IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v13y2016i8p815-d75793.html
   My bibliography  Save this article

Barriers to Hospital Deliveries among Ethnic Minority Women with Religious Beliefs in China: A Descriptive Study Using Interviews and Survey Data

Author

Listed:
  • Peige Song

    (Department of Child, Adolescent and Women’s Health, School of Public Health, Peking University, Beijing 100191, China
    These authors contributed equally to this work.)

  • Chuyun Kang

    (Department of Child, Adolescent and Women’s Health, School of Public Health, Peking University, Beijing 100191, China
    These authors contributed equally to this work.)

  • Evropi Theodoratou

    (Centre for Population Health Sciences, University of Edinburgh, Edinburgh EH8 9AG, UK)

  • Neneh Rowa-Dewar

    (Centre for Population Health Sciences, University of Edinburgh, Edinburgh EH8 9AG, UK)

  • Xuebei Liu

    (Department of Child, Adolescent and Women’s Health, School of Public Health, Peking University, Beijing 100191, China)

  • Lin An

    (Department of Child, Adolescent and Women’s Health, School of Public Health, Peking University, Beijing 100191, China)

Abstract

Background: China has made great progress in improving hospital delivery-the coverage of hospital delivery has increased to above 95% in most regions- some regions lag behind owing to geographic and economic inequality, particularly the poor ethnic minority areas of the Sichuan Province. This study explores factors which may influence hospital delivery from multiple perspectives, with implications for practice and policy. Methods: A framework analysis approach was used to identify and categorize the main barriers and levers to hospital delivery. Our analysis draws on basic information from the sampled counties (Butuo and Daofu). Results: The hospital delivery rate was below 50% in the two sampled areas. In both areas, the “New Rural Cooperative Medical Scheme” and “Rural hospital delivery subsidy” were introduced, but only Butuo county had a transportation subsidy policy. Socioeconomically disadvantaged women in both counties who delivered their babies in hospitals could also apply for financial assistance. A lack of transport was among the main reasons for low hospital delivery rates in these two counties. Furthermore, while the hospital delivery costs could be mostly covered by “New Rural Cooperative Medical Scheme” or “Rural Hospital Delivery Subsidy”, reimbursement was not guaranteed. People in Daofu county might be affected by their Buddhism religion for hospital delivery. Women in Butuo following the Animism religion would refuse delivery in hospitals because of language barriers. Traditional lay beliefs were the main factor that influenced hospital delivery; their understandings of reproductive health varied, and many believed that childbirth should not be watched by strangers and that a home delivery was safe. Conclusions: This study has highlighted a number of barriers and levers to hospital delivery in rural poor ethnic minority areas which could inform and improve the access and rate of hospital delivery rate; thereby reducing health inequalities in maternal and child health in China.

Suggested Citation

  • Peige Song & Chuyun Kang & Evropi Theodoratou & Neneh Rowa-Dewar & Xuebei Liu & Lin An, 2016. "Barriers to Hospital Deliveries among Ethnic Minority Women with Religious Beliefs in China: A Descriptive Study Using Interviews and Survey Data," IJERPH, MDPI, vol. 13(8), pages 1-13, August.
    • Handle: RePEc:gam:jijerp:v:13:y:2016:i:8:p:815-:d:75793
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/13/8/815/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/13/8/815/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Celik, Yusuf & Hotchkiss, David R., 2000. "The socio-economic determinants of maternal health care utilization in Turkey," Social Science & Medicine, Elsevier, vol. 50(12), pages 1797-1806, June.
    2. Sunil, T.S. & Rajaram, S. & Zottarelli, Lisa K., 2006. "Do individual and program factors matter in the utilization of maternal care services in rural India? A theoretical approach," Social Science & Medicine, Elsevier, vol. 62(8), pages 1943-1957, April.
    Full references (including those not matched with items on IDEAS)

