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      Administrative ability for coping with demands of maternal health in Beijing and Shanghai

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          Abstract

          Objective To analyze administrative ability for coping with demands of maternal health in Beijing and Shanghai and to explore the feasibility for evaluating the ability quantitatively.

          Methods We collected all information on sensitive indicators of health needs among women in Beijing and Shanghai published by research, healthcare and governmental institutions. Descriptive methods were used to analyze and compare variations in the administrative ability for coping with the demands of maternal health in the two cities. Spearman correlation and single factor regression analysis were used to assess the relationship between the administrative ability and maternal mortality.

          Results The percentage of maternal health demands being exactly identified increased from 30.4% in 2000 to 48.7% in 2017 in Shanghai; while, the percentage increased from 13.3% in 2000 to 40.6% in 2017 in Beijing. We observed a strong inverse correlation between the administrative ability for coping with maternal health demands and maternal mortality in the two cities, with a higher correlation coefficient of – 0.656 in Shanghai than that (– 0.617) in Beijing. Univariate linear regression showed that the administrative ability for coping with maternal health demands had a negative impact on maternal mortality in Beijing and Shanghai, with the interpretation percentages of 28.4% and 29.9% for the equations established.

          Conclusion The increase in administrative ability for coping with demands of maternal health had a stronger impact on health outcomes in Shanghai city than that in Beijing city; but the continuity in the improvement and demand-based dynamic adjustment of the administrative ability were relatively weak. The measurements for the evaluation of the administrative ability used in the study is feasible and could be applied in relevant studies.

          Abstract

          【摘 要】 目的 综合分析京沪两地对妇女健康需要的全面把握能力,明确其对妇女保健体系运行的意义,并尝试验证对其量化评价的可行性。 方法 穷尽收集政府等机构发布的涉及京沪两地妇女保健敏感指标的公开信息,运用描述性方法分析两地把握妇女健康需要的程度变迁,并运用 Spearman 相关、单因素回归等分析把握妇女需要程度与孕产妇死亡率的关系。 结果 上海把握妇女健康需要的程度从 2000 年的 30.4 %提升至 2017 年的 48.7 %;北京由 2000 年的 13.3 %提升至 2017 年 40.6 %。两地把握妇女健康需要程度与孕产妇死亡率之间均存在较强的负向相关关系,上海的相关系数为–0.656,高于北京的–0.617。单因素线性回归显示,京沪把握妇女健康需要程度均对孕产妇死亡率产生负向影响,方程解释程度分别为 28.4 %和 29.9 %。 结论 上海把握妇女健康需要能力提升对健康结果的作用强于北京,但对健康需要把握的连续性及根据需要动态调整程度仍较为薄弱。对于妇女健康需要把握程度的测算方法科学可行,可被推广应用。

          Author and article information

          Journal
          CPH
          Chinese Journal of Public Health
          Chinese Journal of Public Health (China )
          1001-0580
          01 March 2019
          15 January 2019
          : 35
          : 3
          : 279-282
          Affiliations
          [1] 1School of Public Health and Management, Weifang Medical University, Weifang, Shandong Province 261053, China
          Author notes
          *Corresponding author: Hao Mo, E-mail: haomo03@ 123456fudan.edu.cn
          Article
          zgggws1121463
          10.11847/zgggws1121463
          e4261494-f634-4b72-9582-a8874dc08ad8
          © 2019 China Public Health Editorial Department

          This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc/4.0/.

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          Categories
          Journal Article

          Medicine,Nutrition & Dietetics,Occupational & Environmental medicine,Health & Social care,Infectious disease & Microbiology,Public health
          health need,maternal health care,Shanghai,maternal mortality,Beijing

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