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Ethnic Disparities in Utilization of Maternal and Child Health Services in Rural Southwest China

Author

Listed:
  • Chaofang Yan

    (Department of Public Health Administration, Faculty of Public Health, Mahidol University, Bangkok 10400, Thailand)

  • Charuwan Tadadej

    (Department of Public Health Administration, Faculty of Public Health, Mahidol University, Bangkok 10400, Thailand)

  • Kanittha Chamroonsawasdi

    (Department of Family Health, Faculty of Public Health, Mahidol University, Bangkok 10400, Thailand)

  • Natkamol Chansatitporn

    (Department of Biostatistics, Faculty of Public Health, Mahidol University, Bangkok 10400, Thailand)

  • John FC Sung

    (Institute of Health and Development Studies, School of Public Health, Kunming Medical University, Kunming 650500, China)

Abstract

Background: Studies in China on ethnic disparities in access to health care in remote and rural population remain insufficient. This study aimed to assess the disparities in utilization of maternal and child health (MCH) services, including antenatal care (ANC), hospital birth, child growth monitoring, and immunization compliance between Han and ethnic minority women in Yunnan Province. Methods: A multi-stage sampling scheme was used to randomly recruit women from 40 townships in 14 remote prefectures of extremely remote areas in Yunnan. From birth records, we identified and recruited 303 Han women and 222 ethnic minority women who had given birth to a child within 3 years for an interview. Results: Overall, 96% of women used the ANC checkups and more than 95% had infants born in hospitals. However, the proportion of women compliant with early ANC visits (having antenatal care in the first trimester) was 22.5% lower in minority women than in Han women (61.3% vs. 83.8%, p < 0.001) with an adjusted odds ratio (aOR) of 2.04 (95% confidence interval (CI) of 1.13–3.66) for the minority group. The proportion of children under one year old with immunizations completed in a timely manner was also lower in minority families than in Han families (80.2% vs. 86.8%, p < 0.05) with an aOR of 1.99 (95% CI = 1.16–3.40). Conclusions: Ethnic disparities remain in utilization of early ANC visits and timely immunization completion for newborns. Ethnic minority women tended to lag behind for both. Further intervention should focus on assisting minority women living in extremely rural areas to comply with the MCH policy. Culturally-sensitive policies and skills are needed, and priority should be given to improve utilization of early ANC and timely immunization completion.

Suggested Citation

  • Chaofang Yan & Charuwan Tadadej & Kanittha Chamroonsawasdi & Natkamol Chansatitporn & John FC Sung, 2020. "Ethnic Disparities in Utilization of Maternal and Child Health Services in Rural Southwest China," IJERPH, MDPI, vol. 17(22), pages 1-12, November.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:22:p:8610-:d:447843
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    References listed on IDEAS

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    1. WHO & UNICEF & UNFPA & World Bank & United Nations Population Division, 2014. "Trends in Maternal Mortality : 1990 to 2013," World Bank Publications - Books, The World Bank Group, number 18203, December.
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    Cited by:

    1. Juan Miguel Martínez-Galiano & Miguel Delgado-Rodríguez, 2021. "The Relegated Goal of Health Institutions: Sexual and Reproductive Health," IJERPH, MDPI, vol. 18(4), pages 1-4, February.

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