Abstract:
Objective To analyze administrative ability for coping with demands of maternal health in Beijing and Shanghai and to explore the feasibility for evaluating the ability quantitatively.
Methods We collected all information on sensitive indicators of health needs among women in Beijing and Shanghai published by research, healthcare and governmental institutions. Descriptive methods were used to analyze and compare variations in the administrative ability for coping with the demands of maternal health in the two cities. Spearman correlation and single factor regression analysis were used to assess the relationship between the administrative ability and maternal mortality.
Results The percentage of maternal health demands being exactly identified increased from 30.4% in 2000 to 48.7% in 2017 in Shanghai; while, the percentage increased from 13.3% in 2000 to 40.6% in 2017 in Beijing. We observed a strong inverse correlation between the administrative ability for coping with maternal health demands and maternal mortality in the two cities, with a higher correlation coefficient of – 0.656 in Shanghai than that (– 0.617) in Beijing. Univariate linear regression showed that the administrative ability for coping with maternal health demands had a negative impact on maternal mortality in Beijing and Shanghai, with the interpretation percentages of 28.4% and 29.9% for the equations established.
Conclusion The increase in administrative ability for coping with demands of maternal health had a stronger impact on health outcomes in Shanghai city than that in Beijing city; but the continuity in the improvement and demand-based dynamic adjustment of the administrative ability were relatively weak. The measurements for the evaluation of the administrative ability used in the study is feasible and could be applied in relevant studies.
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