Are Essential Women’s Healthcare Services Fully Covered? A Comparative Analysis of Policy Documents in Shanghai and New York City from 1978–2017

Qingyu Zhou, Qinwen Yu, Xin Wang, Peiwu Shi, Qunhong Shen, Zhaoyang Zhang, Zheng Chen, Chuan Pu, Lingzhong Xu, Zhi Hu, Anning Ma, Zhaohui Gong, Tianqiang Xu, Panshi Wang, Hua Wang, Chao Hao, Li Li, Xiang Gao, Chengyue Li and Mo Hao
Additional contact information
Qingyu Zhou: Research Institute of Health Development Strategies, Fudan University, Shanghai 200032, China
Qinwen Yu: Research Institute of Health Development Strategies, Fudan University, Shanghai 200032, China
Xin Wang: Research Institute of Health Development Strategies, Fudan University, Shanghai 200032, China
Peiwu Shi: Collaborative Innovation Center of Social Risks Governance in Health, Fudan University, Shanghai 200032, China
Qunhong Shen: Collaborative Innovation Center of Social Risks Governance in Health, Fudan University, Shanghai 200032, China
Zhaoyang Zhang: Collaborative Innovation Center of Social Risks Governance in Health, Fudan University, Shanghai 200032, China
Zheng Chen: Collaborative Innovation Center of Social Risks Governance in Health, Fudan University, Shanghai 200032, China
Chuan Pu: Collaborative Innovation Center of Social Risks Governance in Health, Fudan University, Shanghai 200032, China
Lingzhong Xu: Collaborative Innovation Center of Social Risks Governance in Health, Fudan University, Shanghai 200032, China
Zhi Hu: Collaborative Innovation Center of Social Risks Governance in Health, Fudan University, Shanghai 200032, China
Anning Ma: Collaborative Innovation Center of Social Risks Governance in Health, Fudan University, Shanghai 200032, China
Zhaohui Gong: Collaborative Innovation Center of Social Risks Governance in Health, Fudan University, Shanghai 200032, China
Tianqiang Xu: Collaborative Innovation Center of Social Risks Governance in Health, Fudan University, Shanghai 200032, China
Panshi Wang: Collaborative Innovation Center of Social Risks Governance in Health, Fudan University, Shanghai 200032, China
Hua Wang: Collaborative Innovation Center of Social Risks Governance in Health, Fudan University, Shanghai 200032, China
Chao Hao: Collaborative Innovation Center of Social Risks Governance in Health, Fudan University, Shanghai 200032, China
Li Li: Research Institute of Health Development Strategies, Fudan University, Shanghai 200032, China
Xiang Gao: Research Institute of Health Development Strategies, Fudan University, Shanghai 200032, China
Chengyue Li: Research Institute of Health Development Strategies, Fudan University, Shanghai 200032, China
Mo Hao: Research Institute of Health Development Strategies, Fudan University, Shanghai 200032, China

IJERPH, 2021, vol. 18, issue 8, 1-15

Abstract: This study aimed to analyze the changes in the 10 major categories of women’s healthcare services (WHSs) in Shanghai (SH) and New York City (NYC) from 1978 to 2017, and examine the relationship between these changes and maternal mortality ratio (MMR). Content analysis of available public policy documents concerning women’s health was conducted. Two indicators were designed to represent the delivery of WHSs: The essential women’s healthcare service coverage rate (ESCR) and the assessable essential healthcare service coverage rate (AESCR). Spearman correlation was used to analyze the relationship between the two indicators and MMR. In SH, the ESCR increased from 10% to 90%, AESCR increased from 0% to 90%, and MMR decreased from 24.0/100,000 to 1.01/100,000. In NYC, the ESCR increased from 0% to 80%, the AESCR increased from 0% to 60%, and the MMR decreased from 24.7/100,000 to 21.4/100,000. The MMR significantly decreased as both indicators increased ( p < 0.01). Major advances have been made in women’s healthcare in both cities, with SH having a better improvement effect. A common shortcoming for both was the lack of menopausal health service provision. The promotion of women’s health still needs to receive continuous attention from governments of SH and NYC. The experiences of the two cities showed that placing WHSs among policy priorities is effective in improving service status.

Keywords: women’s healthcare; service coverage; service assessment; Shanghai; New York City; maternal mortality ratio (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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