IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v260y2020ics0277953620304056.html
   My bibliography  Save this article

Accessibility to delivery care in Hubei Province, China

Author

Listed:
  • Tao, Zhuolin
  • Cheng, Yang
  • Du, Shishuai
  • Feng, Ling
  • Wang, Shaoshuai

Abstract

Accessibility to delivery care is crucial for improving maternal health, which is an important policy goal to ensure healthy lives and promote well-being in China and worldwide, especially with the change of the family planning policy in China in 2016. This study develops a set of methods to project the population of women of child-bearing age and birth population and assess the accessibility to delivery care services in Hubei Province. The Cohort-Component projection method with various scenarios was applied to project the population of women of children-bearing age in 2030. A Gravity-based Variable Two-Step Floating Catchment Area (GV2SFCA) method is developed, which takes into account the heterogeneous catchment areas and distance decay effects for different regions and various levels of delivery care services. The parameters are calibrated by using medical records with patients’ addresses. The traditional Supply-Demand Ratio method is also applied. The results demonstrate an overall decreasing trend of birth population in Hubei in all scenarios, but with significant disparities across regions. In 2016, 28% of districts fail to reach the policy goal with 17 beds per thousand births. In 2030, accessibility to delivery care is projected to increase in 98% of districts, while there are still 22% of districts that fail to reach the policy goal. The accessibility scores are further combined with the densities of birth population to identify shortage areas of delivery care. 7% and 6% of districts are classified as Major Shortage Areas in 2016 and 2030, respectively. The findings shed lights on the distributions and future changes of accessibility to and shortage areas of delivery care in Hubei, which can provide evidence-based recommendations for planning and policymaking. It also provides innovative methods for more accurately assessing accessibility to delivery care.

