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Background: This paper seeks to assess the sustainability of the reformed maternity insurance system and the extent to which China's current maternity insurance system can support different levels of fertility incentives in the future. Our findings will serve as a reference for countries in a similar demographic predicament and those about to face it. Methods: This study used a combination of qualitative and quantitative methods. In the qualitative assessment, we used a grounded theory model to generalize the factors influencing the sustainability of maternity insurance funds. For the quantitative analysis, we used a novel and comprehensive system dynamics model to visualize the status of the combined operation of maternity and health insurance. Data are mainly derived from the historical data of the Statistical Yearbook of Jiangsu Province and the National Bureau of Statistics of China. Results: In the short term, fertility incentive payments can be set to motivate people to have children. It is therefore recommended that when the scope of the fertility incentive policy is limited to two children, and an average amount above RMB 10 000 could be set, it would be prudent to set the amount at a level not exceeding RMB 10 000 when the scope of the fertility incentive policy is for all newborns. In the long term, a system of incentives for childbirth should be built from education policy, house price regulation, tax relief and childcare services. Conclusion: Our research not only highlights the significance of improving the resilience of maternity insurance by combining maternity insurance and health insurance funds, but also suggests a way to economically incentivize beneficiaries to have children so as to mitigate the decline in China's birth rate and cope with the crisis of an ageing population. [ABSTRACT FROM AUTHOR]

• The driving factors of human appropriation of net primary production (HANPP) were quantitatively assessed. • Eight indicators were introduced to specifically evaluate the impact of human and climate factors on HANPP. • The effect of climate change and human activities to the change of HANPP accounted for 73.2% and 26.8%, respectively. The combined effects of climate change and human activities pose threat to the sustainable development of ecosystems. Human appropriation of net primary production (HANPP) has been extensively used as an important indicator for evaluating the sustainable development of the ecosystem. However, few studies quantitatively assessed the driving factors of HANPP. Based on Moderate-Resolution Imaging Spectroradiometer (MODIS) data, methods of net primary production (NPP) model and regression analysis, the spatial and temporal distribution of HANPP and its driving factors in the Qilian Mountains from 2005 to 2015 were illustrated. The results showed that the HANPP in the Qilian Mountains decreased gradually from both east to west and from south to north, showing a slight upward overall. The regions affected by human activities and climate change accounted for 26.8% and 73.2% respectively. Moreover, there was a significant negative impact between grain yield and HANPP, and a significant positive impact of either the annual sunshine duration, or livestock amount to HANPP. [ABSTRACT FROM AUTHOR]