Maternal and child health;
Human resources;
China;
DEVELOPMENT GOALS 4;
PROGRESS;
D O I:
10.1186/s12913-015-1238-9
中图分类号:
R19 [保健组织与事业(卫生事业管理)];
学科分类号:
摘要:
Background: In order to achieve the Millennium Development Goals (MDG) 4 and 5, the Chinese Government has invested greatly in improving maternal and child health (MCH) with impressive results. However, one of the most important barriers for further improvement is the uneven distribution of MCH human resources. There is little information about the distribution, quantity and capacity of the Chinese MCH human resources and we sought to investigate this. Methods: Cities at prefectural level were selected by random cluster sampling. All medical and health institutions providing MCH-related services in the sampled areas were investigated using a structured questionnaire. The data were weighted based on the proportion of the sampled districts/cities. Amount, proportions and numbers per 10,000 population of MCH human resources were estimated in order to reveal the quantity of the Chinese MCH human resources. The capacity of MCH human resources was evaluated by analyzing data on the education level and professional skills of the staff. Results: There were 77,248 MCH workers in China in 2010. In general, 67.6 % and 71.9 % of the women's and children's health care professionals had an associate degree or higher, whereas around 30 % had only high-school or lower degrees. More than 40 % of the women's health workers were capable of providing skilled birth attendance, but these proportions varied between different institutions and locations. Conclusions: Evidence from this study highlights that Chinese MCH human resources are not in shortage in the national level. However, the quantity and capacity of MCH human resources are not evenly distributed among different institutions and locations. Finally there is a need in the improvement of the MCH services by improving the quality of MCH human resources.
机构:
Sichuan Univ, West China Sch Publ Hlth, Chengdu, Peoples R China
Sichuan Univ, West China Hosp 4, Chengdu, Peoples R ChinaSichuan Univ, West China Sch Publ Hlth, Chengdu, Peoples R China
Zhou, Huan
Wu, Yuju
论文数: 0引用数: 0
h-index: 0
机构:
Sichuan Univ, West China Sch Publ Hlth, Chengdu, Peoples R China
Sichuan Univ, West China Hosp 4, Chengdu, Peoples R ChinaSichuan Univ, West China Sch Publ Hlth, Chengdu, Peoples R China
Wu, Yuju
Liu, Chengfang
论文数: 0引用数: 0
h-index: 0
机构:
Peking Univ, China Ctr Agr Policy, Sch Adv Agr Sci, Beijing, Peoples R ChinaSichuan Univ, West China Sch Publ Hlth, Chengdu, Peoples R China
Liu, Chengfang
Sun, Chang
论文数: 0引用数: 0
h-index: 0
机构:
Sichuan Univ, West China Sch Publ Hlth, Chengdu, Peoples R China
Sichuan Univ, West China Hosp 4, Chengdu, Peoples R ChinaSichuan Univ, West China Sch Publ Hlth, Chengdu, Peoples R China
Sun, Chang
Shi, Yaojiang
论文数: 0引用数: 0
h-index: 0
机构:
Shaanxi Normal Univ, Ctr Expt Econ Educ, Xian, Peoples R ChinaSichuan Univ, West China Sch Publ Hlth, Chengdu, Peoples R China
