Rural Counties In China Research Articles

Access to Care in Post-Economic Reform Rural China: Results from a 1994 Cross-Sectional Survey

The purpose of this paper is to assess the current level of access to care in rural China based on results from a 1994 random, cross-sectional survey of three rural counties in China. A total of 722 people were interviewed. The results of the study indicate there is currently a significant gap among rural Chinese communities in terms of access to health care, particularly with regard to availability (e.g., cooperative health plan or other insurance plans) and acceptability (e.g., health care spending burden). Less developed rural communities are placed in double jeopardy: not only are residents paying a higher amount for health care, they have to do so with significantly less income.

Introduction of Norplant ® implants in four counties of rural China: A two-year evaluation

This article describes the first two years of Norplant implants use among 1560 acceptors in four counties of rural north China. Continuation of use was high, 88.4% after two years. Disruption of the menstrual cycle was the predominant side effect and the predominant reason for termination. Clinical performance among the four counties was diverse, with two-year continuation rates ranging from 73.9% to 95.3%. Factors that may contribute to the diversity among study sites and the overall high continuation rate are discussed in the context of Chinese family planning.

Diet and chronic degenerative diseases: perspectives from China

A comprehensive ecologic survey of dietary, life-style, and mortality characteristics of 65 counties in rural China showed that diets are substantially richer in foods of plant origin when compared with diets consumed in the more industrialized, Western societies. Mean intakes of animal protein (about one-tenth of the mean intake in the United States as energy percent), total fat (14.5% of energy), and dietary fiber (33.3 g/d) reflected a substantial preference for foods of plant origin. Mean plasma cholesterol concentration, at approximately 3.23-3.49 mmol/L, corresponds to this dietary life-style. The principal hypothesis under investigation in this paper is that chronic degenerative diseases are prevented by an aggregate effect of nutrients and nutrient-intake amounts that are commonly supplied by foods of plant origin. The breadth and consistency of evidence for this hypothesis was investigated with multiple intake-biomarker-disease associations, which were appropriately adjusted. There appears to be no threshold of plant-food enrichment or minimization of fat intake beyond which further disease prevention does not occur. These findings suggest that even small intakes of foods of animal origin are associated with significant increases in plasma cholesterol concentrations, which are associated, in turn, with significant increases in chronic degenerative disease mortality rates.

The Quality of Family Planning Services in Rural China

This article provides a preliminary analysis of three aspects of service quality in four rural counties in China--the availability of contraceptive methods, information given to users, and provider knowledge about methods. Contraceptive choice and characteristics of contraceptive use by women in the study areas are also examined. The data are derived from a survey carried out by the authors during 1987, under the auspices of China's State Family Planning Commission. The survey was conducted in four rural counties located in Fujian and Heilongjiang provinces. A total of 318 married women of reproductive age were randomly selected and interviewed. All family planning service sites serving the women were visited and a sample of service providers was interviewed. No shortage of contraceptives existed in any of the counties, but variations in community wealth and local procurement practices have resulted in the acquisition of an IUD with high failure rates. Although providers believe they inform women about method choices and side effects, women were poorly informed about the methods they selected. Not all providers who insert IUDs and distribute pills were knowledgeable about contraindications and side effects of the methods. Ever-use of contraception was nearly 100 percent, but most women, especially in Heilongjiang, have only used one method: the IUD or sterilization. Improvements in quality, especially in method mix, providers' level of knowledge, and the quality and quantity of information provided to users will likely improve contraceptive continuation, client satisfaction, and women's health.

Interprovincial Disparities in China: Output and Consumption, 1952-1987

The flood of economic information from China in recent years has permitted reassessment of the "Chinese model of development" and the extent to which China's own development experience has conformed to it. The prevailing consensus of the 1970s concerning the substance of the model itself-typically characterized in terms of the Chinese leadership's objectives and priorities and its strategy for pursuing them-has stood up quite well. The same cannot be said about past appraisals of the extent to which China's economic reality has been reshaped to accord with the model's prescriptions. One of the most widely remarked elements of the Chinese model is the high priority assigned to regional objectives and, more specifically, to "balance" in the distribution of productive capacity and equity in the distribution of income and, hence, consumption. During the Maoist era (i.e., prior to 1979), the central government pursued regional objectives through such measures as interregional transfers of investment resources (effected via the planning system), subsidization of health and education expenditures in poor regions, and attempts to maintain a safety net of state relief (effected largely via control of grain surpluses). In short, there is little doubt that prior to 1979 the Chinese leadership placed an unusually high value on the spread of modern growth and the improvements in welfare associated with it and persistently acted to limit the emergence or widening of interregional disparities.' Although China's post-Mao leaders have shown greater concern with efficiency and with the potential trade-offs between efficiency and such goals as balance and equity, their continuation of many redistributive policies indicates that they have not abandoned regional objectives. But how successful has China been in achieving these objectives?