The health insurance electronic transaction might be a solution for this, but this has not yet been put into practice in Tibet. Although free hospital delivery care has been implemented, ANC and PPV are listed in the essential public health service scheme but not included in the reimbursement package as hospital delivery. In addition, due to the poor quality of health services in rural hospitals, people are more likely to bypass the referral hospital. Women from remote areas need to stay near a hospital until experiencing labor pain.
In the early s, maternal health care service was initiated in the Lhasa municipal hospital 35 and has been practiced in Tibet since then, although progress almost stopped during the Cultural Revolution era, as elsewhere in China.
The lines were derived from joinpoint analysis. The hospital delivery rate has stably increased by The MMR is in declining trend. The rate of reduction was 8. One small turning point was also observed in , when the rate of decline was This could be a direct result of free delivery care introduced in Maternal health data in Tibet Autonomous Region of China between and Abbreviation: APC, annual percent change.
In summary, with continuous financial investment, there has been remarkable progress in maternal survival and MHS in Tibet, particularly after where government resources were more available. However, the relative stagnation of MMR reduction after needs further exploration. The shortage of health professionals and EOC centers and sound maternal health information for the predominantly rural and scattered population in remote areas still need improvement.
Health system and its organisation structure and health service delivery system in Tibet. Author contributions. LS and VC designed the study. LS analyzed and drafted the manuscript. EM provided expert statistical advice.
All authors contributed to data analysis, drafting or revising the article, gave final approval of the version to be published, and agree to be accountable for all aspects of the work. National Center for Biotechnology Information , U. Risk Manag Healthc Policy. Published online Nov Author information Copyright and License information Disclaimer. This work is published and licensed by Dove Medical Press Limited. By accessing the work you hereby accept the Terms.
Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. Figure S2: Health system and its organisation structure and health service delivery system in Tibet. Open in a separate window. Results Between and , public health spending in Tibet increased fold, the hospital delivery rate increased Conclusion The shortage of health professionals and EOC centers and health information in predominantly remote rural areas with a scattered population still needs to be rectified.
Keywords: health system, human resources for health, emergency obstetric care, Tibet. Introduction Globally, about 1. Figure 1. The results and discussion of the study are detailed below. Maternal health policy China promulgated its first national law on MCH in Health workforce and training system Planning and distribution In , Tibet had 29, health workers in total. Deployment Tibet ended its undergraduate job assignment policy in and introduced a two-way selection employment policy under open recruitment testing. Maternal child health infrastructures Facility and technology Tibet has developed MCH health facility infrastructure from scratch since when the first county MCH facility was built.
Table 2 Emergency obstetric care facilities in Tibet in Maternal health information Tibet follows the national health information system and the vital MCH-related information collecting systems. Figure 2. Table 3 Total expenditure on health TEH by different domains in Tibet and neighbor provinces in and Progress in maternal health In the early s, maternal health care service was initiated in the Lhasa municipal hospital 35 and has been practiced in Tibet since then, although progress almost stopped during the Cultural Revolution era, as elsewhere in China.
Is development killing Tibet's way of life?
Figure 3. Summary and implications In summary, with continuous financial investment, there has been remarkable progress in maternal survival and MHS in Tibet, particularly after where government resources were more available. Supplementary materials Figure S1 Maternal health system review framework. Click here to view. Figure S2 Health system and its organisation structure and health service delivery system in Tibet. Disclosure The authors report no conflicts of interest in this work.
References 1. World Health Organization [webpage on the Internet] Maternal mortality. WHO; Duoji Z. Tibet Statistical Yearbook Beijing: China Statistics Press; National Health and Family Planning Commission. Zeng W. China Health. Bianba Analysis of 98 maternal death in Lhasa, Tibet. Tibetan Medical. Analysis of cause on 19 maternal deaths in project area of Tibet.
Modern commerce, tourism, catering, leisure and other industries that had never been heard of in old Tibet, are now booming as the primary industries in the region. Petroleum, natural gas, and rubber also play a large role in Tibet's annual exports. The rapid economic development of the T. Many Tibetans today draw a significant part of their income from selling handicraft and cultural products to tourists, or even to other Tibetans.
Founded in ,  the state carpet-making factory in Lhasa has turned into a modern enterprise whose products are sold in Europe, North America and South Asia. In recent years Tibet's tourism has expanded rapidly, especially after the completion of Qingzang Railway in July Tibet received 2. In , the figure climbed to some 4 million visitors but fell to only 2,, in  on account of the region being closed to tourism from March till June.
Between January and July , more than 2. In , the region received 6. Between January 1 and November 30, , the T. Nearly , people are employed in the region's tourism sector, according to government figures. From Wikipedia, the free encyclopedia. This article may be expanded with text translated from the corresponding article in French. March Click [show] for important translation instructions. View a machine-translated version of the French article. Machine translation like Deepl or Google Translate is a useful starting point for translations, but translators must revise errors as necessary and confirm that the translation is accurate, rather than simply copy-pasting machine-translated text into the English Wikipedia.
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