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Impact of the Universal Two-Child Policy on the Workload of Community-Based Basic Public Health Services in Zhejiang Province, China

Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China
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Int. J. Environ. Res. Public Health 2019, 16(16), 2880; https://doi.org/10.3390/ijerph16162880
Received: 13 June 2019 / Revised: 5 August 2019 / Accepted: 6 August 2019 / Published: 12 August 2019
We aimed to quantitatively estimate the amount of pressure that was placed on basic public health care services (BPHS) due to the universal two-child policy issued in 2015 by comparing the workload change in maternal and child health management and the immunization of children. BPHS performance surveillance data from 2014 to 2018 in Zhejiang Province, China were analyzed to calculate the workload of the above three services using the equivalent method of BPHS cost estimation of community health services. From 2014 to 2018, the numbers of births from the Statistical Yearbook in Zhejiang Province were 578,000, 581,000, 624,000, 670,000, and 628,000, respectively, and those from the surveillance data were 416,941, 41,490, 434,163, 546,816, and 45,964, respectively. The number of births reached a peak in 2017, with the yearbook and surveillance data showing increases of 15.92% and 31.15%, respectively, over 2014. The workload of maternal and child health management and children’s immunization also peaked in 2017, increasing by 30.37%, 12.70%, and 4.33% over 2014, respectively. In 2018, the workload of maternal and child health management and children’s immunization dropped to 107.34%, 107.73%, and 98.81% over 2014, respectively. The indicators of maternal and child health management and children’s immunization services remained stable, and the related services did not decline, even in 2017. The maternal health management workload was more affected by the universal two-child policy than child health management and children’s immunization. View Full-Text
Keywords: basic public health services; workload; universal two-child policy basic public health services; workload; universal two-child policy
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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.

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