Conditional cash transfers, uptake of maternal and child health services, and health outcomes in western rural China

doi:10.1186/s12889-020-08996-9

	Conditional cash transfers, uptake of maternal and child health services, and health outcomes in western rural China
	Zhou, Huan 2,3; Wu, Yuju 2,3; Liu, Chengfang 4; Sun, Chang 2,3; Shi, Yaojiang 5; Zhang, Linxiu 1; Medina, Alexis 6; Rozelle, Scott 6
刊名	BMC PUBLIC HEALTH
	2020-06-05
卷号	20 期号:1 页码:17
关键词	Maternal and child health Conditional cash transfer Impact evaluation Western rural China
DOI	10.1186/s12889-020-08996-9
通讯作者	Liu, Chengfang(cfliu.ccap@pku.edu.cn)
英文摘要	BackgroundEmpirical evidence suggests that the uptake of maternal and child health (MCH) services is still low in poor rural areas of China. There is concern that this low uptake may detrimentally affect child health outcomes. Previous studies have not yet identified the exact nature of the impact that a conditional cash transfer (CCT) has on the uptake of MCH services and, ultimately, on child health outcomes. The objective of this study is to examine the relationship between CCT, uptake of MCH services, and health outcomes among children in poor rural areas of western China.MethodsWe designated two different sets of villages and households that were used as comparisons against which outcomes of the treated households could be assessed. In 2014, we conducted a large-scale survey of 1522 households in 75 villages (including 25 treatment and 50 comparison) from nine nationally designated poverty counties in two provinces of China. In each village, 21 households were selected based on their eligibility status for the CCT program. Difference-in-difference analyses were used to assess the impact of CCT on outcomes in terms of both intention-to-treat (ITT) and average-treatment-effects-on-the-treated (ATT).ResultsOverall, the uptake of MCH services in the sample households were low, especially in terms of postpartum care visits, early breastfeeding, exclusive breastfeeding, and physical examination of the baby. The uptake of the seven types of MCH services in the CCT treatment villages were significantly higher than that in the comparison villages. The results from both the ITT and ATT analyses showed that the CCT program had a positive, although small, impact on the uptake of MCH services and the knowledge of mothers of MCH health issues. Nonetheless, the CCT program had no noticeable effect on child health outcomes.ConclusionsThe CCT program generated modest improvements in the uptake of MCH services and mothers' knowledge of MCH services in poor rural areas of Western China. These improvements, however, did not translate into substantial improvements in child health outcomes for two potential reasons: poor CCT implementation and the low quality of rural health facilities.
资助项目	China Medical Board[12118] ; National Natural Science Foundation of China[71861147003] ; Sichuan University[skqy201537]
WOS关键词	YOUNG-CHILDREN ; QUALITY CARE ; IMPACT ; PROGRAM ; CHALLENGES ; MORTALITY ; GROWTH ; ANEMIA ; INCOME ; WOMEN
WOS研究方向	Public, Environmental & Occupational Health
语种	英语
出版者	BMC
WOS记录号	WOS:000540261700011
资助机构	China Medical Board ; National Natural Science Foundation of China ; Sichuan University
内容类型	期刊论文
源URL	[http://ir.igsnrr.ac.cn/handle/311030/162232]
专题	中国科学院地理科学与资源研究所
通讯作者	Liu, Chengfang
作者单位	1.Chinese Acad Sci, Ctr Chinese Agr Policy, Inst Geog Sci & Nat Resource Res, Beijing, Peoples R China 2.Sichuan Univ, West China Sch Publ Hlth, Chengdu, Peoples R China 3.Sichuan Univ, West China Hosp 4, Chengdu, Peoples R China 4.Peking Univ, China Ctr Agr Policy, Sch Adv Agr Sci, Beijing, Peoples R China 5.Shaanxi Normal Univ, Ctr Expt Econ Educ, Xian, Peoples R China 6.Stanford Univ, Freeman Spogli Inst Int Studies, Palo Alto, CA 94304 USA
推荐引用方式 GB/T 7714	Zhou, Huan,Wu, Yuju,Liu, Chengfang,et al. Conditional cash transfers, uptake of maternal and child health services, and health outcomes in western rural China[J]. BMC PUBLIC HEALTH,2020,20(1):17.
APA	Zhou, Huan.,Wu, Yuju.,Liu, Chengfang.,Sun, Chang.,Shi, Yaojiang.,...&Rozelle, Scott.(2020).Conditional cash transfers, uptake of maternal and child health services, and health outcomes in western rural China.BMC PUBLIC HEALTH,20(1),17.
MLA	Zhou, Huan,et al."Conditional cash transfers, uptake of maternal and child health services, and health outcomes in western rural China".BMC PUBLIC HEALTH 20.1(2020):17.