Objective To examine changing trend in the severity of poor quality of maternal care workers and maternal mortality ratio (MMR) in Beijing and Shanghai from 2000 to 2017, and to analyze the disparity in the severity and MMR between the two cities for exploring the suitability for the quality of maternal health care workers.
Methods Through searching literatures published on China National Knowledge Infrastructure (CNKI) and Web of Science from 1995 through 2017, we retrieved 147 and 165 studies on comprehensive quality of maternal health care workers in Beijing and Shanghai. A severity score was established to evaluate poor quality of the maternal health care workers. Spearman correlation and linear regression analysis were used to analyze the relationship between the poor quality severity score of the maternal health care workers and MMR for the two cities.
Results The poor quality severity score for the maternal health care workers in Beijing decreased from 3.53 in 2000 to 3.12 in 2017; while that for the workers in Shanghai decreased from 3.70 to 2.12. A significant correlation between the MMR and poor quality severity score for maternal health care workers during the period was observed in Shanghai (r = 0.758, P < 0.01).
Conclusion Based on the quantitative analysis, the comprehensive quality of maternal health care workers in Beijing and Shanghai increased during 2000 – 2017 and the increasing is more obvious for the workers in Shanghai, although the workers′ quality still needs to be improved.
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