Lynn P Freedman
Dados Biográficos
| ID | 1446403 |
|---|---|
| NOME | Lynn P Freedman |
| PRENOMES | Lynn P |
| SOBRENOME | Freedman |
| ASSINATURA | FREEDMAN L P |
| AFILIAÇÕES | Columbia University |
| ORCID | 0000-0003-4288-605X |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 24 |
| TOTAL DE CITAÇÕES | 86 |
| TOTAL COMO AUTOR | 24 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1993 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2025 |
| ÍNDICE H | 5 |
Using human-centered design to re-vision the emergency obstetric and newborn care framework
The Emergency Obstetric and Newborn Care (EmONC) Framework has been instrumental in helping countries plan and monitor maternal health services for over 20 years. Given evolving health systems, the changing expectations of both patients and health providers, and the expanded evidence base, the “Re-Visioning EmONC” project was initiated to update this framework to better meet countries’ needs. To understand the needs of its primary intended users,…
The development of proxy indicators to measure workforce well-being in emergency obstetric and neonatal care settings
Background: A shortage of health workers with skills to deliver high-quality routine and emergency maternal and newborn health (MNH) care hinders achievement of the Sustainable Development Goals. Health worker well-being is a determinant of the quality and experiences of care. The emergency obstetric and newborn care (EmONC) framework supports country-level planners and managers to evaluate EmONC systems. We describe a measure development activit…
Evolving narratives on signal functions for monitoring maternal and newborn health services
Emergency obstetric care (EmOC) signal functions are a shortlist of key clinical interventions capable of averting deaths from the five main direct causes of maternal mortality; they have been used since 1997 as a part of an EmOC monitoring framework to track the availability of EmOC services in low- and middle-income settings. Their widespread use and proposed adaptation to include other types of care, such as care for newborns, is testimony to …
A critical interpretive synthesis of power and mistreatment of women in maternity care
Labouring women may be subjected to physical and verbal abuse that reflects dynamics of power, described as Mistreatment of Women (MoW). This Critical Interpretive Synthesis on power and MoW consolidates current research and advances theory and practice through inter-disciplinary literature exploration. The review was undertaken in 3 phases. Phase 1 consisted of topic scoping; phase 2 entailed exploration of key power-related drivers emerging fro…
Maternal and newborn health for the urban poor
The community health worker as service extender, cultural broker and social change agent
This paper is a critical interpretive synthesis of community health workers (CHWs) and accountability in low-income and middle-income countries. The guiding questions were: What factors promote or undermine CHWs as accountability agents? (and) Can these factors be intentionally fostered or suppressed to impel health system accountability? We conducted an iterative search that included articles addressing the core issue of CHWs and accountability,…
We all have the same right to have health services’
This study contributes to the limited literature regarding the mechanisms of legal empowerment case resolution in health systems and the impact of hybrid legal empowerment and social accountability approaches. Future research might assess the sustainability of case resolution; how governance at central, provincial, and district level is affected by similar programs; and to what extent the mix of different cases addressed by legal empowerment infl…
Disrespectful and abusive treatment during facility delivery in Tanzania
Although qualitative studies have raised attention to humiliating treatment of women during labour and delivery, there are no reliable estimates of the prevalence of disrespectful and abusive treatment in health facilities. We measured the frequency of reported abusive experiences during facility childbirth in eight health facilities in Tanzania and examined associated factors. The study was conducted in rural northeastern Tanzania. Using a struc…
Eye of the beholder? Observation versus self-report in the measurement of disrespect and abuse during facility-based childbirth
Human rights has been a vital tool in the global movement to reduce maternal mortality and to expose the disrespect and abuse that women experience during childbirth in facilities around the world. Yet to truly transform the relationship between women and providers, human rights-based approaches (HRBAs) will need to go beyond articulation, dissemination and even legal enforcement of formal norms of respectful maternity care. HRBAs must also devel…
Where women go to deliver
Growing evidence from a number of countries in Asia and Africa documents a large shift towards facility deliveries in the past decade. These increases have not led to the improvements in health outcomes that were predicted by health policy researchers in the past. In light of this unexpected evidence, we have assessed data from multiple sources, including nationally representative data from 43 countries in Asia and Africa, to understand the size …
Association Between Disrespect and Abuse During Childbirth and Women’s Confidence in Health Facilities in Tanzania
Unmasking the open secret of posting and transfer practices in the health sector
This article focuses on processes of granting posts and transfers to health care workers and administrators that can be described as 'mission inconsistent (MI)', meaning that they are not conducted in a way that maximizes health outcomes or that respects the norms of health care worker professionalism. We synthesize relevant literature from several different disciplinary perspectives to describe what is known about the problem of MI posting and t…
Defining disrespect and abuse of women in childbirth
PerspectivesIn the field of maternal and newborn health, there have been calls to prioritize the intra-partum period and promote facility delivery to meet maternal and newborn mortality reduction goals. This aim is based on a decade of epide-miological work identifying causes of death, systematically reviewing effective interventions, and modelling the impact of intervention coverage on mortality.
