Barriers to Hospital Deliveries among Ethnic Minority Women with Religious Beliefs in China: A Descriptive Study Using Interviews and Survey Data
| Autor: | Xuebei Liu, Lin An, Evropi Theodoratou, Peige Song, Neneh Rowa-Dewar, Chuyun Kang |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Adult
Rural Population Pediatrics medicine.medical_specialty China Hospital delivery barriers Health Toxicology and Mutagenesis Ethnic group lcsh:Medicine Language barrier Transportation Article Interviews as Topic Young Adult 03 medical and health sciences 0302 clinical medicine Poverty Areas Surveys and Questionnaires Ethnicity medicine Humans Childbirth 030212 general & internal medicine Socioeconomics Poor ethnic minority Minority Groups Reimbursement Reproductive health business.industry 030503 health policy & services lcsh:R Public Health Environmental and Occupational Health Subsidy Delivery Obstetric Hospitals Religion Socioeconomic Factors poor ethnic minority Survey data collection hospital delivery Female Descriptive research 0305 other medical science business Barriers |
| Zdroj: | International Journal of Environmental Research and Public Health; Volume 13; Issue 8; Pages: 815 Song, P, Kang, C, Theodoratou, E, Rowa-Dewar, N, Liu, X & An, L 2016, ' Barriers to hospital deliveries among ethnicminority women with religious beliefs in China : A descriptive study using interviews and survey data ', International Journal of Environmental Research and Public Health, vol. 13, no. 8, 815 . https://doi.org/10.3390/ijerph13080815 International Journal of Environmental Research and Public Health International Journal of Environmental Research and Public Health, Vol 13, Iss 8, p 815 (2016) |
| ISSN: | 1660-4601 |
| DOI: | 10.3390/ijerph13080815 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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