Suggested Citation

  • Tao, Zhuolin & Cheng, Yang & Du, Shishuai & Feng, Ling & Wang, Shaoshuai, 2020. "Accessibility to delivery care in Hubei Province, China," Social Science & Medicine, Elsevier, vol. 260(C).
    • Handle: RePEc:eee:socmed:v:260:y:2020:i:c:s0277953620304056
    DOI: 10.1016/j.socscimed.2020.113186
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953620304056
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2020.113186?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. United Nations UN, 2015. "The Millennium Development Goals Report 2015," Working Papers id:7097, eSocialSciences.
    2. Pan, Jay & Zhao, Hanqing & Wang, Xiuli & Shi, Xun, 2016. "Assessing spatial access to public and private hospitals in Sichuan, China: The influence of the private sector on the healthcare geography in China," Social Science & Medicine, Elsevier, vol. 170(C), pages 35-45.
    3. Kanuganti, Shalini & Sarkar, Ashoke Kumar & Singh, Ajit Pratap, 2016. "Evaluation of access to health care in rural areas using enhanced two-step floating catchment area (E2SFCA) method," Journal of Transport Geography, Elsevier, vol. 56(C), pages 45-52.
    4. Kpienbaareh, Daniel & Atuoye, Kilian N. & Ngabonzima, Anaclet & Bagambe, Patrick G. & Rulisa, Stephen & Luginaah, Isaac & Cechetto, David F., 2019. "Spatio-temporal disparities in maternal health service utilization in Rwanda: What next for SDGs?," Social Science & Medicine, Elsevier, vol. 226(C), pages 164-175.
    5. Jan Bauer & David A Groneberg, 2016. "Measuring Spatial Accessibility of Health Care Providers – Introduction of a Variable Distance Decay Function within the Floating Catchment Area (FCA) Method," PLOS ONE, Public Library of Science, vol. 11(7), pages 1-17, July.
    6. United Nations UN, 2015. "The Millennium Development Goals Report 2015," Working Papers id:7222, eSocialSciences.
    7. Parmar, Divya & Banerjee, Aneesh, 2019. "How do supply- and demand-side interventions influence equity in healthcare utilisation? Evidence from maternal healthcare in Senegal," Social Science & Medicine, Elsevier, vol. 241(C).
    8. Stanley Smith & Jeff Tayman, 2003. "An evaluation of population projections by age," Demography, Springer;Population Association of America (PAA), vol. 40(4), pages 741-757, November.
    9. Khan, Abdullah A., 1992. "An integrated approach to measuring potential spatial access to health care services," Socio-Economic Planning Sciences, Elsevier, vol. 26(4), pages 275-287, October.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Alokananda Ghosh & Biswaranjan Mistri, 2024. "Socio‐demographic and infrastructural variables influencing maternal risk concentration among ever‐married women of reproductive age in rural West Bengal, India," International Journal of Health Planning and Management, Wiley Blackwell, vol. 39(5), pages 1383-1410, September.
    2. Mitchell, Penelope & Samsel, Steven & Curtin, Kevin M. & Price, Ashleigh & Turner, Daniel & Tramp, Ryan & Hudnall, Matthew & Parton, Jason & Lewis, Dwight, 2022. "Geographic disparities in access to Medication for Opioid Use Disorder across US census tracts based on treatment utilization behavior," Social Science & Medicine, Elsevier, vol. 302(C).
    3. Wei, Zhongyu & Bai, Jianjun & Feng, Ruitao, 2023. "Optimization referral rate design for hierarchical diagnosis and treatment system based on accessibility-utilization efficiency bi-objective collaboration: A case study of China," Social Science & Medicine, Elsevier, vol. 322(C).
    4. Tao, Zhuolin & Zhao, Min, 2023. "Planning for equal transit-based accessibility of healthcare facilities: A case study of Shenzhen, China," Socio-Economic Planning Sciences, Elsevier, vol. 88(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Jiawei Zhang & Peien Han & Yan Sun & Jingyu Zhao & Li Yang, 2021. "Assessing Spatial Accessibility to Primary Health Care Services in Beijing, China," IJERPH, MDPI, vol. 18(24), pages 1-13, December.
    2. Caroline Jennings Saul & Heiko Gebauer, 2018. "Digital Transformation as an Enabler for Advanced Services in the Sanitation Sector," Sustainability, MDPI, vol. 10(3), pages 1-18, March.
    3. Bruno F. Sunguya & Yue Ge & Linda B. Mlunde & Rose Mpembeni & Germana H. Leyna & Krishna C. Poudel & Niyati Parekh & Jiayan Huang, 2022. "Targeted and Population-Wide Interventions Are Needed to Address the Persistent Burden of Anemia among Women of Reproductive Age in Tanzania," IJERPH, MDPI, vol. 19(14), pages 1-12, July.
    4. Valensisi, Giovanni & Gauci, Adrian, 2013. "Graduated without passing? The employment dimension and LDCs' prospects under the Istanbul Programme of Action," MPRA Paper 86966, University Library of Munich, Germany.
    5. Lisa F. Clark, 2018. "Policy conflicts in global food assistance strategies: balancing local procurement and harmonization," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 10(1), pages 211-222, February.
    6. Jussi T. S. Heikkila, 2020. "Classifying economics for the common good: Connecting sustainable development goals to JEL codes," Papers 2004.04384, arXiv.org.
    7. Menon Martina & Perali Federico & Veronesi Marcella, 2017. "“Leaving No Child Behind:” Preferences for Social Inclusion and Altruism," The B.E. Journal of Economic Analysis & Policy, De Gruyter, vol. 17(3), pages 1-19, July.
    8. Shannon L. Sibbald & Nicole Haggerty, 2019. "Integrating Business and Medical Pedagogy to Accomplish the Sustainable Development Goals," Journal of Education for Sustainable Development, , vol. 13(1), pages 92-101, March.
    9. Santangelo, Grazia D., 2018. "The impact of FDI in land in agriculture in developing countries on host country food security," Journal of World Business, Elsevier, vol. 53(1), pages 75-84.
    10. Rachel Mason-Jones & Paul G. Davies & Andrew Thomas, 2022. "Applying the Theory of Constraints to Explore the UK Renewable-Energy Supply Chain," Sustainability, MDPI, vol. 14(20), pages 1-18, October.
    11. José Antonio Rodriguez Martin & Juan Dios Jiménez Aguilera & José María Martín Martín & José Antonio Salinas Fernández, 2018. "Crisis in the Horn of Africa: Measurement of Progress Towards Millennium Development Goals," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 135(2), pages 499-514, January.
    12. Donatella Saccone, 2021. "Can the Covid19 pandemic affect the achievement of the ‘Zero Hunger’ goal? Some preliminary reflections," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 22(7), pages 1025-1038, September.
    13. Cintron, Chris & Seff, Ilana & Baird, Sarah, 2017. "Dynamics of Wasting and Underweight in Ethiopian Children," Ethiopian Journal of Economics, Ethiopian Economics Association, vol. 25(2), May.
    14. Victoria Menil, 2015. "Missed Opportunities in Global Health: Identifying New Strategies to Improve Mental Health in LMICs," Working Papers id:7987, eSocialSciences.
    15. Tesfalidet Tekelab & Catherine Chojenta & Roger Smith & Deborah Loxton, 2019. "Factors affecting utilization of antenatal care in Ethiopia: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 14(4), pages 1-24, April.
    16. Renato Vargas & Pamela Escobar & Maynor Cabrera & Javier Cabrera & Violeta Hernández & Vivian Guzmán & Martin Cicowiez, 2017. "Climate risk and food security in Guatemala," Working Papers MPIA 2017-01, PEP-MPIA.
    17. Simplice A. Asongu & Joseph Amankwah‐Amoah & Rexon T. Nting & Godfred Adjapong Afrifa, 2021. "Information Technology and Gender Economic Inclusion in Sub-Saharan Africa," Journal of Global Information Technology Management, Taylor & Francis Journals, vol. 24(2), pages 120-133, April.
    18. Charles M. A. Clark, 2021. "Development Policy and the Poor, Part 2: Preferential Option for the Poor," American Journal of Economics and Sociology, Wiley Blackwell, vol. 80(4), pages 1131-1154, September.
    19. Ocaña-Riola, Ricardo & Martín-Olmedo, Piedad & Maroto-Navarro, Gracia & García-Calvente, María Del Mar & Mayoral-Cortés, José María & Ruiz-Fernández, Josefa & Sánchez-Cruz, José Juan, 2017. "Impact of the Great Recession in the Social Welfare Indicators Related to the Labour Market in Andalusia /Impacto de la Gran Recesión en los indicadores de bienestar social relacionados con el mercado," Estudios de Economia Aplicada, Estudios de Economia Aplicada, vol. 35, pages 245-262, Enero.
    20. Eoghan Brady & Kenneth Hill, 2017. "Testing survey-based methods for rapid monitoring of child mortality, with implications for summary birth history data," PLOS ONE, Public Library of Science, vol. 12(4), pages 1-10, April.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:260:y:2020:i:c:s0277953620304056. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.