Act global, but think local
There is a worrying divergence between the way that sexual and reproductive health and rights problems and solutions are framed in advocacy at the global level and the complex reality that people experience in health services on the ground. An analysis of approaches to accountability used in advocacy at these different levels highlights the different assumptions at play as to how change happens. This paper makes the case for a reinvigorated appro…
Equity of inpatient health care in rural Tanzania
The findings indicated that while current Tanzanian health financing policies may have improved access to health care for children under five, additional policies are needed to further close the equity gap, especially for obstetric inpatients
Rebuilding health systems to improve health and promote statebuilding in post-conflict countries
Roundtable
Is pregnancy getting safer for women? It depends. It depends on where a woman is born her social class ethnic group or other marker of social and geographic positioning. While specific changes in medical techniques or fashions may theoretically improve or worsen the risks for individual women everywhere from a public health perspective maternal mortality remains the indicator of population health that reveals most starkly the profound inequities …
The evidence for emergency obstetric care
PURPOSE: We searched for evidence for the effectiveness of emergency obstetric care (EmOC) interventions in reducing maternal mortality primarily in developing countries. METHODS: We reviewed population-based studies with maternal mortality as the outcome variable and ranked them according to the system for ranking the quality of evidence and strength of recommendations developed by the US Preventive Services Task Force. A systematic search of pu…
Choice in Planning and Experiencing Childbirth
Choice" is a central concept in the struggle for reproductive freedom around the world. Yet one of the most damaging consequences of our bruising abortion debates is the gutting of choice itself. In US political discourse, "choice" has come to be identified almost exclusively with the right to choose an abortion, and "reproductive rights" has been conflated with this narrow, legalistic notion of choice
Strategic advocacy and maternal mortality
The UN Millennium Development Goals (MDGs) are the latest international development strategy. The debates around the choice of MDGs, and the first steps of implementation, have threatened to push many women's health concerns off the policy map. But I argue in this article that there is space for feminist action around the remaining MDG on reducing maternal mortality. I discuss strategies to address maternal mortality and emphasise the importance …
The Challenge of Fundamentalisms
Few developments in the post-Cold War era have captured public attention, stirred primal fears, stoked the fires of racism, and stymied critical thinking quite so thoroughly as the rise of fundamentalism. Although it is a force to be reckoned with in virtually every area of public endeavour, the rise of fundamentalism presents a very specific, and somewhat unique, challenge to the emerging field of reproductive health and rights. The 1994 Cairo I…
Reflections on Emerging Frameworks of Health and Human Rights
Risks and rights
This paper describes the multiple ways that the concept of risk is used in the health field, looking specifically at maternal mortality, contraceptive mortality and morbidity, and HIV/AIDS. Although risk data are often presented as objective and neutral, the paper shows how decisions about policies, programmes and individual treatment inevitably require value-laden choices to be made. It argues that reproductive rights principles should play a cr…
Human Rights and Reproductive Choice
A central challenge in developing reproductive health strategies is giving real meaning to the right of couples and individuals to determine, freely and responsibly, the number and spacing of their children. This article places the right of reproductive choice in legal and historical contexts, highlights salient issues that arise in trying to formulate international standards for its enforcement, and examines two particularly thorny issues: the t…
Rebuilding health systems to improve health and promote statebuilding in post-conflict countries
