Transcultural Healthcare Practice


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Plan to reduce high risk behaviors among child bearing Chinese women

A vast majority of child bearing women in China engage in high riskbehaviors, which affect the health of their fetus, as well as theirown health. Whether this engagement is as a result of ignorance orlack of information is a question which is yet to be answered.Smoking, alcohol abuse, abortions and insufficient healthy diets areall risky behaviors that Chinese child bearing women engage in. Theadoption of the Chinese one child policy in 1979 has led to numerousrisky behaviors amongst child bearing women in China (Levy et al.,2013). Women have engaged in risky behaviors, which are aimed atlimiting the number of children they bear. Traditional andconventional family planning methods have been prevalent in China.The Chinese culture has been traditionally opposed to the idea ofbirth control. Since the country comprises of different religions andpeople of varying cultural backgrounds, adopting a universal policyon birth control has been extremely hard. This section seeks toexpound on various measures and plans to reduce the high riskbehaviors among the child bearing women in China.

Enlighten the women on modern and safe family planning methods

In order to reduce the risky behaviors of birth control that childbearing women use in China, the government must educate the women onmodern family planning methods. Although over 80% of the childbearing women in China use contraceptives, it is evident that thereare a few who still use the traditional birth control methods such asthe cervical mucus method. Abortions must also be reducedsignificantly (Castaneda, 2013). Abortions may have detrimentaleffects on the health and future possibility of a woman bearing achild. The enlightenment will ensure that the women adopt modern andsafe family planning methods.

Provision of family planning services and counselling for free bythe government

Child bearing women engage in risky behaviors due to lack of adviceand information. The government must provide the safe family planningmethods for a cheap price or for free to the child bearing women.This will ensure that the women are only practicing the safe familyplanning methods. Counselling centers in the remote areas cans becritical in informing women of the risky behaviors which they aresupposed to avoid.

Protection of the girl child

According to the Chinese culture, the male child is considered morevaluable than the female child. As a consequence, the female childrenrecord high rates of infanticide than the male children. Childbearing women in China may engage in infanticide of the femalechildren through abortion. This is an extremely retrogressive culturethat belittles the girl child and by extension belittles the women(Levy et al., 2013). The death of girl children must be punishable bylaw. This will not only ensure the safety of the girl child, butwould also reduce the risky behavior of abortion significantly. Theimportance of the girl child in the society must be enhanced by thegovernment. This would ensure that child bearing women do not engagein irresponsible abortions in an effort to eliminate girls.

Adjustment of the one child policy

The one child policy has been responsible for various riskybehaviors in child bearing women in China. Abortions and some riskytradition family planning methods have been as a result the one childpolicy by the government. Besides the one child policy, education tothe child bearing women is critically essential in giving theminsight with regard to risky behaviors. Whereas it is essential forthe Chinese government to control its population, it is also criticalto consider the effects of such birth control policies. Allowingcouples to bear children but educating them on the constraintsbrought by numerous children could be a critical move of eliminatingrisky behaviors.

Pre-conception counseling

A vast majority of the women in China engage in risky behaviors suchas drinking and smoking due to the lack of Pre-conception counseling.Counselling must be enhanced to educate women on the best practicesbefore, during and after pregnancy. The meeting between the woman andthe health professional ensures seeks to educate the woman on thevarious risky behaviors she should stop. The health professional willadvise on the dangers of tobacco and alcohol (Castaneda, 2013). Inaddition, the health professional will also ensure that the women isaware of the various medication that would compromise the health ofthe child. Child bearing women must meet the health professionalsbefore their initial births. This ensures that they are givenadequate advice on the behaviors to engage in while pregnant orbefore they are pregnant.

Campaigns to reduce smoking and alcohol use among child bearingwomen

The government has the responsibility of introducing awarenesscampaigns and policies on the dangers of alcohol and smoking in childbearing women. Community based organizations must be used as theavenues to reach the highly populated areas in the remote areas.Government policies prohibiting smoking and alcohol use amongst womencan also be adopted. It is imperative to note that a vast majority ofthe child bearing women who engage in alcohol and tobacco abuse areyoung. Television and radio advertisements advising child bearingmothers to avoid drugs can also go a long way in eliminating theserisky behaviors.

Enhance equal distribution of wealth and education

Lack economic and education balance in the Chinese vast society hasled to the universal adoption of safe family planning methodsextremely difficult. Whereas the urban and learned section of thesociety have embraced the practice of modern and safe family planningmethods, the illiterate remain opposed to the practice (Castaneda,2013). This has led to numerous abortion and use of risky birthcontrol methods. Research has indicated that uneducated child bearingwomen in China are more likely to engage in risky behaviors thantheir educated counterparts. Economic status of the child bearingwomen also play a critical role in contributing to highly riskybehaviors. Poor women cannot afford the modern birth control methodsand are therefore forced to adopt traditional and risky methods.

Sex health education

Research has indicated that sexual activities have increased at analarming rate amongst the youths in China. Surprisingly, a vastmajority of them do not use contraceptives or protection. This hasled to numerous unplanned and unexpected pregnancies leading toabortions (Levy et al., 2013). This is a dangerous risky behavioramongst child bearing women in China. Sex education must be adoptedearly in order to educate the women on the dangers of risky sexualbehaviors. Sexually transmitted diseases can also be contractedthrough unsafe sex among child bearing women. The risky sexualbehaviors that women engage in are as a result of lack of properknowledge on the dangers posed by the behavior. Engaging in sexualactivities with more than one partner was is also a risky behaviorthat child bearing women in China engage in. This is an extremelyrisky behavior that exposes them to sexually transmitted diseases.


The issue of risk behaviors among child bearing women revolvesaround birth control methods, unsafe sex, religion, culture andsubstance abuse. Unbalanced economic and social factors have alsobeen cited as key factors (National Research Council, 2012). Themulti-racial and multi religious aspect of the Chinese society makesit extremely hard for the government to engage the public in properfamily planning methods. Traditionally, the Chinese society has beenopposed to birth control methods and this has led to numerous riskybehaviors by child bearing women. The one child policy also resultedin numerous risky behaviors such as abortion and the use of unsafetraditional contraceptives. The government must enhance theaccessibility of modern and safe family planning methods to the childbearing women (Castaneda, 2013). Sex education among the childbearing women can also go a long way in eliminating the riskybehaviors. The government must also enhance the accessibility ofcounselling services from health professionals to the women.


Levy, B. S., Levy, B. S., &amp Sidel, V. W. (2013). Socialinjustice and public health. Oxford: Oxford University Press.

Castaneda, D. (2013). The essential handbook of women`s sexuality.Santa Barbara, Calif: Praeger.

National Research Council, (U.S.). (2012). Contraception andreproduction: Health consequences for women and children in thedeveloping world. Washington, D.C: National Academy Press.