Effect of basic public health service project on neonatal health services and neonatal mortality in China: a longitudinal time-series study

Zhao, Ping; Han, Xueyan; You, Lili; Zhao, Yu; Yang, Li; Liu, Yuanli

doi:10.1136/bmjopen-2019-034427

Cited by 17 publications

(20 citation statements)

References 29 publications

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“…Also, the trend change in household consumption after the FMHC policy was negative and statistically significant suggesting that the FMHC policy lead to a reduction in household consumption expenditure. This result is consistent with Lagarde (2012) and Zhao et al (2020) who also found annual trend change coefficient to be negative.…”

Section: The Segmented Linear Regressionsupporting

confidence: 91%

“…The segmented regression analysis helps to control for secular trends and also adjust for potential serial correlation of the data (Lagarde, 2012;Ramsey et al, 2001;Wagner et al, 2002;Zhao et al, 2020). Zhao et al (2020) used this method and analyzed the trend change and level change of neonatal health services (2000)(2001)(2002)(2003)(2004)(2005)(2006)(2007)(2008)(2009)(2010)(2011)(2012)(2013)(2014)(2015)(2016)(2017) and neonatal mortality rates before and after the introduction of the Basic Public Health Service (BPHS) project in China. In addition, Lagarde (2012) used a segmented regression model and assessed the impact of health policy change on the number of monthly outpatient consultations for before and after the policy.…”

Section: Econometric Model (Second Objective)mentioning

confidence: 99%

“…It was also observed that mandatory health maintenance organizations (HMO) programs reduce the probability of Medicaid adults using Effect of government expenditure and FMHC emergency rooms, when implemented alone or together with Primary Care case Management (PCCM). Zhao et al (2020) used segmented linear regression analysis and a national longitudinal data to analyze the trend change and level change of neonatal health services (2000)(2001)(2002)(2003)(2004)(2005)(2006)(2007)(2008)(2009)(2010)(2011)(2012)(2013)(2014)(2015)(2016)(2017) and neonatal mortality rates (NMR) (1991-2017) before and after the introduction of the Basic Public Health Service (BPHS) project in 2. The study found that trend change coefficient of national NMR and the gap of NMR between urban and rural areas were À0.57 and À0.49 after the introduction of the BPHS project while annual trend coefficient of the NMR and the neonatal visit rate were 1.21 and 0.85 respectively.…”

Section: Literature Reviewmentioning

confidence: 99%

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The effect of government expenditure and free maternal health care policy (FMHC) on household consumption in Ghana

Fosu

Twumasi

2021

JED

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PurposeIn Covid-19 pandemic era when most households' members have lost their jobs and incomes, the government assistance and programs in ensuring household consumption smoothing is very significant. The main objectives of this study are to analyze the impact of government expenditure and free maternal healthcare (FMHC) policy on household consumption expenditure in Ghana in both long run and short run.Design/methodology/approachThey used the ARDL to estimate the impact of government expenditure on household consumption and Segmented Linear Regression to examine impact of FMHC policy household consumption using longitudinal data from 1967 to 2018.FindingsThe results revealed that government expenditure had a negative and statistically significant effect on household consumption expenditure suggesting that government expenditure crowed-out private consumption in Ghana. Also, it was observed that before the implementation of the FMHC policy, there was an increase household consumption expenditure, but after the introduction of the FMHC policy, the study household consumption expenditure decreases significantly suggesting that FMHC policy has strong association with household consumption in Ghana.Research limitations/implicationsDue to limited data availability, this study did not assess the impact of the FMHC policy at the household or district level. Also, Ghana has introduced a free senior high school education policy in 2017 so further research could analyze the implications of these policies for household consumption in Ghana at the micro-level using different estimation technique such as the difference in difference.Practical implicationsThe study suggests the need to increase public spending on basic social amenities and also extend the free maternal healthcare policy to all pregnant women especially those in the rural areas of Ghana as these have a greater impact on household consumption in Ghana. The findings from this study have important implications for household savings and interest rate in Ghana. The findings from this study also have important implications for both fiscal policy and healthcare policy in Ghana and other developing countries.Originality/valueTo the best of my knowledge this is the first empirical study to examine the effect of government expenditure and free maternal healthcare policy on household consumption in Ghana.