Disrespectful and abusive treatment during facility delivery in Tanzania
Although qualitative studies have raised attention to humiliating treatment of women during labour and delivery, there are no reliable estimates of the prevalence of disrespectful and abusive treatment in health facilities. We measured the frequency of reported abusive experiences during facility childbirth in eight health facilities in Tanzania and examined associated factors. The study was conducted in rural northeastern Tanzania. Using a struc…
Human Rights and Reproductive Choice
A central challenge in developing reproductive health strategies is giving real meaning to the right of couples and individuals to determine, freely and responsibly, the number and spacing of their children. This article places the right of reproductive choice in legal and historical contexts, highlights salient issues that arise in trying to formulate international standards for its enforcement, and examines two particularly thorny issues: the t…
Reflections on Emerging Frameworks of Health and Human Rights
Act global, but think local
There is a worrying divergence between the way that sexual and reproductive health and rights problems and solutions are framed in advocacy at the global level and the complex reality that people experience in health services on the ground. An analysis of approaches to accountability used in advocacy at these different levels highlights the different assumptions at play as to how change happens. This paper makes the case for a reinvigorated appro…
Eye of the beholder? Observation versus self-report in the measurement of disrespect and abuse during facility-based childbirth
Human rights has been a vital tool in the global movement to reduce maternal mortality and to expose the disrespect and abuse that women experience during childbirth in facilities around the world. Yet to truly transform the relationship between women and providers, human rights-based approaches (HRBAs) will need to go beyond articulation, dissemination and even legal enforcement of formal norms of respectful maternity care. HRBAs must also devel…
Strategic advocacy and maternal mortality
The UN Millennium Development Goals (MDGs) are the latest international development strategy. The debates around the choice of MDGs, and the first steps of implementation, have threatened to push many women's health concerns off the policy map. But I argue in this article that there is space for feminist action around the remaining MDG on reducing maternal mortality. I discuss strategies to address maternal mortality and emphasise the importance …
Unmasking the open secret of posting and transfer practices in the health sector
This article focuses on processes of granting posts and transfers to health care workers and administrators that can be described as 'mission inconsistent (MI)', meaning that they are not conducted in a way that maximizes health outcomes or that respects the norms of health care worker professionalism. We synthesize relevant literature from several different disciplinary perspectives to describe what is known about the problem of MI posting and t…
The Challenge of Fundamentalisms
Few developments in the post-Cold War era have captured public attention, stirred primal fears, stoked the fires of racism, and stymied critical thinking quite so thoroughly as the rise of fundamentalism. Although it is a force to be reckoned with in virtually every area of public endeavour, the rise of fundamentalism presents a very specific, and somewhat unique, challenge to the emerging field of reproductive health and rights. The 1994 Cairo I…
Where women go to deliver
Growing evidence from a number of countries in Asia and Africa documents a large shift towards facility deliveries in the past decade. These increases have not led to the improvements in health outcomes that were predicted by health policy researchers in the past. In light of this unexpected evidence, we have assessed data from multiple sources, including nationally representative data from 43 countries in Asia and Africa, to understand the size …
Human Rights and Reproductive Choice
A central challenge in developing reproductive health strategies is giving real meaning to the right of couples and individuals to determine, freely and responsibly, the number and spacing of their children. This article places the right of reproductive choice in legal and historical contexts, highlights salient issues that arise in trying to formulate international standards for its enforcement, and examines two particularly thorny issues: the t…
