The United Nations Children's Fund (UNICEF) launched the "Mother and Child Health Care" project in China from 2006 to 2010. The project aimed to improve the quality of primary maternal and child health care services, as well as the availability, sustainability and fairness of maternal and child health care services, thus ultimately to improve women health and to protect and promote child survival and development. The project was carried out at 46 counties in 12 provinces in central and western China. The purpose of the study is to learn about the implementation and completion of the project, figure out its achievements, draw the lessons thus to provide reference and guidance for the further development of the project.

  • General Information of Study
    • Overview
      Name Data on Maternal and Child Health Care
      Project Number CCC2017052301
      Website None
      Investigators
      WANG Yan
      Institutions Department of Maternal and Child Health, Peking University School of Public Health
      Contacts
      ZHOU Hong
      Funding United Nations Children's Fund (UNICEF), ref YH702
      Objectives The United Nations Children's Fund (UNICEF) launched the "Mother and Child Health Care" project in China from 2006 to 2010. The project aimed to improve the quality of primary maternal and child health care services, as well as the availability, sustainability and fairness of maternal and child health care services, thus ultimately to improve women health and to protect and promote child survival and development. The project was carried out at 46 counties in 12 provinces in central and western China. The purpose of the study is to learn about the implementation and completion of the project, figure out its achievements, draw the lessons thus to provide reference and guidance for the further development of the project.
      Start Date 2006.05
      End Date 2010.12
    • Study Design
      Number of Participants Data from two cross-sectional surveys: 1. Baseline surveys in 46 project counties in 2006 (6825 children under 5 years old investigated on physical measurement, 6783 caregivers for children under 5 years of age, 3720 children from 6 to 35 months of age measured on hemoglobin and 1199 pregnant women). 2. Final surveys in 26 project counties (4606 children under 5 years old investigated on physical measurement, 4368 caregivers for children under 5 years of age, 2778 children from 6 to 35 months of age measured on hemoglobin and 707 pregnant women) and 14 non-project counties (2409 children under 5 years old investigated on physical measurement, 2320 caregivers for children under 5 years of age, 1409 children from 6 to 35 months of age measured on hemoglobin and 388 pregnant women) in 2010 The total number in first survey was more than 14807 and more than 14798 in the second survey.
      Age Range children under 5 years old and their caregivers, pregnant women
      Geographic Distribution Gansu, Qinghai, Jiangxi, Xinjiang, Chongqing, Sichuan, Guizhou, Guangxi, Shaanxi, Inner Mongolia, Shanxi and Tibet
      General Information of Study Design and Sample Methods Same sampling method were used the in 2006 baseline surveys and the 2010 final surveys. The sample size of each county was also the same. Methods of three-stage stratified random sampling and samples allocation based on a fixed sample size were used to select children under five years of age and the caregivers.
      Inclusion Criteria Pregnant women in late pregnancy (pregnant for 20 weeks and above); children under five years old (aged 0-59 months)
      Exclusion Criteria Children or pregnant women who are not within the above range
    • Other Information
      Key Achievements None
      Marker Papers 1. Sufang Guo, Xulan Fu, Robert W Scherpbier, Yan Wang, Hong Zhou, Xiaoli Wang & David B Hipgrave. Breastfeeding rates in central and western China in 2010: implications for child and population health. Bulletin of the World Health Organization. 2013 May 1;91(5):322-31
      2. Hipgrave DB, Fu X, Zhou H, Jin Y, Wang X, Chang S, Scherpbier RW, Wang Y, Guo S. Poor complementary feeding practices and high anaemia prevalence among infants and young children in rural central and western China. Eur J Clin Nutr. 2014 Aug; 68(8):916-24.
      3. Ban L, Guo S, Scherpbier RW, Wang X, Zhou H, Tata LJ. Child feeding and stunting prevalence in left-behind children: a descriptive analysis of data from a central and western Chinese population. Int J Public Health. 2016 Jun.
      Strength By continuously investigating the international general maternal and child health indicators at different times on the central and western China's poor areas, the research reflects maternal and child health status as time changes in China's central and western regions.
      Weakness Two cross section survey data, no follow-up information