Objective To compare the disparity in framework completeness of maternal health care (MHC) system between Beijing and Shanghai and to explore the feasibility of quantitative evaluation on the degree of framework completeness of MHC system.
Methods We systematically and extensively collected documents on MHC issued by administrative agencies of Beijing and Shanghai municipality and relevant literatures published during 2000 – 2017. Then we extracted information on the MHC system′s department, institution and organizational structure from 649 retrieved documents and literatures (232 relevant to Beijing and 417 to Shanghai) and analyzed the information quantitatively to assess framework completeness of MHC system in the two municipalities. Spearman correlation and linear regression analysis were used to analyze the relationship between framework completeness of MHC system and maternal mortality rate (MMR).
Results The relevant information-derived index for framework completeness of MHC system increased from 52.9% in 2000 to 78.0% in 2017 in Beijing municipality; while, the index increased from 68.5% to 85.8% in Shanghai, with a gradually increasing trend. There was an inverse correlation between the index for framework completeness of MHC system and MMR in the two municipalities.
Conclusion The framework completeness of maternal health care system was improved and the improvement facilitated maternal health care practice in Beijing and Shanghai gradually during 2000 – 2017; but some supportive departments were not embedded into the MHC system′s framework and the completeness of subsystem need to be improved. The study verified the feasibility of quantitative assessment on framework completeness of maternal health care system.
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