Reflections on Emerging Frameworks of Health and Human Rights
Risks and rights
This paper describes the multiple ways that the concept of risk is used in the health field, looking specifically at maternal mortality, contraceptive mortality and morbidity, and HIV/AIDS. Although risk data are often presented as objective and neutral, the paper shows how decisions about policies, programmes and individual treatment inevitably require value-laden choices to be made. It argues that reproductive rights principles should play a cr…
The Challenge of Fundamentalisms
Few developments in the post-Cold War era have captured public attention, stirred primal fears, stoked the fires of racism, and stymied critical thinking quite so thoroughly as the rise of fundamentalism. Although it is a force to be reckoned with in virtually every area of public endeavour, the rise of fundamentalism presents a very specific, and somewhat unique, challenge to the emerging field of reproductive health and rights. The 1994 Cairo I…
Strategic advocacy and maternal mortality
The UN Millennium Development Goals (MDGs) are the latest international development strategy. The debates around the choice of MDGs, and the first steps of implementation, have threatened to push many women's health concerns off the policy map. But I argue in this article that there is space for feminist action around the remaining MDG on reducing maternal mortality. I discuss strategies to address maternal mortality and emphasise the importance …
Choice in Planning and Experiencing Childbirth
Choice" is a central concept in the struggle for reproductive freedom around the world. Yet one of the most damaging consequences of our bruising abortion debates is the gutting of choice itself. In US political discourse, "choice" has come to be identified almost exclusively with the right to choose an abortion, and "reproductive rights" has been conflated with this narrow, legalistic notion of choice
The evidence for emergency obstetric care
PURPOSE: We searched for evidence for the effectiveness of emergency obstetric care (EmOC) interventions in reducing maternal mortality primarily in developing countries. METHODS: We reviewed population-based studies with maternal mortality as the outcome variable and ranked them according to the system for ranking the quality of evidence and strength of recommendations developed by the US Preventive Services Task Force. A systematic search of pu…
Roundtable
Is pregnancy getting safer for women? It depends. It depends on where a woman is born her social class ethnic group or other marker of social and geographic positioning. While specific changes in medical techniques or fashions may theoretically improve or worsen the risks for individual women everywhere from a public health perspective maternal mortality remains the indicator of population health that reveals most starkly the profound inequities …
Rebuilding health systems to improve health and promote statebuilding in post-conflict countries
Equity of inpatient health care in rural Tanzania
The findings indicated that while current Tanzanian health financing policies may have improved access to health care for children under five, additional policies are needed to further close the equity gap, especially for obstetric inpatients
Act global, but think local
There is a worrying divergence between the way that sexual and reproductive health and rights problems and solutions are framed in advocacy at the global level and the complex reality that people experience in health services on the ground. An analysis of approaches to accountability used in advocacy at these different levels highlights the different assumptions at play as to how change happens. This paper makes the case for a reinvigorated appro…
Defining disrespect and abuse of women in childbirth
PerspectivesIn the field of maternal and newborn health, there have been calls to prioritize the intra-partum period and promote facility delivery to meet maternal and newborn mortality reduction goals. This aim is based on a decade of epide-miological work identifying causes of death, systematically reviewing effective interventions, and modelling the impact of intervention coverage on mortality.
