Where women go to deliver

Understanding the changing landscape of childbirth in Africa and Asia

Dados Bibliográficos

ID11490364
AutoresDominic Montagu (0000-0002-2477-5543, Department of Epidemiology and Biostatistics, Global Health Sciences, University of California, San Francisco; San Francisco, CA, USA, autor correspondente), May Sudhinaraset (0000-0002-6099-7485, Department of Epidemiology and Biostatistics, Global Health Sciences, University of California, San Francisco; San Francisco, CA, USA), Nadia Diamond-Smith (0000-0002-8711-3029, Department of Epidemiology and Biostatistics, Global Health Sciences, University of California, San Francisco; San Francisco, CA, USA), Oona M R Campbell (0000-0002-9311-0115, London School of Hygiene & Tropical Medicine), Oona Campbell (London School of Hygiene and Tropical Medicine, London, UK,), Sabine Gabrysch (0000-0002-7081-0506, Heidelberg University, Heidelberg, Germany,), Lynn P Freedman (0000-0003-4288-605X, Columbia University), Lynn Freedman (Population and Family Health, Columbia University, New York, NY, USA), Margaret E Kruk (0000-0002-9549-8432, Harvard University), France Donnay (0000-0001-6425-6281, Tulane University)
Ano2017
Volume32
Fascículo8
Páginas1146-1152
Data de publicação2017-10-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoHealth Policy and Planning (JOURNAL)
Identificadores do periódicoISSN: 0268-1080 • E-ISSN: 1460-2237
EditoraOxford University Press (PUBLISHER • GB)
DOI10.1093/heapol/czx060
PMID28541422
OpenAlexW2619940473
IdiomaEN
Citações recebidas30
Referências citadas40

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 and range of changing delivery location in Asia and Africa. We have reviewed the policies, programs and financing experiences in multiple countries to understand the drivers of changing practices, and the consequences for maternal and neonatal health and the health systems serving women and newborns. And finally, we have considered what implications changes in delivery location will have for maternal and neonatal care strategies as we move forward into the next stage of global action. As a result of our analysis we make four major policy recommendations. (1) An expansion of investment in mid-level facilities for delivery services and a shift away from low-volume rural delivery facilities. (2) Assured access for rural women through funding for transport infrastructure, travel vouchers, targeted subsidies for services and residence support before and after delivery. (3) Increased specialization of maternity facilities and dedicated maternity wards within larger institutions. And (4) a renewed focus on quality improvements at all levels of delivery facilities, in both private and public settings.

Business · Childbirth · Demographic economics · Developing country · Economic growth · Economics · Environmental health · Health care · Health facility · Health services · Investment (military) · Millennium Development Goals · Political science · Population · Pregnancy · Psychological intervention · Residence · Subsidy · Voucher · Global Health Workforce Issues · Global Maternal and Child Health · Healthcare Policy and Management · Medicine · Nursing