Shi, Yaojiang
Zhang, Linxiu
论文数: 0引用数: 0
h-index: 0
机构:
Chinese Acad Sci, Ctr Chinese Agr Policy, Inst Geog Sci & Nat Resource Res, Beijing, Peoples R ChinaSichuan Univ, West China Sch Publ Hlth, Chengdu, Peoples R China
Zhang, Linxiu
Medina, Alexis
论文数: 0引用数: 0
h-index: 0
机构:
Stanford Univ, Freeman Spogli Inst Int Studies, Palo Alto, CA 94304 USASichuan Univ, West China Sch Publ Hlth, Chengdu, Peoples R China
Medina, Alexis
Rozelle, Scott
论文数: 0引用数: 0
h-index: 0
机构:
Stanford Univ, Freeman Spogli Inst Int Studies, Palo Alto, CA 94304 USASichuan Univ, West China Sch Publ Hlth, Chengdu, Peoples R China
机构:
Fudan Univ, Sch Publ Hlth, Shanghai 200032, Peoples R China
Fudan Univ, Key Lab Publ Hlth Safety, Minist Educ, Shanghai 200032, Peoples R China
Pudong Inst Hlth Dev, Shanghai 200129, Peoples R ChinaFudan Univ, Sch Publ Hlth, Shanghai 200032, Peoples R China
Li, Yanting
Zhang, Yimin
论文数: 0引用数: 0
h-index: 0
机构:
Pudong Inst Hlth Dev, Shanghai 200129, Peoples R ChinaFudan Univ, Sch Publ Hlth, Shanghai 200032, Peoples R China
Zhang, Yimin
Fang, Shuai
论文数: 0引用数: 0
h-index: 0
机构:
Fudan Univ, Sch Social Dev & Publ Policy, Shanghai 200433, Peoples R ChinaFudan Univ, Sch Publ Hlth, Shanghai 200032, Peoples R China
Fang, Shuai
Liu, Shanshan
论文数: 0引用数: 0
h-index: 0
机构:
Pudong Inst Hlth Dev, Shanghai 200129, Peoples R ChinaFudan Univ, Sch Publ Hlth, Shanghai 200032, Peoples R China
Liu, Shanshan
Liu, Xinyu
论文数: 0引用数: 0
h-index: 0
机构:
Fudan Univ, Sch Social Dev & Publ Policy, Shanghai 200433, Peoples R ChinaFudan Univ, Sch Publ Hlth, Shanghai 200032, Peoples R China
Liu, Xinyu
Li, Ming
论文数: 0引用数: 0
h-index: 0
机构:
Hlth & Family Planning Commiss Pudong New Dist, Shanghai 200125, Peoples R ChinaFudan Univ, Sch Publ Hlth, Shanghai 200032, Peoples R China
Li, Ming
Liang, Hong
论文数: 0引用数: 0
h-index: 0
机构:
Pudong Inst Hlth Dev, Shanghai 200129, Peoples R China
Fudan Univ, Sch Social Dev & Publ Policy, Shanghai 200433, Peoples R ChinaFudan Univ, Sch Publ Hlth, Shanghai 200032, Peoples R China
Liang, Hong
Fu, Hua
论文数: 0引用数: 0
h-index: 0
机构:
Fudan Univ, Sch Publ Hlth, Shanghai 200032, Peoples R China
Fudan Univ, Key Lab Publ Hlth Safety, Minist Educ, Shanghai 200032, Peoples R ChinaFudan Univ, Sch Publ Hlth, Shanghai 200032, Peoples R China
机构:
Tsinghua Univ, Sch Med, Res Ctr Publ Hlth, Beijing, Peoples R China
Peking Univ, Sch Publ Hlth, Dept Hlth Policy & Management, Beijing, Peoples R ChinaNatl Univ Singapore, Lee Kuan Yew Sch Publ Policy, Singapore, Singapore
Wang, Zhicheng
Liu, Minquan
论文数: 0引用数: 0
h-index: 0
机构:
Peking Univ, Sch Econ, Beijing, Peoples R China
Peking Univ, Ctr Human & Econ Dev Studies, Beijing, Peoples R ChinaNatl Univ Singapore, Lee Kuan Yew Sch Publ Policy, Singapore, Singapore
机构:
Univ Amsterdam, Res Inst Child Dev & Educ, Nieuwe Achtergracht 127, NL-1018 WS Amsterdam, NetherlandsUniv Amsterdam, Res Inst Child Dev & Educ, Nieuwe Achtergracht 127, NL-1018 WS Amsterdam, Netherlands
Bos, Henny M. W.
Knox, Justin R.
