ArticleRisk management and healthcare policy2018
Progress and challenges in improving maternal health in the Tibet Autonomous Region, China.
Article in Risk management and healthcare policy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed.
- Association between maternal health service utilization and under-five mortality rate in China and its provinces, 1990-2017.BMC pregnancy and childbirth · 2024Article
- Burden of maternal disorders in China from 1990 to 2019: Analysis of the Global Burden of Disease Study 2019.The Lancet regional health. Western Pacific · 2021Article
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7 authors.
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Abstract
backgroundThe maternal mortality ratio (MMR) of the Tibet Autonomous Region (hereinafter "Tibet") is still five times higher than the national average. This study aims to identify the successes and pitfalls of the health system that might be related to the high mortality rate based on the WHO health system building blocks, focusing on human resources for health and health infrastructure and the impact on maternal health and outcomes.
methodsSources of information include China's central government and Tibet's local government policies and regulations, health statistical yearbooks, maternal and child health routine reporting system, and English and Chinese online research articles. Joinpoint analysis was applied for MMR and maternal health service trends, and correlation test was used to test the relationship between maternal health services and outcomes.
resultsBetween 2000 and 2015, public health spending in Tibet increased 67-fold, the hospital delivery rate increased 70.1%, and the MMR dropped from 466.9 to 100.1 per 100,000 live births. However, the total number of health workers, qualified medical doctors, and registered nurses per 1,000 people were 4.4, 1.4, and 1.0, respectively, much lower than the national average (5.8, 1.8, and 2.4). In Tibet, there were 80 basic and 16 comprehensive emergency obstetric care (EOC) centers. On average, there were 12 basic and 2.5 comprehensive EOC centers per 500,000 of the population. Though it met the WHO's recommendation, it might remain inadequate in the low population density of the area like Tibet.
conclusionThe shortage of health professionals and EOC centers and health information in predominantly remote rural areas with a scattered population still needs to be rectified.
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