Maternity Insurance Fund Depletion and Universal Two-Child Policy in Qinghai Province in China

Authors

  • Henry Asante Antwi  School of Management, Jiangsu University, 301 Xuefu Road, Zhenjiang, P.R. China
  • Tamires Lizandra Andrade Paixao  Future Academy of Science and Technology, 3768 Hunan Highway, Shanghai, P.R China
  • Maxwell Opuni Antwi  School of Management, Jiangsu University, 301 Xuefu Road, Zhenjiang, P.R. China

DOI:

https://doi.org//10.32628/IJSRST218468

Keywords:

Replenishing, maternity, insurance, women, health, China

Abstract

Since the dawn of humanity, women have acquitted themselves creditably with this responsibility of childbirth even at the peril of their lives. Overtime, the politics, process and social mores that surround pregnancy and birth have evolved along with the growth and maturity of the medical profession, and the art and craft of motherhood. However, the introduction of the universal two-child policy in China without corresponding change in the income and expenditure mix of the maternity insurance schemes in Qinghai province threatens the sustainability of maternal health initiatives for minority ethnic groups in Western China. The analytical model used in this study hybridizes a system dynamics and actuarial model to express the maternity insurance expenditure and income function. The study noted that at the current contribution rate of 0.5%, the maternity insurance fund in Qinghai province will be depleted by the end of 2020 and this can influence catastrophic maternal health crisis in the poorer region. The analysis also shows that if the contribution rate can be raised to 0.75%, the depletion rate of the maternity insurance can be prolonged. We proposed an increase in the current rate of contribution of the maternity insurance fund in Qinghai province; improve investment income for the maternity insurance fund and other reliable sources of sustainable funding.