    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. Won Ju Hwang & Yeon Mi Park, 2019. "Factors Influencing the Accessibility of Maternal Health Service in Cambodia," IJERPH, MDPI, vol. 16(16), pages 1-10, August.
    2. Chen, Yuanyuan & Wang, Haining & Cheng, Zhiming & Smyth, Russell, 2023. "Education and Migrant Health in China," Economic Modelling, Elsevier, vol. 121(C).
    3. Edmonds, Joyce K. & Hruschka, Daniel & Bernard, H. Russell & Sibley, Lynn, 2012. "Women’s social networks and birth attendant decisions: Application of the Network-Episode Model," Social Science & Medicine, Elsevier, vol. 74(3), pages 452-459.
    4. Chen, Chin-Shyan & Liu, Tsai-Ching & Chen, Li-Mei, 2003. "National Health Insurance and the antenatal care use: a case in Taiwan," Health Policy, Elsevier, vol. 64(1), pages 99-112, April.
    5. Biswajit Mandal, 2015. "Demand for maternal health inputs in West Bengal-Inference from NFHS 3 in India," Economics Bulletin, AccessEcon, vol. 35(4), pages 2685-2700.
    6. Esther Awazzi Envuladu & Abukari Ibrahim Issaka & Mansi Vijaybhai Dhami & Biniyam Sahiledengle & Kingsley Emwinyore Agho, 2023. "Differential Associated Factors for Inadequate Receipt of Components and Non-Use of Antenatal Care Services among Adolescent, Young, and Older Women in Nigeria," IJERPH, MDPI, vol. 20(5), pages 1-16, February.
    7. Dilaram Acharya & Jitendra Kumar Singh & Rajendra Kadel & Seok-Ju Yoo & Ji-Hyuk Park & Kwan Lee, 2018. "Maternal Factors and Utilization of the Antenatal Care Services during Pregnancy Associated with Low Birth Weight in Rural Nepal: Analyses of the Antenatal Care and Birth Weight Records of the MATRI-S," IJERPH, MDPI, vol. 15(11), pages 1-14, November.
    8. Mandal, Biswajit, 2015. "Demand for Maternal health inputs in West Bengal-Inference from NFHS 3," MPRA Paper 68224, University Library of Munich, Germany.
    9. Habtom, GebreMichael Kibreab & Ruys, Pieter, 2007. "The choice of a health care provider in Eritrea," Health Policy, Elsevier, vol. 80(1), pages 202-217, January.
    10. Sunil, T.S. & Rajaram, S. & Zottarelli, Lisa K., 2006. "Do individual and program factors matter in the utilization of maternal care services in rural India? A theoretical approach," Social Science & Medicine, Elsevier, vol. 62(8), pages 1943-1957, April.
    11. Ravi Durga Prasad & Somya Arora & Pradeep S. Salve & Srinivas Goli & K. S. James & Saseendran Pallikadavath & Udaya S. Mishra & Irudaya S. Rajan, 2022. "Why there is underutilization of four and more antenatal care services despite the colossal rise in institutional deliveries in Bihar, India," Journal of Social and Economic Development, Springer;Institute for Social and Economic Change, vol. 24(2), pages 355-378, December.
    12. Patience Aseweh Abor & Gordon Abekah‐Nkrumah & Kojo Sakyi & Charles K.D. Adjasi & Joshua Abor, 2011. "The socio‐economic determinants of maternal health care utilization in Ghana," International Journal of Social Economics, Emerald Group Publishing Limited, vol. 38(7), pages 628-648, June.
    13. Hua You & Hai Gu & Weiqing Ning & Hua Zhou & Hengjin Dong, 2016. "Comparing Maternal Services Utilization and Expense Reimbursement before and after the Adjustment of the New Rural Cooperative Medical Scheme Policy in Rural China," PLOS ONE, Public Library of Science, vol. 11(7), pages 1-10, July.
    14. Başar, Dilek & Dikmen, Fatih Hakan & Öztürk, Selcen, 2021. "The prevalence and determinants of unmet health care needs in Turkey," Health Policy, Elsevier, vol. 125(6), pages 786-792.
    15. Fatema, Kaniz, 2020. "Mass Media Exposure and Maternal Healthcare Utilization in South Asia," SocArXiv 5dhyr, Center for Open Science.
    16. Roy, Ramananda & Bhattacharyya, Bhaskar & Mandal, Biswajit, 2022. "Demand for Maternal Health Care in The Eastern States of India: Evidence From A National Health Survey," MPRA Paper 116649, University Library of Munich, Germany.
    17. Dana A. Glei & Noreen Goldman & German Rodriguez, 2002. "Utilization of Care During Pregnancy in Rural Guatemala: Does Obstetrical Need Matters," Working Papers 308, Princeton University, Woodrow Wilson School of Public and International Affairs, Office of Population Research..
    18. Dilek Başar & Selcen Öztürk, 2020. "Assessing Horizontal Equity in the Utilization of Mental Healthcare Services in Turkey: A Gender Perspective," Applied Health Economics and Health Policy, Springer, vol. 18(2), pages 299-309, April.
    19. Bilgel, Fırat & Karahasan, Burhan Can, 2018. "Self-rated health and endogenous selection into primary care," Social Science & Medicine, Elsevier, vol. 197(C), pages 168-182.
    20. Prashant Kumar Singh & Rajesh Kumar Rai & Lucky Singh, 2012. "Examining the Effect of Household Wealth and Migration Status on Safe Delivery Care in Urban India, 1992–2006," PLOS ONE, Public Library of Science, vol. 7(9), pages 1-12, September.

    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:gam:jijerp:v:13:y:2016:i:8:p:815-:d:75793. 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: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    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.