Improving poor women's access to maternity care: Findings from a primary care intervention in Burkina Faso

Brazier, Ellen; Andrzejewski, Catherine; Perkins, Margaret; Themmen, E; Knight, R. J.; Bassane, Brahima

doi:10.1016/j.socscimed.2009.06.023

Cited by 54 publications

(80 citation statements)

References 34 publications

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“…4,5 To increase coverage, countries in Africa and other low-income areas have focused on expanding the primary care system, typically through outpatient clinics staffed with nurses and midwives who can provide basic obstetric care. 6,7 These clinics represent the base of a service pyramid in which most women deliver at first-level clinics and women with high-risk pregnancies or those who develop complications are referred to hospitals. This service delivery model is supported by global policy guidance.…”

Section: Introductionmentioning

confidence: 99%

Bypassing primary care clinics for childbirth: a cross-sectional study in the Pwani region, United Republic of Tanzania

Kruk

Hermosilla

Larson

et al. 2014

Bull. World Health Organ.

112

140

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Section: Introductionmentioning

confidence: 99%

Bypassing primary care clinics for childbirth: a cross-sectional study in the Pwani region, United Republic of Tanzania

Kruk

Hermosilla

Larson

et al. 2014

Bull. World Health Organ.

112

140

View full text Add to dashboard Cite

“…Examples include voucher schemes for maternal services in Bangladesh 19 and Korea, 20 community-wide vitamin A treatment of children in Nepal, 21 improving poor women's access to institutional delivery in Burkina Faso, 22 equity-focused maternal and child health programs in Cambodia, 23 and free access to antiretroviral treatment for HIV in Brazil. 24 Growing availability of data from low-and middle-income countries allowed us to test the hypothesis in national surveys that provided information on socioeconomic position and on the proportion of births occurring in a health facility (institutional delivery coverage).…”

mentioning

confidence: 99%

The Inverse Equity Hypothesis: Analyses of Institutional Deliveries in 286 National Surveys

et al. 2018

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Objectives. To test the inverse equity hypothesis, which postulates that new health interventions are initially adopted by the wealthy and thus increase inequalities-as population coverage increases, only the poorest will lag behind all other groups.Methods. We analyzed the proportion of births occurring in a health facility by wealth quintile in 286 surveys from 89 low-and middle-income countries and developed an inequality pattern index. Positive values indicate that inequality is driven by early adoption by the wealthy (top inequality), whereas negative values signal bottom inequality.Results. Absolute inequalities were widest when national coverage was around 50%.At low national coverage levels, top inequality was evident with coverage in the wealthiest quintile taking off rapidly; at 60% or higher national coverage, bottom inequality became the predominant pattern, with the poorest quintile lagging behind.Conclusions. Policies need to be tailored to inequality patterns. When top inequalities are present, barriers that limit uptake by most of the population must be identified and addressed. When bottom inequalities exist, interventions must be targeted at specific subgroups that are left behind. (Am J

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“…In addition, normative socio-cultural beliefs and social roles interact and shape reproductive health behaviors, choices and demand among women in West Africa. There is evidence that social norms and culture influence women's Chapter 7 perceptions of needs as well (Bove et al, 2012;Brazier et al, 2009;. As discussed in Chapter 5, intentions of young women for contraceptive use in the future depend on social and group norms.…”

Section: Discussion Of Statementsmentioning

confidence: 99%

“…The situation of reproductive health services is especially challenging in countries recovering from civil war and instability, such as Senegal, Sierra Leone among others, while countries with political stability and continuous economic growth, like Burkina Faso, Ghana and Nigeria, have achieved political commitment and progress in improving these services. (Bove, Vala-Haynes, & Valeggia, 2012;Brazier et al, 2009;. Wealth, education, residence type, and age disparities however remain the greatest influencing factors introducing disparity in any context (Jacqueline Darroch & Singh, 2013;Kirk & Pillet, 1998;Loaiza & Blake, 2010).…”

Section: Introductionmentioning

confidence: 99%

“…Burkina Faso recorded a percentage point change of 16% from 1999-2003 while Nigeria is evidenced to have a 15.9% improvement between (Loaiza & Blake, 2010. Overall, in West Africa, individual context factors such as gender and social roles interact and shape reproductive health behaviors across all population groups (Bove, Vala-Haynes, & Valeggia, 2012;Brazier et al, 2009;. Wealth, education, residence type, and age disparities however remain the greatest influencing factors introducing disparity in any context (Jacqueline Darroch & Singh, 2013;Kirk & Pillet, 1998;Loaiza & Blake, 2010).…”

Section: Introductionmentioning

confidence: 99%

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Unmet reproductive health care needs among rural Ghanaian women

Ayanore¹

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Document Version:Publisher's PDF, also known as Version of record Please check the document version of this publication:• A submitted manuscript is the version of the article upon submission and before peer-review. There can be important differences between the submitted version and the official published version of record. People interested in the research are advised to contact the author for the final version of the publication, or visit the DOI to the publisher's website.• The final author version and the galley proof are versions of the publication after peer review.• The final published version features the final layout of the paper including the volume, issue and page numbers. Link to publication General rightsCopyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.• Users may download and print one copy of any publication from the public portal for the purpose of private study or research.• You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying the publication in the public portal.If the publication is distributed under the terms of Article 25fa of the Dutch Copyright Act, indicated by the "Taverne" license above, please follow below link for the End User Agreement:www.umlib.nl/taverne-license Take down policyIf you believe that this document breaches copyright please contact us at:repository@maastrichtuniversity.nl providing details and we will investigate your claim. Unmet reproductive health care needs among rural Ghanaian women © Martin Amogre Ayanore, 2017Cover page and layout designed by BRANDHAUZ ADS Ghana +2330244053131Printed by Datawyse All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the written permission from the author. Unmet reproductive health care needs among rural Ghanaian womenDissertation to obtain the degree of Doctor at Maastricht University, on the authority of the Rector Magnificus, Prof. dr. Rianne M. Letschert in accordance with the decision of the board of the Deans, to be defended in public on Friday 7 July, 2017, at 10:00 hours Acknowledgement of fundingThe research presented in this dissertation is made possible through sponsorship from the Ministry of Energy capacity building scholarship scheme, Ghana for Martin Amogre Ayanore PhD studies with University of Maastricht, Netherlands. Additional budgetary support from the Centre for Health Policy Advocacy, Innovation & Research in Africa (CHPAIR-Africa), Accra, Ghana provided additinal research funding to make this work possible. All views presented in this dissertation represent solely that of the author, and do not reflect in any way views from any of ...

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Improving poor women's access to maternity care: Findings from a primary care intervention in Burkina Faso

Cited by 54 publications

References 34 publications

Bypassing primary care clinics for childbirth: a cross-sectional study in the Pwani region, United Republic of Tanzania

Bypassing primary care clinics for childbirth: a cross-sectional study in the Pwani region, United Republic of Tanzania

The Inverse Equity Hypothesis: Analyses of Institutional Deliveries in 286 National Surveys

Unmet reproductive health care needs among rural Ghanaian women

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