论文数: 0引用数: 0
h-index: 0
机构:
Columbia Univ, Dept Epidemiol, New York, NY USAUniv Amsterdam, Res Inst Child Dev & Educ, Nieuwe Achtergracht 127, NL-1018 WS Amsterdam, Netherlands
Knox, Justin R.
van Rijn-van Gelderen, Loes
论文数: 0引用数: 0
h-index: 0
机构:
Univ Amsterdam, Res Inst Child Dev & Educ, Nieuwe Achtergracht 127, NL-1018 WS Amsterdam, NetherlandsUniv Amsterdam, Res Inst Child Dev & Educ, Nieuwe Achtergracht 127, NL-1018 WS Amsterdam, Netherlands
van Rijn-van Gelderen, Loes
Gartrell, Nanette K.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Amsterdam, Res Inst Child Dev & Educ, Nieuwe Achtergracht 127, NL-1018 WS Amsterdam, Netherlands
Univ Calif Los Angeles, Sch Law, Williams Inst, Los Angeles, CA 90024 USAUniv Amsterdam, Res Inst Child Dev & Educ, Nieuwe Achtergracht 127, NL-1018 WS Amsterdam, Netherlands
机构:
Sichuan Univ, West China Sch Publ Hlth, Chengdu, Peoples R China
Sichuan Univ, West China Hosp 4, Chengdu, Peoples R ChinaSichuan Univ, West China Sch Publ Hlth, Chengdu, Peoples R China
Zhou, Huan
Wu, Yuju
论文数: 0引用数: 0
h-index: 0
机构:
Sichuan Univ, West China Sch Publ Hlth, Chengdu, Peoples R China
Sichuan Univ, West China Hosp 4, Chengdu, Peoples R ChinaSichuan Univ, West China Sch Publ Hlth, Chengdu, Peoples R China
Wu, Yuju
Liu, Chengfang
论文数: 0引用数: 0
h-index: 0
机构:
Peking Univ, China Ctr Agr Policy, Sch Adv Agr Sci, Beijing, Peoples R ChinaSichuan Univ, West China Sch Publ Hlth, Chengdu, Peoples R China
Liu, Chengfang
Sun, Chang
论文数: 0引用数: 0
h-index: 0
机构:
Sichuan Univ, West China Sch Publ Hlth, Chengdu, Peoples R China
Sichuan Univ, West China Hosp 4, Chengdu, Peoples R ChinaSichuan Univ, West China Sch Publ Hlth, Chengdu, Peoples R China
Sun, Chang
Shi, Yaojiang
论文数: 0引用数: 0
h-index: 0
机构:
Shaanxi Normal Univ, Ctr Expt Econ Educ, Xian, Peoples R ChinaSichuan Univ, West China Sch Publ Hlth, Chengdu, Peoples R China
Shi, Yaojiang
Zhang, Linxiu
论文数: 0引用数: 0
h-index: 0
机构:
Chinese Acad Sci, Ctr Chinese Agr Policy, Inst Geog Sci & Nat Resource Res, Beijing, Peoples R ChinaSichuan Univ, West China Sch Publ Hlth, Chengdu, Peoples R China
Zhang, Linxiu
Medina, Alexis
论文数: 0引用数: 0
h-index: 0
机构:
Stanford Univ, Freeman Spogli Inst Int Studies, Palo Alto, CA 94304 USASichuan Univ, West China Sch Publ Hlth, Chengdu, Peoples R China
Medina, Alexis
Rozelle, Scott
论文数: 0引用数: 0
h-index: 0
机构:
Stanford Univ, Freeman Spogli Inst Int Studies, Palo Alto, CA 94304 USASichuan Univ, West China Sch Publ Hlth, Chengdu, Peoples R China
机构:
Fudan Univ, Sch Publ Hlth, Shanghai 200032, Peoples R China
Fudan Univ, Key Lab Publ Hlth Safety, Minist Educ, Shanghai 200032, Peoples R China
Pudong Inst Hlth Dev, Shanghai 200129, Peoples R ChinaFudan Univ, Sch Publ Hlth, Shanghai 200032, Peoples R China
Li, Yanting
Zhang, Yimin
论文数: 0引用数: 0
h-index: 0
机构:
