Association between maternal health service utilization and under-five mortality rate in China and its provinces, 1990-2017

The United Nations (UN) Sustainable Development Goal - 3.2 aims to eliminate all preventable under-five mortality rate (U5MR). In China, government have made efforts to provide maternal health services and reduce U5MR. Hence, we aimed to explore maternal health service utilization in relation to U5M...

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Bibliographic Details
Published in:	BMC pregnancy and childbirth 2024-04, Vol.24 (1), p.326-326
Main Authors:	Zhang, Jingya, Li, Haoran, Wei, Bincai, He, Rongxin, Zhu, Bin, Zhang, Ning, Mao, Ying
Format:	Article
Language:	eng
Subjects:	Births Child Mortality - trends China China - epidemiology Female Health care policy Healthcare Disparities - statistics & numerical data Humans Infant Infant Mortality - trends Infant, Newborn Maternal health service Maternal Health Services - statistics & numerical data Maternal Mortality - trends Patient Acceptance of Health Care - statistics & numerical data Pregnancy Prenatal Care - statistics & numerical data Socioeconomic factors Trends Under-five mortality rate Womens health
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Summary:	The United Nations (UN) Sustainable Development Goal - 3.2 aims to eliminate all preventable under-five mortality rate (U5MR). In China, government have made efforts to provide maternal health services and reduce U5MR. Hence, we aimed to explore maternal health service utilization in relation to U5MR in China and its provinces in 1990-2017. We obtained data from Global Burden of Disease 2017, China Health Statistics Yearbook, China Statistical Yearbook, and Human Development Report China Special Edition. The trend of U5MR in each province of China from 1990 to 2017 was analyzed using Joinpoint Regression model. We measured the inequities in maternal health services using HEAT Plus, a health inequity measurement tool developed by the UN. The generalized estimating equation model was used to explore the association between maternal health service utilization (including prenatal screening, hospital delivery and postpartum visits) and U5MR. First, in China, the U5MR per 1000 live births decreased from 50 in 1990 to 12 in 2017 and the average annual percentage change (AAPC) was - 5.2 (p
ISSN:	1471-2393