Department of Maternal and Child Health, School of Public Health, Peking University, 38 Xueyuan Road, Beijing, 100191, China.
Centre for Population Health Sciences, University of Edinburgh, Edinburgh, EH8 9AG, UK.
Int J Equity Health. 2018 Jan 5;17(1):3. doi: 10.1186/s12939-017-0716-6.
Women's health is defined as a continuum throughout their whole lives. In China, women receive life-round preventative and curative health care from the health system, although the universal access to reproductive health has already been basically achieved in China, the situation of women's access to curative health care is still unknown.
Data from the national maternal and child health human resource investigation were analysed. Lorenz curves, Gini coefficients, and Theil L indexes were drawn and calculated to reflect the inequality. Demographically, we found that the Obstetric and gynaecological (OB/GYN) workforce was the least equitable regarding the distribution of live births.
Demographically, we found that the OB/GYN workforce was the least equitable regarding the distribution of live births. The geographic distribution of the OB/GYN workforce was found to be severely inequitable, especially in the West region. Most of the inequality was found to come from inner-regions.
For the first time, the distribution inequality of OB/GYN workforce in China was analysed. The findings in this study can be adopted in making national or regional OB/GYN workforce allocation policies, but further studies are still needed to reveal the detailed sources of inequality and to provide evidence for local policy-making.
妇女健康被定义为贯穿其整个生命周期的连续过程。在中国，女性从卫生系统获得全生命周期的预防和治疗性卫生保健，尽管中国已基本实现了生殖健康的普及，但妇女获得治疗性卫生保健的情况仍不清楚。
对全国妇幼保健人力资源调查数据进行分析。绘制洛伦兹曲线、基尼系数和 Theil L 指数，以反映不平等程度。从人口统计学上看，我们发现妇产科劳动力在活产分布方面最不公平。
从人口统计学上看，我们发现妇产科劳动力在活产分布方面最不公平。妇产科劳动力的地理分布极不公平，尤其是在西部地区。大部分不平等现象来自于内部地区。
这是首次分析中国妇产科劳动力的分布不均。本研究的结果可用于制定国家或地区妇产科劳动力配置政策，但仍需要进一步研究以揭示不平等的详细来源，并为地方决策提供依据。
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