References

  1. Ali, Moazzam, Cordero, Joanna Paula, Khan, Faria, & Folz, Rachel. (2019). ‘Leaving no one behind’: a scoping review on the provision of sexual and reproductive health care to nomadic populations. BMC Women's Health, 19(1), 161.
  2. Chen, Yuji, Lee, Yuan-Chin Amy, Li, Shuang, Li, Qian, Chen, Chien-Jen, Hsu, Wan-Lun, . . . Shen, Hongbing. (2019). Body mass index and the risk of head and neck cancer in the Chinese population. Cancer epidemiology, 60, 208-215.
  3. Chong, Ka Chun, Rui, Yan, Liu, Yan, Zhou, Tianyuan, Jia, Katherine, Wang, Maggie Haitian, . . . He, Hanqing. (2019). Early Waning of Maternal Measles Antibodies in Infants in Zhejiang Province, China: A Comparison of Two Cross-Sectional Serosurveys. International journal of environmental research and public health, 16(23), 4680.
  4. Ding, Wenguang, He, Li, Zewudie, Dinka, Zhang, Huilin, Zafar, Tanjia Binte, & Liu, Xinde. (2019). Gender and renewable energy study in Tibetan pastoral areas of China. Renewable energy, 133, 901-913.
  5. Gong, Guangwen, Chen, Yingchun, Gao, Hongxia, Su, Dai, & Chang, Jingjing. (2019). Has the Efficiency of China’s Healthcare System Improved after Healthcare Reform? A Network Data Envelopment Analysis and Tobit Regression Approach. International Journal of Environmental Research and Public Health, 16(23), 4847.
  6. Gu, Yuxuan, Zhang, Hao, Ali, Shahmir H, Huang, Minzhuo, Wei, Jingming, Gu, Shuyan, . . . Dong, Hengjin. (2019). Social Determinants of Health-Related Quality of Life among Residents in Zhejiang and Qinghai, China. International journal of environmental research and public health, 16(8), 1314.
  7. Gui, Shixun, & Chen, Jieling. (2020). Average life expectancy of the Chinese population in 1949–2019: trends, contributors and prospects. China Population and Development Studies, 3(2), 142-153.
  8. Hu, Xiaoqian, Zhang, Hao, Sun, Xueshan, Gu, Yuxuan, Zhen, Xuemei, Gu, Shuyan, . . . Dong, Hengjin. (2019). Older adults’ choices of first‐contact care and related factors in Zhejiang and Qinghai Province, China. Geriatrics & gerontology international, 19(9), 938-944.
  9. Huang, Minzhuo, Zhang, Hao, Gu, Yuxuan, Wei, Jingming, Gu, Shuyan, Zhen, Xuemei, . . . Dong, Hengjin. (2019). Outpatient health-seeking behavior of residents in Zhejiang and Qinghai Province, China. BMC public health, 19(1), 967.
  10. Huang, Yiwen, Wang, Lijuan, Huo, Junsheng, Wu, Qiong, Wang, Wei, Chang, Suying, & Zhang, Yanfeng. (2019). Prevalence and causes of anaemia in children aged 6–23 months in rural Qinghai, China: findings from a cross-sectional study. BMJ open, 9(9), e031021.
  11. Huang, Yuan, Martinez-Alvarez, Melisa, Shallcross, David, Pi, Li, Tian, Fan, Pan, Jay, & Ronsmans, Carine. (2019). Barriers to accessing maternal healthcare among ethnic minority women in Western China: a qualitative evidence synthesis. Health policy and planning, 34(5), 384-400.
  12. Huang, Yue, Wang, Xi, Yang, Yuning, Qu, Xueqi, Wang, Anqi, Huang, Xiaona, & Zhou, Hong. (2020). The role of education in maternal depressive symptoms among different ethnic groups: A cross-sectional study in rural western China. Journal of affective disorders, 262, 359-365.
  13. Li, Hong-tian, Xue, Ming, Hellerstein, Susan, Cai, Yue, Gao, Yanqiu, Zhang, Yali, . . . Liu, Jian-meng. (2019). Association of China’s universal two child policy with changes in births and birth related health factors: national, descriptive comparative study. bmj, 366, l4680.
  14. Long, Qian, Zhang, Tuohong, Xu, Ling, Tang, Shenglan, & Hemminki, Elina. (2010). Utilisation of maternal health care in western rural China under a new rural health insurance system (New Co‐operative Medical System). Tropical Medicine & International Health, 15(10), 1210-1217.
  15. Luo, Min, Zhao, Ziling, He, Linkun, Su, Bingzhong, Liu, Weixin, & Zhang, Gang. (2019). Ethnic disparity in pneumonia-specific mortality among children under 5 years of age in Sichuan Province of Western China from 2010 to 2017. BMC Public Health, 19(1), 1-8.
  16. Margaret, Maimbolwa Connie, Patricia, Mukwato Katowa, Mutinta, Muleya, Concepta, Kwaleyela, Victoria, Kalusopa Mwiinga, Musenge, Emmanuel, . . . Stray-Pedersen, Babil. (2019). Women’s Experience with Socio-Economic Factors Associated with Perinatal Morbidity and Mortality in Lusaka and Mumbwa Districts of Zambia. Health, 11(06), 733.
  17. McKinn, Shannon, Linh, Duong Thuy, Foster, Kirsty, & McCaffery, Kirsten. (2019). A qualitative analysis of factors that influence Vietnamese ethnic minority women to seek maternal health care. BMC pregnancy and childbirth, 19(1), 243.
