title: An impact evaluation of the Safe Motherhood Program in China.
abstract: Using 11 years of county-level panel data, fixed effect models are estimated to evaluate the impact of the Safe Motherhood (SM) Program in China. Propensity score matching is used to select comparable factual and counterfactual counties. Out of 2013 counties in China, 283 are selected for the treatment group and 1051 for the control group. The results support the causal relationship between the program and its targeted outcomes and the partial effects increases as years of exposure in the program: 7 years' treatment of the program increases hospital delivery rate by 3.992 per 100 live births and decreases Maternal mortality ratio (MMR) due to hemorrhage by 10.229 per 100,000 live births. Further modeling supports the conclusion that the program reduces MMR by enhancing MCH care. With an average annual incremental unit cost for the program of about 318.0 thousand RMB (39.8 thousand USD) per county, we conclude that the SM Program is effective in reducing MMR through the enhancement of hospital delivery.
authors.affiliation: Department of Health Policy and Administration, School of Public Health, Peking University, Beijing, China. fxl@bjmu.edu.cn
authors.forename: Xing Lin
authors.initials: XL
authors.lastname: Feng
authors.forename: Guang
authors.initials: G
authors.lastname: Shi
authors.forename: Yan
authors.initials: Y
authors.lastname: Wang
authors.forename: Ling
authors.initials: L
authors.lastname: Xu
authors.forename: Hao
authors.initials: H
authors.lastname: Luo
authors.forename: Juan
authors.initials: J
authors.lastname: Shen
authors.forename: Hui
authors.initials: H
authors.lastname: Yin
authors.forename: Yan
authors.initials: Y
authors.lastname: Guo
mesh_terms: D002681:China / Q000453:epidemiology; D036861:Delivery, Obstetric / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008427:Maternal Health Services / Q000592:standards*; D008428:Maternal Mortality; D017059:Models, Econometric; D009035:Mothers; D011247:Pregnancy; D011248:Pregnancy Complications / Q000401:mortality* / Q000517:prevention & control*; D057216:Propensity Score; D012107:Research Design; D012959:Socioeconomic Factors