characteristics of women delivering at a newly-constructed birth center in western China.BMC pregnancy and childbirth · 2015Article
- Tibetan women's perspectives and satisfaction with delivery care in a rural birth center.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2015Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
Among the Millennium Development Goals, maternal mortality reduction has proven especially difficult to achieve. Unlike many countries, China is on track to meeting these goals on a national level, through a programme of institutionalizing deliveries. Nonetheless, in rural, disadvantaged, and ethnically diverse areas of western China, maternal mortality rates remain high. To reduce maternal mortality in western China, we developed and implemented a three-level approach as part of a collaboration between a regional university, a non-profit organization, and local health authorities. Through formative research, we identified seven barriers to hospital delivery in a rural Tibetan county of Qinghai Province: (1) difficulty in travel to hospitals; (2) hospitals lack accommodation for accompanying families; (3) the cost of hospital delivery; (4) language and cultural barriers; (5) little confidence in western medicine; (6) discrepancy in views of childbirth; and (7) few trained community birth attendants. We implemented a three-level intervention: (a) an innovative Tibetan birth centre, (b) a community midwife programme, and (c) peer education of women. The programme appears to be reaching a broad cross-section of rural women. Multilevel, locally-tailored approaches may be essential to reduce maternal mortality in rural areas of western China and other countries with substantial regional, socioeconomic, and ethnic diversity.
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