Virginia Li Shanghai C Presentation

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

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

Specific Objectives: 

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.

Figure 1. Dissemination of information from IHSKMC Website  to rural health professionals and the other target groups.: 

Figure 1. Dissemination of information from IHSKMC Website to rural health professionals and the other target groups.

Figure 2. Website Development, Implementation, and  Evaluation.: 

Figure 2. Website Development, Implementation, and Evaluation.

Figure 2. Website Development, Implementation, and  Evaluation (Cont.).: 

Figure 2. Website Development, Implementation, and Evaluation (Cont.).

Figure 3. Frequency of browsing the reproductive health  website and time spent on the website per week (July  1, 2003 to January 12, 2004). : 

Figure 3. Frequency of browsing the reproductive health website and time spent on the website per week (July 1, 2003 to January 12, 2004).

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). *: 

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

Table 2. Utilization of the interactive functions of the  reproductive health website (July 1, 2003 to January 12, 2004). : 

Table 2. Utilization of the interactive functions of the reproductive health website (July 1, 2003 to January 12, 2004).

Table 3. KAP of HIV/AIDS among health providers in three rural counties in Yunnan, China.: 

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 P<0.05 **Statistical significance between baseline and 1 year followup with P<0.01

Table 4. KAP of HIV/AIDS among teachers and women’s cadres in three rural counties in Yunnan, China.: 

Table 4. KAP of HIV/AIDS among teachers and women’s cadres in three rural counties in Yunnan, China. *Statistical significance between baseline and 1 year followup with P<0.05 **Statistical significance between baseline and 1 year followup with P<0.01

Table 5. Villagers knowledge and attitudes on HIV/AIDS and Hepatitis B in three rural counties, Yunnan, Chin : 

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.

Slide15: 

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.

Conclusion:: 

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.