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  • This population based study demonstrates that interventions

    2019-04-16

    This population-based study demonstrates that interventions must change attitudes regarding violence in the home and society, promote positive parenting practices, and tackle the inequality that allows the normalisation of violence and patriarchal power over women and children. Violence does not occur in isolation and it is necessary to recognise the interconnectedness of its different forms as they often share common root causes. This study not only indicates a need for cross-collaboration between researchers working in violence against women and violence against children, but also for efforts to address common risk factors and tackle social norms that support both forms of violence. This approach resonates with previous research which shows that interventions addressing the root causes and risk factors have the greatest potential for reducing multiple forms of violence and their detrimental outcomes. While the conceptual framework and theory identifying the nexus between violence against women and violence against children have been established, how these multiple and complex intersections are addressed in practice remains under-researched. Future research must (i) identify opportunities and challenges across existing policies and programmes that straddle both fields, (ii) promote dialogue between violence against women and violence against children practitioners and policy-makers, and (iii) review evidence on what works to achieve mutually reinforcing results across both fields and scope opportunities for greater collaboration. These three areas of research could ultimately promote and accelerate achievement of the 2030 SDGs for eliminating both violence against women and violence against children. The science of public health is linked to action and the use of evidence to drive change, which is essential to achieving the basic human right of a life free of violence.
    China has achieved a substantial order PalMitoyl Tripeptide-1 in maternal mortality over the past three decades, from 88·8 deaths per 100 000 livebirths in 1990 to 21·7 deaths per 100 000 livebirths in 2014, down by 75·6%. The Article by Yanqiu Gao and colleagues in is a valuable and welcome opportunity to present progress and discuss how maternal health can be improved in developing countries facing similar issues. The results of this study will help contribute to the implementation of the Sustainable Development Goals (SDGs) for health by 2030. Gao and colleagues analyse and discuss China\'s recent health system development and socioeconomic changes, which have been associated with a significant reduction in maternal mortality between 1994 and 2014. Their study fills in gaps in the Countdown case study series, which has focused largely on child health. The results show that China has made impressive progress in maternal health and has achieved Millennium Development Goal 5 to reduce maternal mortality by 75% between 1990 and 2015. However, in focusing on the relatively underdeveloped region of western China, an opportunity has been missed to examine maternal health in central China, a neglected issue of urgent concern. As shown in Gao and colleagues\' study, the median gross domestic product per capita in 2010 for central China was only slightly higher than that of western China in 2010 (RMB ¥25 100 per person in central China ¥22 700 per person in western China). Some provinces in central China have a greater numbers of people living in poverty than many provinces in western China. According to the Fifth National Health Services Survey of China done in 2013, the proportion of women receiving at least five antenatal check-ups in central China was the lowest of the three regions (western, central, and eastern China), at 68·6% in urban areas and 55·2% in rural areas compared with 78·3% in urban areas and 57·1% in rural areas in western China. Additionally, as reported by Gao and colleagues, the average number of licensed doctors per 1000 registered population was higher overall in western China than in central China. The results suggest that addressing maternal health challenges is equally important in central China as in western China.