Association Between Disrespect and Abuse During Childbirth and Women’s Confidence in Health Facilities in Tanzania
Unmasking the open secret of posting and transfer practices in the health sector
This article focuses on processes of granting posts and transfers to health care workers and administrators that can be described as 'mission inconsistent (MI)', meaning that they are not conducted in a way that maximizes health outcomes or that respects the norms of health care worker professionalism. We synthesize relevant literature from several different disciplinary perspectives to describe what is known about the problem of MI posting and t…
Where women go to deliver
Growing evidence from a number of countries in Asia and Africa documents a large shift towards facility deliveries in the past decade. These increases have not led to the improvements in health outcomes that were predicted by health policy researchers in the past. In light of this unexpected evidence, we have assessed data from multiple sources, including nationally representative data from 43 countries in Asia and Africa, to understand the size …
Disrespectful and abusive treatment during facility delivery in Tanzania
Although qualitative studies have raised attention to humiliating treatment of women during labour and delivery, there are no reliable estimates of the prevalence of disrespectful and abusive treatment in health facilities. We measured the frequency of reported abusive experiences during facility childbirth in eight health facilities in Tanzania and examined associated factors. The study was conducted in rural northeastern Tanzania. Using a struc…
Eye of the beholder? Observation versus self-report in the measurement of disrespect and abuse during facility-based childbirth
Human rights has been a vital tool in the global movement to reduce maternal mortality and to expose the disrespect and abuse that women experience during childbirth in facilities around the world. Yet to truly transform the relationship between women and providers, human rights-based approaches (HRBAs) will need to go beyond articulation, dissemination and even legal enforcement of formal norms of respectful maternity care. HRBAs must also devel…
The community health worker as service extender, cultural broker and social change agent
This paper is a critical interpretive synthesis of community health workers (CHWs) and accountability in low-income and middle-income countries. The guiding questions were: What factors promote or undermine CHWs as accountability agents? (and) Can these factors be intentionally fostered or suppressed to impel health system accountability? We conducted an iterative search that included articles addressing the core issue of CHWs and accountability,…
We all have the same right to have health services’
This study contributes to the limited literature regarding the mechanisms of legal empowerment case resolution in health systems and the impact of hybrid legal empowerment and social accountability approaches. Future research might assess the sustainability of case resolution; how governance at central, provincial, and district level is affected by similar programs; and to what extent the mix of different cases addressed by legal empowerment infl…
Maternal and newborn health for the urban poor
A critical interpretive synthesis of power and mistreatment of women in maternity care
Labouring women may be subjected to physical and verbal abuse that reflects dynamics of power, described as Mistreatment of Women (MoW). This Critical Interpretive Synthesis on power and MoW consolidates current research and advances theory and practice through inter-disciplinary literature exploration. The review was undertaken in 3 phases. Phase 1 consisted of topic scoping; phase 2 entailed exploration of key power-related drivers emerging fro…
Evolving narratives on signal functions for monitoring maternal and newborn health services
Emergency obstetric care (EmOC) signal functions are a shortlist of key clinical interventions capable of averting deaths from the five main direct causes of maternal mortality; they have been used since 1997 as a part of an EmOC monitoring framework to track the availability of EmOC services in low- and middle-income settings. Their widespread use and proposed adaptation to include other types of care, such as care for newborns, is testimony to …
Using human-centered design to re-vision the emergency obstetric and newborn care framework
The Emergency Obstetric and Newborn Care (EmONC) Framework has been instrumental in helping countries plan and monitor maternal health services for over 20 years. Given evolving health systems, the changing expectations of both patients and health providers, and the expanded evidence base, the “Re-Visioning EmONC” project was initiated to update this framework to better meet countries’ needs. To understand the needs of its primary intended users,…
The development of proxy indicators to measure workforce well-being in emergency obstetric and neonatal care settings
Background: A shortage of health workers with skills to deliver high-quality routine and emergency maternal and newborn health (MNH) care hinders achievement of the Sustainable Development Goals. Health worker well-being is a determinant of the quality and experiences of care. The emergency obstetric and newborn care (EmONC) framework supports country-level planners and managers to evaluate EmONC systems. We describe a measure development activit…
Global Maternal and Child Health (19 obras) · Medicine (15 obras) · Political science (15 obras) · Environmental health (10 obras) · Population (10 obras) · Nursing (9 obras) · Public relations (9 obras) · Sociology (9 obras) · Health care (8 obras) · Law (8 obras)