ArticleBMC pregnancy and childbirth2020
Maternal health services utilization and maternal mortality in China: a longitudinal study from 2009 to 2016.
Article in BMC pregnancy and childbirth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.
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Who cites it
25 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Predictors of institutional delivery service utilization in Ethiopia: an umbrella review.BMC pregnancy and childbirth · 2025Pooled it
- Inhibitors and facilitators to the utilization of postpartum care in China: an integrative review.Archives of public health = Archives belges de sante publique · 2022Pooled it
- Increasing prevalence of cerebral palsy among children and adolescents in China 1988-2020: A systematic review and meta-analysis.Journal of rehabilitation medicine · 2021Pooled it
- Maternal Healthcare Service Utilization in Bangladesh: A Cross-Sectional Study of Determinants and Temporal Trends Using BDHS 2011-2022.Health science reports · 2026Article
- Geographical disparities in maternal healthcare and mortality in the Philippines: a 10-year comparison.International health · 2026Article
- Assessing metrics for evaluating the maternal continuum of care in Ethiopia: A scoping review.PLOS global public health · 2026Article
- Correlation ofFrontiers in pediatrics · 2026Article
- The association between china's primary health care reform and inequalities in primary care utilisation and maternal mortality: a quasi-experimental longitudinal study from 2010 to 2019.International journal for equity in health · 2025Article
- Inequality in Utilization of Maternal Healthcare Services in Low‑ and Middle‑Income Countries: A Scoping Review of the Literature.Maternal and child health journal · 2025Article
- Decomposing disparities in the utilization of basic public health services between locals and internal migrants in China: the role of social determinants.International journal for equity in health · 2025Article
- Utilisation of maternal healthcare services and influencing factors in public health facilities in Addis Ababa, Ethiopia.Health SA = SA Gesondheid · 2024Article
- Completion of the Continuum of Maternity Care in the Emerging Regions of Ethiopia: Analysis of the 2019 Demographic and Health Survey.International journal of environmental research and public health · 2023Article
- Changes and Determinants of Maternal Health Services Utilization in Ethnic Minority Rural Areas in Central China, 1991-2015: An Ecological Systems Theory Perspective.Healthcare (Basel, Switzerland) · 2023Article
- The relationship between physical activity in early pregnancy and hypertensive disorders of pregnancy: a cohort study in Chinese women.World journal of emergency medicine · 2023Article
- Readiness for Hospital Discharge After a Cesarean Section and Associated Factors Among Chinese Mothers: A Single Centre Cross-Sectional Study.Patient preference and adherence · 2023Article
- Levels and trends of maternal death in Baoan district, Shenzhen, China, 1999-2022.Frontiers in public health · 2023Article
- Maternal Healthcare Services Utilisation and Its Associated Risk Factors: A Pooled Study of 37 Low- and Middle-Income Countries.International journal of public health · 2023Article
- Prevalence and determinants of maternal healthcare utilisation among young women in sub-Saharan Africa: cross-sectional analyses of demographic and health survey data.BMC public health · 2022Article
- Predictors of Child's Health in Pakistan and the Moderating Role of Birth Spacing.International journal of environmental research and public health · 2022Article
- Effect of four or more antenatal care visits on facility delivery and early postnatal care services utilization in Uganda: a propensity score matched analysis.BMC pregnancy and childbirth · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundThe Chinese government introduced the maternal health services as part of the Basic Public Health Service (BPHS) project in 2009. While China has made progress in reducing maternal mortality, the longitudinal association between the utilization rate of the maternal health services of the BPHS project and such reduction was rarely evaluated with robust methods.
methodsWe conducted a longitudinal study on the maternal health service utilization rates of the BPHS project and the maternal mortality ratios (MMR) in mainland China and its 31 provincial regions. The data were extracted from the National Health Statistic Yearbooks (2009-2016). Panel data models were used to evaluate the association between the utilization rate and the MMR after adjusting for available covariates on healthcare resources. Stepwise regression models were used to gauge the direction and magnitude of omitted variable bias.
resultsIt was found that the service utilization rate increased from 79.24% in 2009 to 91.67% in 2016, while MMR decreased from 30.90 to 17.88 per 100,000 livebirths at the national level. The results of the fixed effects panel data model revealed that the utilization rate was associated with MMR deduction continuously. With every 1% increase in utilization rate, the maternal death would decrease by 0.35 per 100,000 livebirths after having the health resources variables adjusted.
conclusionsThe utilization of maternal health services increased continuously after the introduction of BPHS project in 2009 and MMR went downward from then on. The utilization of maternal health services did have significant association with MMR and could reduce MMR effectively. Such improvement could be attributed to the fact that this program was designed to serve the targeted population throughout the continuum of maternal care and the government's rigorous efforts in stressing equality and standard care in program implementation.
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