Bridging the Urban-Rural Continuum to Improve Services in Rural China

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Bridging the Urban-Rural Continuum to Improve
Services in Rural China

• Virginia C. Li, PhD, MPH,
• Professor of Community Health Sciences
• UCLA School of Public Health
• and
• Songyuan Tang, MB, MPH, MA, Associate professor
• Lichun Tian, MB, M.P.H., Junior Lecturer
• Kaining Zhang, M.B., M.S., Professor and
  Director, Institute for Health
• Studies and Development, Kunming Medical College,
  Yunnan, China.
• Roger Detels, M.D., M.S., is Professor of
  Epidemiology,
• UCLA School of Public Health
• 
  

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Specific Objectives

• Upgrade the quality of family planning and
  contraceptive programs, sexually transmitted
  disease services and services promoting safe
  motherhood in the rural areas.
• Disseminate the necessary computer skills to 26
  demonstration township health centers through
  development and evaluation of primary, secondary
  and tertiary workshops (train-the-trainers).
• Develop a team at IHS to assist township health
  workers in developing strategies to disseminate
  the knowledge, strategies and policies from the
  IHS website to the rural residents.
• Strengthen capacity for long-term institutional
  collaboration between IHS and the UCLA School of
  Public Health Bixby Program to enhance
  reproductive health research and practice in
  China.

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Figure 1. Dissemination of information from
IHSKMC Website to rural health
professionals and the other target groups.
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Figure 2. Website Development, Implementation,
and
Evaluation.
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Figure 2. Website Development, Implementation,
and
Evaluation (Cont.).
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Figure 3. Frequency of browsing the reproductive
health website and time spent on the website
per week (July 1, 2003 to January 12, 2004).
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Table 1. Frequency of visiting and total time
spent on the reproductive health website per
week in minutes (July 1, 2003 to January 12,
2004).
Log System Data
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Table 2. Utilization of the interactive functions
of the reproductive health website (July 1,
2003 to January 12, 2004).
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Table 3. KAP of HIV/AIDS among health providers
in three rural counties in Yunnan, China.
Statistical significance between baseline and 1
year followup with Plt0.05 Statistical
significance between baseline and 1 year followup
with Plt0.01
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Table 4. KAP of HIV/AIDS among teachers and
womens cadres in three rural counties in
Yunnan, China.
Statistical significance between baseline and 1
year followup with Plt0.05 Statistical
significance between baseline and 1 year followup
with Plt0.01
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Table 5. Villagers knowledge and attitudes on
HIV/AIDS and Hepatitis B in three rural counties,
Yunnan, Chin
Statistically significant difference
between baseline and one year follow-up surveys
with a P-value less than 0.05.
Statistically significant difference between
baseline and one year follow-up surveys with a
P-value less than 0.01.
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Table 6. Students knowledge on HIV/AIDS and
Hepatitis B in three rural counties, Yunnan,
China
Statistically significant difference
between baseline and one year follow-up surveys
with a P-value less than 0.05.
Statistically significant difference between
baseline and one year follow-up surveys with a
P-value less than 0.01.
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Conclusion

• Using the website for information, education, and
  communication in remote area is feasible.
• Impact can be achieved even with one computer per
  agency at the township level.
• Logistic support and monitoring is a critical
  element to success.
• There is urgent need for licensing and
  recertification of village doctors.