Impact of the Universal Two-Child Policy on the Workload of Community-Based Basic Public Health Services in Zhejiang Province, China
Abstract
:1. Introduction
2. Materials and Methods
2.1. Data Source and Collection
2.2. Measures and Variables
2.2.1. Workload Measurement of Maternal Health Management
2.2.2. Workload Measurement of Child Health Management
2.2.3. Workload Measurement of Children’s Immunization
3. Results
3.1. Change in the Birth Population in Zhejiang Province from 2014 to 2018
3.2. Impact of the Universal Two-Child Policy on Workload of Maternal Health Management
3.3. Impact of the Universal Two-Child Policy on Child Health Management Workload
3.4. Impact of the Universal Two-Child Policy on Children’s Immunization Workload
4. Discussion
5. Conclusions
6. Limitations
Author Contributions
Funding
Conflicts of Interest
References
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Category | Sub-Item | EV |
---|---|---|
Maternal health management | Registration in early pregnancy | 8/person |
Prenatal examination (average 4 times per person) | 1.5/person–time | |
Postpartum visit | 3/person | |
42-day postpartum examination | 1/person | |
High-risk pregnancy management | 4/person | |
Child health management | Home visit to newborn infant | 3/person |
Health record establishment of newborn infant | 0.5/person | |
Health management of children aged 0 to 2 years | 2.5/person–time | |
Health management of children aged 3 to 6 years | 2/person | |
Health management of high-risk infants and children with nutritional diseases | 2/person | |
Children’s Immunization | Establishment of vaccination certificate | 0.5/person |
Vaccination | 1.5/dose |
Categories | Indicator | 2014 | 2015 | 2016 | 2017 | 2018 |
---|---|---|---|---|---|---|
Maternal health management | Number of registered early pregnancies (persons) | 403,979 | 402,569 | 422,091 | 527,202 | 433,913 |
Early pregnancy registration rate (%) | 96.89 | 97.12 | 97.22 | 96.41 | 96.22 | |
Number of prenatal examinations (persons) | 402,011 | 399,066 | 418,175 | 522,407 | 429,830 | |
Prenatal examination rate (%) | 96.42 | 96.28 | 96.32 | 95.54 | 95.31 | |
Number of postpartum visits (persons) | 407,483 | 404,712 | 425,833 | 532,726 | 439,277 | |
Postpartum visit rate (%) | 97.73 | 97.64 | 98.08 | 97.42 | 97.41 | |
Workload | 7,273,830 | 7,233,796 | 7,589,110 | 9,482,962 | 7,807,392 | |
Workload change compared with 2014 (%) | - | 99.45 | 104.33 | 130.37 | 107.34 | |
Workload change compared with last year (%) | - | 99.45 | 104.91 | 124.95 | 82.33 | |
Child health management | Number of newborn infants home visited (persons) | 412,422 | 409,552 | 428,295 | 535,690 | 441,896 |
Home visit rate of newborn infant (%) | 98.92 | 98.81 | 98.65 | 97.97 | 97.99 | |
Children aged 0–6 years (persons) | 2,954,708 | 2,877,405 | 2,919,699 | 3,135,183 | 3,189,609 | |
Health managed Children aged 0–6 years (persons) | 2,782,514 | 2,832,300 | 2,865,019 | 3,046,490 | 3,099,491 | |
Health management rate of Children aged 0–6 years (%) | 94.17 | 98.43 | 98.13 | 97.17 | 97.17 | |
Estimation value of children aged 1–2 years (persons) | 818,150 | 811,316 | 821,974 | 837,847 | 963,985 | |
Workload | 8,177,737 | 8,007,346 | 8,195,021 | 9,216,661 | 8,809,646 | |
Workload change compared with 2014 (%) | - | 97.92 | 100.21 | 112.70 | 107.73 | |
Workload change compared with previous year (%) | - | 97.92 | 102.34 | 112.47 | 95.58 | |
Children’s Immunization | The highest dose of vaccines in primary vaccination (persons) | 770,832 | 811,508 | 716,266 | 860,365 | 831,565 |
Total doses (no.) | 16,063,652 | 15,857,333 | 15,492,062 | 16,740,286 | 15,849,757 | |
Workload | 24,480,894 | 24,191,754 | 23,596,226 | 25,540,612 | 24,190,418 | |
Workload change compared with 2014 (%) | - | 98.82 | 96.39 | 104.33 | 98.81 | |
Workload change compared with previous year (%) | - | 98.82 | 97.54 | 108.24 | 94.71 | |
Total | Workload | 39,932,461 | 39,432,896 | 39,380,357 | 44,240,235 | 40,807,456 |
Workload change compared with 2014 (%) | - | 98.75 | 98.62 | 110.79 | 102.19 | |
Workload change compared with previous year (%) | - | 98.75 | 99.87 | 112.34 | 92.24 |
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Zhao, Y.; Lin, J.; Shang, X.; Yang, Q.; Wang, W.; Qiu, Y. Impact of the Universal Two-Child Policy on the Workload of Community-Based Basic Public Health Services in Zhejiang Province, China. Int. J. Environ. Res. Public Health 2019, 16, 2880. https://doi.org/10.3390/ijerph16162880
Zhao Y, Lin J, Shang X, Yang Q, Wang W, Qiu Y. Impact of the Universal Two-Child Policy on the Workload of Community-Based Basic Public Health Services in Zhejiang Province, China. International Journal of Environmental Research and Public Health. 2019; 16(16):2880. https://doi.org/10.3390/ijerph16162880
Chicago/Turabian StyleZhao, Yanrong, Junfen Lin, Xiaopeng Shang, Qing Yang, Wei Wang, and Yinwei Qiu. 2019. "Impact of the Universal Two-Child Policy on the Workload of Community-Based Basic Public Health Services in Zhejiang Province, China" International Journal of Environmental Research and Public Health 16, no. 16: 2880. https://doi.org/10.3390/ijerph16162880