← Back to Volume 6, Issue 3

Trend Analysis of the Impact of Maternal Health Management on Child Health

Wenshan Tan, Mimi Xiao
Vol.6, No.3, pp.83-92, 2026 DOI: 10.62051/ijphmr.v6n3.11 March 28, 2026
Download PDF
Abstract: To evaluate the impact of China's 2009 maternal health management program on service utilization and child health, and examine their association. Using 1998-2020 national time-series data, interrupted time series regression analyzed changes in four maternal service indicators and four child mortality indicators post-implementation. Pearson correlation assessed service-mortality associations. All maternal services showed significant immediate increases post-2009 (systematic management: B=5.53, p<0.01) and accelerated long-term trends (p<0.05). Child mortality continued pre-existing declines; perinatal mortality decreased immediately (B=-0.665, p<0.05). All service indicators correlated strongly and negatively with all mortality indicators (|r|>0.74, p<0.01).The 2009 program sustainably improved maternal service utilization and reinforced declining child mortality trends. Strong negative correlations confirm comprehensive maternal healthcare's critical role in improving child survival.
Keywords: Maternal health management, Child health, Interrupted time series analysis, Maternal health services, Child mortality, Health policy evaluation, China
APA Citation: Wenshan Tan, Mimi Xiao (2026). Trend Analysis of the Impact of Maternal Health Management on Child Health. International Journal of Public Health and Medical Research, 6(3), 83-92. https://doi.org/10.62051/ijphmr.v6n3.11

References

  1. Liang J, Zhu J, Dai L, et al. Maternal mortality in China, 1996-2005 [J]. Int J Gynaecol Obstet, 2010, 110(2): 93–6.
  2. Fang J, Kaufman J. Reproductive health in China: improve the means to the end [J]. Lancet, 2008, 372(9650): 1619–20.
  3. Ministry of Health of the People's Republic of China. National Basic Public Health Service Standards (2011 Edition) [J]. National Basic Public Health Service Standards, 2015.
  4. Statistics C F. America's Children: Key National Indicators of Well-Being, 2013 [C]. Federal Interagency Forum on Child & Family Statistics, 2011.
  5. Crossley, Thomas, F., et al. The reliability of self-assessed health status [J]. Journal of Health Economics, 2002.
  6. National Working Committee on Children and Women under the State Council. Outline for the Development of Chinese Children [J]. Today Hainan, 2008(5): 41–41.
  7. Jin Y. National Health Commission Issues the Action Plan for Promoting Children's Health (2021–2025) [J]. Adolescent Health, 2022, 20(1): 31–31.
  8. Wagner A K, Soumerai S B, Zhang F, et al. Segmented regression analysis of interrupted time series studies in medication use research [J]. J Clin Pharm Ther, 2002, 27(4): 299–309.
  9. Lagarde M. How to do (or not to do) ... Assessing the impact of a policy change with routine longitudinal data [J]. Health Policy Plan, 2012, 27(1): 76–83.
  10. Jandoc R, Burden A M, Mamdani M, et al. Interrupted time series analysis in drug utilization research is increasing: systematic review and recommendations [J]. J Clin Epidemiol, 2015, 68(8): 950–6.
  11. Ilboudo P G, Siri A. Effects of the free healthcare policy on maternal and child health in Burkina Faso: a nationwide evaluation using interrupted time-series analysis [J]. Health Econ Rev, 2023, 13(1): 27.
  12. Paulin, Basinga, And, et al. Effect on maternal and child health services in Rwanda of payment to primary health-care providers for performance: an impact evaluation [J]. Lancet, 2011.
  13. Zheng Y. Analysis of Maternal Mortality, Child Mortality Levels and Influencing Factors [D]. Dalian Medical University, 2007.
  14. El Ayadi A M, Duggal M, Gopalakrishnan L, et al. Effectiveness of Kushal Maa, a group-based mhealth interactive education and social support intervention for maternal and neonatal health outcomes: study protocol for a multisite randomised controlled trial in India [J]. BMJ open, 2025, 15(6): e104213.
  15. Yang X, Zhao G, Zheng J, et al. Impact of birth defect prevention and control programs on mortality among children with birth defects from 2012 to 2023 in Shenzhen, China [J]. Frontiers in Health Services, 2025, Volume 5 - 2025.
  16. Exley J, Gupta P A, Schellenberg J, et al. A rapid systematic review and evidence synthesis of effective coverage measures and cascades for childbirth, newborn and child health in low- and middle-income countries [J]. J Glob Health, 2022, 12: 04001.