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

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dc.contributor.author Yam, Bernard en_US
dc.contributor.editor en_US
dc.date.accessioned 2012-02-14T04:22:58Z
dc.date.available 2012-02-14T04:22:58Z
dc.date.issued 2011 en_US
dc.identifier 2010006269 en_US
dc.identifier.citation Yam Bernard 2011, 'Cross-border childbirth between Mainland China and Hong Kong: Social pressures and policy outcomes', UTSePress, Sydney, vol. 8, no. 2, pp. 1-13. en_US
dc.identifier.issn 1449-2490 en_US
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 China?s 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. en_US
dc.language en_US
dc.publisher UTSePress, Sydney en_US
dc.title Cross-border childbirth between Mainland China and Hong Kong: Social pressures and policy outcomes en_US
dc.parent Portal Journal of Multidisciplinary International Studies en_US
dc.journal.volume 8 en_US
dc.journal.number 2 en_US
dc.publocation Sydney en_US
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.for 111000 en_US
dc.personcode 995612 en_US
dc.percentage 100 en_US
dc.classification.name Nursing en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US
dc.date.activity en_US
dc.location.activity en_US
dc.description.keywords NA en_US
dc.staffid en_US
dc.staffid 995612 en_US


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