  18. Ning, Gu. (2019). Education of Women Since the Founding of the People’s Republic of China: Achievements, Problems and Countermeasures Women, Family and the Chinese Socialist State, 1950-2010 (pp. 287-308): Brill.
  19. Qi, Yinyan, Zhu, Chunyun, Chen, Jinfu, Liu, Guiying, Yang, Zhanwu, & Chen, Wusheng. (2019). Comparative analysis of the quality and health-promoting compounds of two-shaped fruits of wild Lycium ruthenicum Murr. from the Qinghai–Tibet Plateau. Acta Physiologiae Plantarum, 41(6), 101.
  20. Wang, Jiazhou, Zhou, Yueyue, Liang, Yiming, & Liu, Zhengkui. (2020). A Large Sample Survey of Tibetan People on the Qinghai–Tibet Plateau: Current Situation of Depression and Risk Factors. International Journal of Environmental Research and Public Health, 17(1), 289.
  21. Wellhoner, Mary, Lee, Anne CC, Deutsch, Karen, Wiebenga, Mariette, Freytsis, Maria, Drogha, Sonam, . . . Khandro, Dawa. (2011). Maternal and child health in yushu, qinghai province, china. International Journal for Equity in Health, 10(1), 42.
  22. Whipps, Mackenzie DM, Miller, Elizabeth B, Bogen, Debra L, Mendelsohn, Alan L, Morris, Pamela A, Shaw, Daniel, & Gross, Rachel S. (2019). Breastfeeding Behaviors and Maternal Interaction Quality in a Low-Income, Ethnic Minority Population. Journal of Developmental & Behavioral Pediatrics.
  23. Wu, Qiong, Huang, Yiwen, van Velthoven, Michelle Helena, Wang, Wei, Chang, Suying, & Zhang, Yanfeng. (2019). The effectiveness of using a WeChat account to improve exclusive breastfeeding in Huzhu County Qinghai Province, China: protocol for a randomized control trial. BMC public health, 19(1), 1-10.
  24. Wu, Xiaohua, Huang, Zhengzheng, & Shen, Shaowu. (2019). Comprehensive Evaluation of Medical Service Ability of TCM Hospitals in 30 Provinces, Autonomous Regions and Municipalities of China in 2017 Based on Entropy Weight TOPSIS Method and RSR Method. Paper presented at the Proceedings of the 2019 The World Symposium on Software Engineering.
  25. Xiao, Yuanyuan, He, Liping, Chang, Wei, Zhang, Shinan, Wang, Rui, Chen, Xiaowen, . . . Risch, Harvey A. (2020). Self-harm behaviors, suicidal ideation and associated factors among rural left-behind children in west China. Annals of Epidemiology.
  26. Xue, Zhiqiang, Yang, Zhenbo, Sun, Hui, Ren, Jinghuan, Sun, Mengzi, Li, Jiagen, . . . Dou, Jing. (2019). Epidemiological analysis of respiratory and intestinal infectious diseases in three counties of Sichuan: the baseline survey of Disaster Mitigation Demonstration Area in western China. PeerJ, 7, e7341.
  27. Yao, Minghong, Wu, Gonghua, Zhao, Ziling, Luo, Min, & Zhang, Juying. (2019). Unintentional injury mortality among children under age five in urban and rural areas in the Sichuan province of west China, 2009–2017. Scientific reports, 9(1), 1-8.
  28. Yu, Xuexin, & Zhang, Wei. (2020). All-cause mortality rate in China: do residents in economically developed regions have better health? International Journal for Equity in Health, 19(1), 12.
  29. Zhang, Ping, Wu, Jingguo, & Xun, Nan. (2019). Role of Maternal Nutrition in the Health Outcomes of Mothers and Their Children: A Retrospective Analysis. Medical science monitor: international medical journal of experimental and clinical research, 25, 4430.
  30. Zhang, Wei. (2004). Can the strategy of western development narrow down China's regional disparity? Asian Economic Papers, 3(3), 1-23.
  31. Zhang, Xiaotian, Zhou, Lvlin, & Antwi, Henry Asante. (2019). The impact of China's latest population policy changes on maternity insurance—a case study in Jiangsu Province. The International journal of health planning and management, 34(1), e617-e633.
  32. Zhao, Xiang, & Davey, Gareth. (2019). Areca nut use among a Chinese ethnic minority, and its health implications. Substance use & misuse, 1-6.
  33. Zhao, Zi-ling, Yao, Ming-hong, Zhang, Gang, Wu, Gong-hua, Zhang, Li, Zhang, Ju-ying, & Ma, Xiao. (2019). All-cause child mortality in minority and non-minority areas in Sichuan Province in Western China, 2008–2017. Scientific reports, 9(1), 1-7.

Downloads

Published

2021-08-30

Issue

Section

Research Articles

How to Cite

[1]
Henry Asante Antwi, Tamires Lizandra Andrade Paixao, Maxwell Opuni Antwi, " Maternity Insurance Fund Depletion and Universal Two-Child Policy in Qinghai Province in China , International Journal of Scientific Research in Science and Technology(IJSRST), Online ISSN : 2395-602X, Print ISSN : 2395-6011, Volume 8, Issue 4, pp.465-478, July-August-2021. Available at doi : https://doi.org/10.32628/IJSRST218468