ORGANIZING TO MEET CRITICAL NEEDS FOR MATERNITY CARE IN DEVELOPING COUNTRIES: A SOCIAL AND HEALTH SYSTEM DIAGNOSIS
Abstract
The sustainable development goals (SDGs) targets for improving adequate and respectful sexual and reproductive health outcomes will rely on how efficient health systems are organized to deliver these essential services. Beyond maternity and reproductive health outcomes, an efficient diagnosis of social and health system challenges across most developing countries could help improve general health service delivery. We aim here to provide an overview of health system
level issues that need urgent context policy level consideration. To attain this, we set out to assess at social and health system level, issues that need attention to improve women health outcomes. We advocate specifically for health systems to be designed around meeting patientvalue based health need, providing options for patient payments systems in order to guarantee sustainable health systems whiles improving skilled provider care for maternity care. Beyond 2015, there is need for country long term financial planning and the generation of reliable health data that helps in health prioritization and planning for advancing long term prospects of maternity care across most developing countries.
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References
2. WHO. Addressing the Challenges of Women's Health in Africa. Regional Office for Africa. Brazzaville: WHO Regional Office for Africa, 2012.
3. Darroch JE. Trends in contraceptive use. Contraception 2013;87(3):259-63
4. Singh S, Darroch JE. Adding it up: costs and benefits of contraceptive services— estimates for 2012. Guttmacher Institute and United Nations Population Fund.
New York: Guttmacher Institute and United Nations Population Fund (UNFPA), 2012.
5. Sonfield A. Working to eliminate the world’s unmet need for contraception. Guttmacher Policy Review 2006;9(1):10-13
6. Ross JA, Winfrey WL. Unmet need for contraception in the developing world and the former Soviet Union: an updated estimate. International family planning
perspectives 2002:138-43
7. Watkins K. Leaving no one behind: an agenda for equity. The Lancet 2014;384(9961):2248-55
8. Parkhurst JO, Penn-Kekana L, Blaauw D, et al. Health systems factors influencing maternal health services: a four-country comparison. Health Policy 2005;73(2):127-38
9. Borghi J. What is the cost of maternal health care and how can it be financed? Safe motherhood strategies: A review of the evidence 2000
10. ten Hoope-Bender P, de Bernis L, Campbell J, et al. Improvement of maternal and newborn health through midwifery. The Lancet 2014;384(9949):1226-35
11. Say L, Raine R. A systematic review of inequalities in the use of maternal health care in developing countries: examining the scale of the problem and the
importance of context. Bulletin of the World Health Organization 2007;85(10):812-19
12. Moyer CA, Adongo PB, Aborigo RA, Hodgson A, Engmann CM, DeVries R. “It’s up to the woman’s people”: how social factors influence facility-based delivery in Rural Northern Ghana. Matern Child Health J 2014;18(1):109-19
13. Kruk ME, Rockers PC, Mbaruku G, Paczkowski MM, Galea S. Community and health system factors associated with facility delivery in rural Tanzania: A multilevel analysis. Health Policy 2010;97(2–3):209-16 doi: http://dx.doi.org/10.1016/j.healthpol.2010.05.002[published Online First: Epub Date]|.
14. Jahn A, Dar Iang M, Shah U, Diesfeld HJ. Maternity care in rural Nepal: a health service analysis. Tropical Medicine & International Health 2000;5(9):657-65 doi: 10.1046/j.1365-3156.2000.00611.x[published Online First: Epub Date]|.
15. Ensor T, Cooper S. Overcoming barriers to health service access: influencing the demand side. Health policy and planning 2004;19(2):69-79
16. El Arifeen S, Hill K, Ahsan KZ, Jamil K, Nahar Q, Streatfield PK. Maternal mortality in Bangladesh: a Countdown to 2015 country case study. The Lancet 2014;384(9951):1366-74
17. Witter S, Adjei S. Start‐stop funding, its causes and consequences: a case study of the delivery exemptions policy in Ghana. The International journal of health
planning and management 2007;22(2):133-43
18. Berman PA. Health sector reform in developing countries: making health development sustainable: Harvard Center for Population and Development
Studies, 1995.
19. Orubuloye I, Oni JB. Health transition research in Nigeria in the era of the Structural Adjustment Programme. Health Transition Review 1996;6:301-24
20. Ensor T, Ronoh J. Effective financing of maternal health services: a review of the literature. Health Policy 2005;75(1):49-58
21. Dudgeon MR, Inhorn MC. Men's influences on women's reproductive health: medical anthropological perspectives. Social science & medicine 2004;59(7):1379-95
22. Green A, Collins C, Mayhew SH, Lubben M. Reproductive health and health sector reform in developing countries: establishing a framework for dialogue. 2002
23. Borghi J, Ensor T, Somanathan A, Lissner C, Mills A, group LMSSs. Mobilising financial resources for maternal health. The Lancet 2006;368(9545):1457-65
24. Buchan J, Calman L. The global shortage of registered nurses: An overview of issues and actions. ICN, Geneva 2004
25. Requejo JH, Bryce J, Barros AJ, et al. Countdown to 2015 and beyond: fulfilling the health agenda for women and children. The Lancet 2015;385(9966):466-76
26. Stanton CK, Holtz SA. Levels and trends in cesarean birth in the developing world. Studies in family planning 2006;37(1):41-48
27. Wolvardt G, Palmer N. Private sector. South African Health Review 1997;1997:37-44
28. Sialubanje C, Massar K, Hamer DH, Ruiter RA. Reasons for home delivery and use of traditional birth attendants in rural Zambia: a qualitative study. BMC
pregnancy and childbirth 2015;15(1):216
29. Turinawe EB, Rwemisisi JT, Musinguzi LK, et al. Traditional birth attendants (TBAs) as potential agents in promoting male involvement in maternity preparedness: insights from a rural community in Uganda. Reproductive health 2016;13(1):1
30. Adeniran A, Ogunnowo BE, Wright KO, Odusanya OO. Effect of Training on Knowledge and Practices of Traditional Birth Attendants for the Prevention of
Malaria in Pregnancy in Nigeria. Journal of Public Health in Developing Countries 2015;1(2):64-74
31. Starrs AM. Safe motherhood initiative: 20 years and counting. The Lancet 2006;368(9542):1130-32
32. Shah IH, Say L. Maternal mortality and maternity care from 1990 to 2005: uneven but important gains. Reproductive Health Matters 2007;15(30):17-27
33. WHO. The World Health Report:health systems financing:the path to universal health coverage Geneva,Switzerland: World Health Organization, 2010.
34. Koblinsky M, Matthews Z, Hussein J, et al. Going to scale with professional skilled care. The Lancet 2006;368(9544):1377-86
35. Blas E, Gilson L, Kelly MP, et al. Addressing social determinants of health inequities: what can the state and civil society do? The Lancet 2008;372(9650):1684-89
36. WHO. The WHO global strategy on people-centred integrated health services. Geneva: Services Delivery and Safety Department, WHO Headquarters
Geneva, 2015.
37. Ayanore MA, Pavlova M, Groot W. Unmet reproductive health needs among women in some West African countries: a systematic review of outcome measures and determinants. Reproductive Health 2016;13(1):5
38. Ayanore MA, Aryee PA. Determinants and Use of Family Planning Among Young Women (18-28 Years) Attending Health Facilities in Garu-Tempane District of Ghana. International Journal of Health Sciences 2015;3(4):43-54
39. Coast E, Jones E, Latoff S. Effectiveness of interventions to provide culturallyappropriate maternity care in increasing uptake of skilled maternity care: a systematic review. Health Policy and Planning 2016.