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From Quantity to Quality: Delivering a Home-Based Parenting Intervention Through China's Family Planning Cadres

A key challenge in developing countries interested in providing early childhood development (ECD) programmes at scale is whether these programmes can be effectively delivered through existing public service infrastructures. We present the results of …

Using Incognito Standardised Patients to Evaluate Quality of Eye Care in China

Background/aims Few studies have objectively examined the quality of eye care in China. We assessed refractive care using the incognito standardised patient (SP) approach, a gold standard for evaluating clinical practice. Methods A total of 52 SPs …

Early Childhood Reading in Rural China and Obstacles to Caregiver Investment in Young Children: A Mixed-Methods Analysis

Studies have shown that nearly half of rural toddlers in China have cognitive delays due to an absence of stimulating parenting practices, such as early childhood reading, during the critical first three years of life. However, few studies have …

Comparing the Quality of Primary Care between Public and Private Providers in Urban China: A Standardized Patient Study

Previous studies have been limited by not directly comparing the quality of public and private CHCs using a standardized patient method (SP). This study aims to evaluate and compare the quality of the primary care provided by public and private CHCs …

Improving Learning by Improving Vision: Evidence from Two Randomized Controlled Trials of Providing Vision Care in China

This paper examines the external validity of health intervention by comparing the impacts of providing free eyeglasses on the educational performance of nearsighted children in two settings: rural public schools in Western China and urban private …

Preference for Daily versus On-Demand Pre-Exposure Prophylaxis for HIV and Correlates among Men Who Have Sex with Men: The China Real-World Oral PrEP Demonstration Study

Introduction This study explores the preference for daily versus on-demand pre-exposure prophylaxis (PrEP) among men who have sex with men (MSM) in developing countries when both regimens are available. Methods From 11 December 2018 to 19 October …

Analysing the Preferences for Family Doctor Contract Services in Rural China: A Study Using a Discrete Choice Experiment

Preliminary evaluations have found that family doctor contract services (FDCSs) have significantly controlled medical expenses, better managed chronic diseases, and increased patient satisfaction and service compliance. In 2016, China proposed the …

Impact of Substandard and Falsified Antimalarials in Zambia: Application of the SAFARI Model

Many countries are striving to become malaria-free, but global reduction in case estimates has stagnated in recent years. Substandard and falsified medicines may contribute to this lack of progress. Zambia aims to eliminate their annual burden of 1.2 …

The Competence of Village Clinicians in the Diagnosis and Management of Childhood Epilepsy in Southwestern China and Its Determinants: A Cross-Sectional Study

Background Due to lack of neurologists in low- and middle-income countries, communities of patients living with epilepsy are calling for task-shifting of diagnosis and management from physicians to paramedical providers in the primary health care …

The Competence of Village Clinicians in the Diagnosis and Treatment of Heart Disease in Rural China: A Nationally Representative Assessment

While strengthening primary care quality is key to China's health system reforms, evidence to guide this work has been limited, particularly for rural areas. This study provides the first nationally-representative assessment of village doctors' …