Health system redesign for maternal and newborn survival
Rethinking care models to close the global equity gap
Bibliographic Data
Large disparities in maternal and neonatal mortality exist between low- and high-income countries. Mothers and babies continue to die at high rates in many countries despite substantial increases in facility birth. One reason for this may be the current design of health systems in most low-income countries where, unlike in high-income countries, a substantial proportion of births occur in primary care facilities that cannot offer definitive care for complications. We argue that the current inequity in care for childbirth is a global double standard that limits progress on maternal and newborn survival. We propose that health systems need to be redesigned to shift all deliveries to hospitals or other advanced care facilities to bring care in line with global best practice. Health system redesign will require investing in high-quality hospitals with excellent midwifery and obstetric care, boosting quality of primary care clinics for antenatal, postnatal, and newborn care, decreasing access and financial barriers, and mobilizing populations to demand high-quality care. Redesign is a structural reform that is contingent on political leadership that envisions a health system designed to deliver high-quality, respectful care to all women giving birth. Getting redesign right will require focused investments, local design and adaptation, and robust evaluation
Business · Environmental planning · environmental restoration · Hazardous waste · Mixed waste · Waste management · Engineering · Environmental Science · Recycling and Waste Management Techniques
Unpacking pathways to emergency obstetric and newborn care and associated pregnancy outcomes
Perceptions of Good-Quality Antenatal Care and Birthing Services among Postpartum Women in Nepal
Service delivery reform for maternal and newborn health in Kakamega County, Kenya
Bypassing primary healthcare facilities for maternal and child health services in low- and middle-income countries
Commentary
Integrating maternal, newborn, child health and non-communicable disease care in the sustainable development goal era
Association between ambulance prehospital time and maternal and perinatal outcomes in Sierra Leone
Barriers to improving preterm newborn outcomes through effective antenatal corticosteroid use in Ethiopia
Learning from success
Health system redesign for equity in maternal and newborn health must be codesigned, country led, adapted to context and fit for purpose
Implementation pathways of a health services delivery redesign model to improve maternal and newborn outcomes in Kenya
Inequalities in use of hospitals for childbirth among rural women in sub-Saharan Africa
Paediatric surgical outcomes in sub-Saharan Africa
Equity in newborn care, evidence from national surveys in low- and middle-income countries
Quality of care for postpartum hemorrhage
“How I wish we could manage such things”
No increase in use of hospitals for childbirth in Tanzania over 25 years
Beyond facility-based births
The perfect storm
Improving complex health systems and lived environments for maternal and perinatal well-being in urban sub-Saharan Africa
Impact of travel time to health facilities on perinatal outcomes
Antenatal corticosteroids for pregnant women at risk of preterm labour in low- and middle-income countries
Adapting a digital quality improvement system (Neotree) for newborn care in primary health centres and community hospitals
Inequity in uptake of hospital-based childbirth care in rural Tanzania
Care seeking during pregnancy
Trajectories of brain and behaviour development in the womb, at birth and through infancy
The influence of Continuous Quality Improvement on healthcare quality
National, regional, and global levels and trends in neonatal mortality between 1990 and 2017, with scenario-based projections to 2030
Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030
Equity in antenatal care quality
Beyond too little, too late and too much, too soon
Effectiveness of strategies to improve health-care provider practices in low-income and middle-income countries
Global, regional, and national causes of under-5 mortality in 2000–15
Quality of basic maternal care functions in health facilities of five African countries
The scale, scope, coverage, and capability of childbirth care
Maternal mortality
Can available interventions end preventable deaths in mothers, newborn babies, and stillbirths, and at what cost?
Women's groups practising participatory learning and action to improve maternal and newborn health in low-resource settings
Health professionals for a new century
High-quality health systems in the Sustainable Development Goals era
Contribution of Primary Care to Health Systems and Health
Looking Like a State
Bypassing health facilities for childbirth
An assessment of the impact of the JSY cash transfer program on maternal mortality reduction in Madhya Pradesh, India
A Three‐Tier Model for the Delivery of Rural Obstetrical Care Using a Nurse Midwife and Family Physician Copractice
Comparison of midwifery-led and consultant-led maternity care for low risk deliveries in Nepal
Association Between Disrespect and Abuse During Childbirth and Women’s Confidence in Health Facilities in Tanzania
The impact of cash transfers on social determinants of health and health inequalities in sub-Saharan Africa
Using quality improvement methods to test and scale up a new national policy on early post-natal care in Ghana
Increase in facility-based deliveries associated with a maternal health voucher programme in informal settlements in Nairobi, Kenya
Disrespectful and abusive treatment during facility delivery in Tanzania
Redesigning Primary Care to Tackle the Global Epidemic of Noncommunicable Disease
Socio-economic improvements and health system strengthening of maternity care are contributing to maternal mortality reduction in Cambodia
How to be a very safe maternity unit
| Unique citing works | 27 |
|---|---|
| Citations per year | 4.5 |
| Citation span | 2020 - 2026 (7) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 26 |