Intervention on Maternal Health Care in Rural China

Summary

This project aims to strengthen and improve the performance of health care system in rural China in order to improve maternal and child health. It also provides policy-makers and health service managers with evidence for the development of informed policy on maternal and child health (MCH). The research focuses on women of reproductive age in rural areas of China as well as on their antenatal and obstetric care service providers, both clinicians and policy makers. For the Member States and China, as well as other countries it will provide a comprehensive analysis and synthesis of current state of affairs, provider and user perspectives, of antenatal and obstetric care in rural China at national and local level. This study seeks to assess whether improving financial accessibility to and quality of maternal health care increase use of and impact of maternity services. This project is implemented in 3 provinces: Anhui, Shaan'xi and Chongqing. This project will provide a practical example and information on impact of abolishing user fees on MCH service utilisation and develop and disseminate evidence-based policy recommendations on how to improve access to and quality of antenatal and obstetrical care for local and central government and international organisations, and thus serve as a step toward reaching such important goals.

CHIMACA includes 3 types of interventions, two behavioural interventions and financial intervention. Behavioural interventions are training for clinical skills and training health education.

Conditions

• Maternal Health

Interventions

BEHAVIORAL

clinical skills training

In addition to financial coverage (CMS) extensive in-service training of clinical skills (CS) to all doctors and MCH workers at the village and township level.

BEHAVIORAL

health education

In addition to financial coverage extensive in-service training of health education (HE) to all doctors and MCH workers at the village and township level(Anhui, Chongqing and Shaan'xi provinces); In addition to financial coverage extensive in-service training of health education (HE) for Family planning (FP) staff at village level (Anhui).

OTHER

financial

In addition to financial coverage of MCH care within the local reimbursement system (CMS) the coverage of ante- and postnatal care.

Sponsors & Collaborators

• Liverpool School of Tropical Medicine

  collaborator OTHER

• Karolinska Institutet

  collaborator OTHER

• University Ghent

  collaborator OTHER

• Fudan University

  collaborator OTHER

• Center for Health Statistics and Information

  collaborator UNKNOWN

• Anhui Medical University

  collaborator OTHER

• Chongqing Medical University

  collaborator OTHER

• Xi'an Jiaotong University

  collaborator OTHER

• Peking University

  collaborator OTHER

• Finnish Institute for Health and Welfare

  lead OTHER_GOV

Principal Investigators

• Elina Hemminki, MD, DrPH · Finnish Institute for Health and Welfare

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Model

PARALLEL

Eligibility

Sex

FEMALE

Healthy Volunteers

No

Timeline & Regulatory

Start

2008-03-31

Primary Completion

2009-06-30

Completion

2009-06-30

Countries

• China

Study Locations