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Section: The Segmented Linear Regressionsupporting

confidence: 91%

Section: Econometric Model (Second Objective)mentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

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The effect of government expenditure and free maternal health care policy (FMHC) on household consumption in Ghana

Fosu

Twumasi

2021

JED

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“…Research on rural areas found that NBPHS could improve health consciousness among rural residents [16]. Moreover, it is associated with an increased volume of neonatal health services and reduced neonatal mortality [17]. For internal migrants, NBPHS can enhance their willingness for a long stay [18].…”

Section: Introductionmentioning

confidence: 99%

Effect of National Basic Public Health Services On The Health of Internal Migrants in China

Zhao

yuan

Wang

2021

Preprint

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Objective This paper evaluates the effect of National Basic Public Health Services (NBPHS) on the health of internal migrants in China. Study design: The study design used in this research is a cross-sectional study. Methods Data were obtained from the China Migrants Dynamic Survey (CMDS) of 2017, including 150,384 internal migrants at the age of 15–59. Propensity score matching (PSM) was used to estimate the effect of NBPHS. Results The findings indicate that NBPHS is successful in improving the health of internal migrants. Different matching algorithms showed the improvement ranging from 2.7 to 2.9 percentage points for the indicator of self-reported health, compared with the reduction of the probability of having disease ranging from 3.3 to 3.7 percentage points in the past year. However, gains are not shared equally. Heterogeneity analysis found significant improvement in the health of patients with hypertension, but the health improvement of diabetics was relatively small. There was also no significant effect on patients with both hypertension and diabetes. Similarly, less improvement was observed in those over 65 years old. Conclusions This research suggests that policymakers should not only pay attention to the equalization of project implementation but also focus on narrowing the benefits gap between different groups of internal migrants. This finding highlights the importance of encouraging more young doctors to provide health services in primary institutions and promoting the sinking of high-quality medical resources.

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“…Some studies have analysed the health-related changes in the EE before and after implementing the policies. Zhao et al found that the essential public health service project had a positive impact on neonatal health services and in reducing neonatal mortality [ 17 ]. Sia et al and Druetz et al considered that the free health care policy characterised by free consultation, care, medication and laboratory and radiological examinations (including ultrasounds) implemented in 2016 in Burkina Faso had increased the usage of health services for children aged under 5 years [ 18 , 19 ].…”

mentioning

confidence: 99%

Impact of new health care reform on enabling environment for children’s health in China: An interrupted time-series study

Huangfu

Zhang

et al. 2022

J Glob Health

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Background Creating an enabling environment (EE) can help foster the development and health of children. The Chinese government implemented a new health care reform (NHR) in 2009 in a move to promote an EE for health. The purpose of this study was to evaluate the impact of the NHR on EE for children’s health. Methods An interrupted time-series analysis was used to evaluate the changes in the EE before and after 2009 in China. This study analysed the EE through five quantitative indicators, including policy element coverage rate (PECR), service meeting with children’s needs rate (SMCNR), multisector participation rate (MPR), and accountability mechanism clarity rate (AMCR), based on the content analysis of available public policy documents (updated as of 2019) from 31 provinces in mainland China, and the number of health care personnel of maternity and child care centres per 10 000 population (HP per 10 000 population), based on the 2002–2019 China Health Statistical Yearbook and China Statistical Yearbook. Results The average values of PECR, SMCNR, and MPR increased rapidly to 90.96%, 82.46%, and 81.31%, respectively, in 2019, representing a higher value compared to the AMCR (7.38%). The NHR promoted the EE, in which HP per 10 000 population showed the fastest increase (β 1 = 0.03, P < 0.01; β 3 = 0.10, P < 0.01), followed by SMCNR (β 1 = 0.94, P < 0.01; β 3 = 1.83, P < 0.01), AMCR (β 1 = 0.13, P < 0.01; β 3 = 0.24, P = 0.14), MPR (β 1 = 1.35, P < 0.01; β 3 = 2.47, P < 0.01) and PECR (β 1 = 1.43, P < 0.01; β 3 = 1.47, P < 0.01). Conclusions The NHR has a positive impact on the EE, especially on the human resources and service provision for children. Efforts should be intensified to improve the clarity of the accountability mechanism of the health-related sectors.

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Effect of basic public health service project on neonatal health services and neonatal mortality in China: a longitudinal time-series study

Cited by 17 publications

References 29 publications

The effect of government expenditure and free maternal health care policy (FMHC) on household consumption in Ghana

The effect of government expenditure and free maternal health care policy (FMHC) on household consumption in Ghana

Effect of National Basic Public Health Services On The Health of Internal Migrants in China

Impact of new health care reform on enabling environment for children’s health in China: An interrupted time-series study

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