Level And Effect Of Maternal Mortality Rate And Infant Mortality Rate

Objective: Describe the level of Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) and the health care situation of maternal and infant in China. Compare analysis the level of MMR, IMR, and the implement of MDGs in different countries; analyze the influence factors for achieving the goal of MMR and IMR, and the equity of the health situation of maternal and infant is studied. Consult the advanced methods and interfering steps on achieving the goal for other countries. The effective maternal and infant health care strategy and policy suggestions put forward, so as to reduce the MMR and IMR and realize the MDGs on time in China.Methods: Choose the data from the"National Maternal and Child Surveillance"(MCHS) (1991-2004). Describe the changing tendency of MMR and IMR and the maternal and infant health care situation. Choose the data from MCHS (2003) and"Chinese stat yearbook of 2003", including the MMR and IMR and the maternal and infant health care indicators. Find out the influencing factors by using correlation analysis. Evaluate equity of the health situation of maternal and infant by drawing the Concentration Curve.Results: It shows that since the 1990s the MMR and IMR have been declined obviously. By 2004, MMR has decreased by 39.6% and IMR has decreased by 59%. It is concluded that the maternal and infant health situation has improved a lot, so is the health care quality.The description result shows that maternal and infant health situation is obviously different among regions, especially between urban and rural areas. Furthermore, the gap is bigger in recent years.Comparing with other countries in the world, the position on health situation of maternal and infant in China is in the middle. Although it is on the way to realize the MDGs, China has to make more and more rapid progress.The result of the correlation analysis shows that both the maternal and infant health care situation and the economic situation are related to the MMR and IMR,and the correlation coefficient is negative. The equity analysis show the distributing of MMR in different provinces is disproportion, and indicates the maternal and infant health situation in our country is inequitable.Conclusion: In general, because the government pays much attention, the maternal and infant health situation in China has improved a lot during the recent years. But there are still some problems in the area, such as, the differences of MMR and IMR among regions are obvious, especially between urban and rural areas, as well as the health situation of maternal and infant is inequitable. Comparing with other countries in the world, maternal and infant health situation in China is in the middle stage. Both the maternal and infant health care situation and the economic situation are related to the MMR and IMR.. In order to realize the MDGs on time, some effective interventions should be taken. Strengthen the government function in public health. Allocating enough resource and establish the basic maternal and infant health care system in the region. Train the maternal and children health care personnel in the urban areas. Take more interventions in the regions with poor maternal health condition and help them make rapid progress in maternal and children health care.