Cross-border childbirth between Mainland China and Hong Kong: Social pressures and policy outcomes

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dc.contributor.author Yam, BM
dc.date.accessioned 2012-02-14T04:22:58Z
dc.date.issued 2011-01
dc.identifier.citation Portal Journal of Multidisciplinary International Studies, 2011, 8 (2), pp. 1 - 13
dc.identifier.issn 1449-2490
dc.identifier.other C1 en_US
dc.identifier.uri http://hdl.handle.net/10453/17251
dc.description.abstract Using secondary data analysis, this paper examines the societal impact of mainland Chinese expectant mothers who gave birth in Hong Kong (HK). In 2009, 45.4% of live births were born to this group of women, compared to 10.2% in 1995. These women agreed unanimously that giving birth in HK would secure the future of their child with permanent residency, access to free education, subsidised health care, social welfare benefits and a better standard of living. For parents who choose to have more than one child, cross-border birthing can provide an opportunity to bypass Chinas one-child policy. This rising trend has put heavy pressure on the already stretched obstetric services at the expense of local women. The Hospital Authority (HA) responsible for public hospitals acknowledged that in the 2004-5 financial year, 1 670 mainland women failed to pay HK$12.64 million (USD1.63m) in hospital bills; and in 2005-6, 2 138 women defaulted HK$28.58m (USD3.68m). In response to protests at this situation and the lack of an effective policy, HA introduced an obstetric package in February 2007. Non-local expectant mothers must now pay HK$39 000 (USD5 000) in advance to cover one antenatal visit, delivery service and delivery-related hospitalisation for three days; non-compliant women would be charged HK$48 000 (USD6 154). Mainland women who are over 28 weeks gestation are now denied entry at immigration checkpoint if they do not have a prior booking. Between February and December 2007, an HA audit showed a 229% increase in booking for public hospitals alone and secured HK$257.4m (USD33m) in fees. Non-compliant cases and last-minute hospital admissions were significantly reduced. In addition to the high bill settlement rate, this policy has provided a steady workload and training opportunities for many health care providers. If these new citizens remain in HK, they may contribute to the prosperity as well as alleviating the ageing population of HK.
dc.publisher UTSePress, Sydney
dc.title Cross-border childbirth between Mainland China and Hong Kong: Social pressures and policy outcomes
dc.type Journal Article
dc.parent Portal Journal of Multidisciplinary International Studies
dc.journal.volume 2
dc.journal.volume 8
dc.journal.number 2 en_US
dc.publocation Sydney en_US
dc.publocation Kyoto Japan
dc.identifier.startpage 1 en_US
dc.identifier.endpage 13 en_US
dc.cauo.name FOH.Faculty of Health en_US
dc.conference Verified OK en_US
dc.conference IEEE/SICE International Symposium on System Integration
dc.for 2002 Cultural Studies
dc.personcode 995612
dc.percentage 100 en_US
dc.classification.name Cultural Studies en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US
dc.date.activity en_US
dc.date.activity 2011-12-20
dc.location.activity en_US
dc.location.activity Kyoto Japan
dc.description.keywords NA en_US
dc.description.keywords FPGA, neuro-fuzzy control, control system on chip
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Health
utslib.copyright.status Open Access
utslib.copyright.date 2015-04-15 12:23:47.074767+10
utslib.collection.history General (ID: 2)


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