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- W1497154723 abstract "This report is based on the findings of a World Bank rural health and medical education mission that visited China for 4 weeks during September and October of 1982. This review of the health sector begins by noting Chinas achievements in population control health status and nutrition. A section specifically on health then examines policies sources of financing and resource use that have contributed to Chinas successes. The report then discusses the evolution of several influences on health from outside the sector--nutritional improvements greater access to clean water and sanitary waste disposal and fertility reduction. A discussion follows of the problems that remain as the 2 major challenges to the health sector through the rest of the century. Chinas census of June 1982 recorded a population of 1008 million. Life expectancy rose from less than 35 years in the immdiate post-1049 period to almost 70 years in the early 1980s; the estimated infant mortality rate declined from 250 in 1950 to less than 50 in 1981. Steady improvements in the nutritional status of school-age children in China is noticeable at least in urban areas. In urban areas malnutrition has been substantially reduced and is no longer considered an important problem. Many children in rural areas however continue to suffer from moderate-to-serious malnutrition. China has emphasized public preventive over curative health services without neglecting curative services. Improved nutrition provision of safe water supplies and sanitary and convenient means of waste disposal fertility reduction and widespread educational improvements have been major policy objectives. A rapid growth in availability of hospital facilities and health personnel is apparent. A high proportion of total expenditure is mediated through insurance schemes. This reflects the high degree of health insurance coverage a major achievement of the Chinese health system. Major disparities continue to exist among and within provinces and between rural and urban areas in availability of health services and in health status. Effective health care delivery has been consolidated in urban areas. The next priority is to consoldate health care delivery in rural areas. The burden of Chinas health problems has been transferred to the older age groups who are particularly vulnerable to chronic diseases." @default.
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- W1497154723 date "1984-06-01" @default.
- W1497154723 modified "2023-09-27" @default.
- W1497154723 title "China: The Health Sector" @default.
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