Pudong Inst Hlth Dev, Shanghai 200129, Peoples R ChinaFudan Univ, Sch Publ Hlth, Shanghai 200032, Peoples R China
Zhang, Yimin
Fang, Shuai
论文数: 0引用数: 0
h-index: 0
机构:
Fudan Univ, Sch Social Dev & Publ Policy, Shanghai 200433, Peoples R ChinaFudan Univ, Sch Publ Hlth, Shanghai 200032, Peoples R China
Fang, Shuai
Liu, Shanshan
论文数: 0引用数: 0
h-index: 0
机构:
Pudong Inst Hlth Dev, Shanghai 200129, Peoples R ChinaFudan Univ, Sch Publ Hlth, Shanghai 200032, Peoples R China
Liu, Shanshan
Liu, Xinyu
论文数: 0引用数: 0
h-index: 0
机构:
Fudan Univ, Sch Social Dev & Publ Policy, Shanghai 200433, Peoples R ChinaFudan Univ, Sch Publ Hlth, Shanghai 200032, Peoples R China
Liu, Xinyu
Li, Ming
论文数: 0引用数: 0
h-index: 0
机构:
Hlth & Family Planning Commiss Pudong New Dist, Shanghai 200125, Peoples R ChinaFudan Univ, Sch Publ Hlth, Shanghai 200032, Peoples R China
Li, Ming
Liang, Hong
论文数: 0引用数: 0
h-index: 0
机构:
Pudong Inst Hlth Dev, Shanghai 200129, Peoples R China
Fudan Univ, Sch Social Dev & Publ Policy, Shanghai 200433, Peoples R ChinaFudan Univ, Sch Publ Hlth, Shanghai 200032, Peoples R China
Liang, Hong
Fu, Hua
论文数: 0引用数: 0
h-index: 0
机构:
Fudan Univ, Sch Publ Hlth, Shanghai 200032, Peoples R China
Fudan Univ, Key Lab Publ Hlth Safety, Minist Educ, Shanghai 200032, Peoples R ChinaFudan Univ, Sch Publ Hlth, Shanghai 200032, Peoples R China
机构:
Tsinghua Univ, Sch Med, Res Ctr Publ Hlth, Beijing, Peoples R China
Peking Univ, Sch Publ Hlth, Dept Hlth Policy & Management, Beijing, Peoples R ChinaNatl Univ Singapore, Lee Kuan Yew Sch Publ Policy, Singapore, Singapore
Wang, Zhicheng
Liu, Minquan
论文数: 0引用数: 0
h-index: 0
机构:
Peking Univ, Sch Econ, Beijing, Peoples R China
Peking Univ, Ctr Human & Econ Dev Studies, Beijing, Peoples R ChinaNatl Univ Singapore, Lee Kuan Yew Sch Publ Policy, Singapore, Singapore
机构:
Univ Amsterdam, Res Inst Child Dev & Educ, Nieuwe Achtergracht 127, NL-1018 WS Amsterdam, NetherlandsUniv Amsterdam, Res Inst Child Dev & Educ, Nieuwe Achtergracht 127, NL-1018 WS Amsterdam, Netherlands
Bos, Henny M. W.
Knox, Justin R.
论文数: 0引用数: 0
h-index: 0
机构:
Columbia Univ, Dept Epidemiol, New York, NY USAUniv Amsterdam, Res Inst Child Dev & Educ, Nieuwe Achtergracht 127, NL-1018 WS Amsterdam, Netherlands
Knox, Justin R.
van Rijn-van Gelderen, Loes
论文数: 0引用数: 0
h-index: 0
机构:
Univ Amsterdam, Res Inst Child Dev & Educ, Nieuwe Achtergracht 127, NL-1018 WS Amsterdam, NetherlandsUniv Amsterdam, Res Inst Child Dev & Educ, Nieuwe Achtergracht 127, NL-1018 WS Amsterdam, Netherlands
van Rijn-van Gelderen, Loes
Gartrell, Nanette K.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Amsterdam, Res Inst Child Dev & Educ, Nieuwe Achtergracht 127, NL-1018 WS Amsterdam, Netherlands
Univ Calif Los Angeles, Sch Law, Williams Inst, Los Angeles, CA 90024 USAUniv Amsterdam, Res Inst Child Dev & Educ, Nieuwe Achtergracht 127, NL-1018 WS Amsterdam, Netherlands