Health starts with maternal and child safety:maternal and child health of Shanghai under the Suitable Public Health System

The maternal and child health (MCH) is of great significance to human health.Focusing on the goal of "improving the quality of the birth population, reducing maternal mortality, infant mortality, the incidence of birth defects, and the sex ratio of the birth population", Shanghai has always attached importance to MCH and achieved remarkable results, highly praised by then Secretary-General Ban Ki-moon.In 2018, the average life expectancy of women (86.08 years), maternal mortality rate (1.18/10⁵) and infant mortality rate (3.5‰) in Shanghai, the main indicators of MCH, have reached the most advanced level in the world.An evaluation on MCH system of Shanghai has been conducted with "Evaluation Criteria for Suitable Public Health System", which was developed by Research Institute of Health Development Strategies, Fudan University and Collaborative Innovation Center of Health Risks Governance.MCH of Shanghai ranked first among 10 representative global cities(885.0 points and 937.1 points).Reviewing the development of MCH in Shanghai, five experiences were summarized.Firstly, the government was as the lead to continuously improve the MCH system (Government-led score of 836.6 points).Secondly, service network was continually improved as "five networks, one channel and two priorities" (Organizational soundness score of 1 000.0).Thirdly, focusing on overall coordination and continually taking advantages of high-quality medical resources (Coordination score of 613.4 and 667.6).Fourthly, emphasizing sustainable development and continuing to optimize resource investment (Financial suitability score of 756.3 and Personnel competence score of 677.6).Fifthly, adhering to construction of regulations and continuous improvement of MCH management and service capabilities (Regulation content integrity score of 884.1).MCH system in Shanghai has explored a development path suitable for the city itself.Next step, if more efforts can be made to "clarify the responsibilities of relevant departments and ensure their implementation", Shanghai's MCH system is expected to become a role model for global cities in 4-5 years.