Mobilising financial resources for maternal health

Borghi, Josephine; Ensor, Tim; Somanathan, Aparnaa; Lissner, Craig; Mills, Anne

doi:10.1016/s0140-6736(06)69383-5

Cited by 205 publications

(161 citation statements)

References 40 publications

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“…Eliminating user fees for pregnant women or offering cash incentives or vouchers to selected groups can increase service uptake, but it is unknown whether these strategies reduce the burden of maternal mortality or inequalities in the maternal mortality ratio. [27][28][29] Our results suggest that increasing the uptake of skilled care at delivery is a necessary, if not sufficient, condition for achieving lower levels of maternal mortality, but the word to emphasize here is "skilled". The persistently high levels of maternal mortality among wealthier women who give birth with a health professional are worrying.…”

Section: Researchmentioning

confidence: 99%

Professional assistance during birth and maternal mortality in two Indonesian districts

Ronsmans

Scott

Qomariyah

et al. 2009

Bull World Health Org

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Objective To examine determinants of maternal mortality and assess the effect of programmes aimed at increasing the number of births attended by health professionals in two districts in West Java, Indonesia. Methods We used informant networks to characterize all maternal deaths, and a capture-recapture method to estimate the total number of maternal deaths. Through a survey of recent births we counted all midwives practising in the two study districts. We used case-control analysis to examine determinants of maternal mortality, and cohort analysis to estimate overall maternal mortality ratios. Findings The overall maternal mortality ratio was 435 per 100 000 live births (95% confidence interval, CI: 376-498). Only 33% of women gave birth with assistance from a health professional, and among them, mortality was extremely high for those in the lowest wealth quartile range (2303 per 100 000) and remained very high for those in the lower middle and upper middle quartile ranges (1218 and 778 per 100 000, respectively). This is perhaps because the women, especially poor ones, may have sought help only once a serious complication had arisen. Conclusion Achieving equitable coverage of all births by health professionals is still a distant goal in Indonesia, but even among women who receive professional care, maternal mortality ratios remain surprisingly high. This may reflect the limitations of homebased care. Phased introduction of fee exemption and transport incentives to enable all women to access skilled delivery care in health centres and emergency care in hospitals may be a feasible, sustainable way to reduce Indonesia's maternal mortality ratio.Une traduction en français de ce résumé figure à la fin de l'article. Al final del artículo se facilita una traducción al español. ‫املقالة.‬ ‫لهذه‬ ‫الكامل‬ ‫النص‬ ‫نهاية‬ ‫يف‬ ‫الخالصة‬ ‫لهذه‬ ‫العربية‬ ‫الرتجمة‬

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Section: Researchmentioning

confidence: 99%

Professional assistance during birth and maternal mortality in two Indonesian districts

Ronsmans

Scott

Qomariyah

et al. 2009

Bull World Health Org

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“…oped to increase the use of obstetric services and improve the quality of emergency care [12]. It was in this context that each government was asked to mobilize all necessary resources to reduce deaths related to the third delay [13,14]. One of the main areas of intervention is to reduce the large catastrophic expenses incurred by families during childbirth [14].…”

Section: Attitudes and Practices Of Personnel When Drug Stock-outs Inmentioning

confidence: 99%

Emergency Obstetric Kits: Knowledge, Attitudes and Practices of Health Care Providers

Félicitée¹

2017

Int J Womens Health Wellness

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“…For example, it is necessary to increase funding so as to avoid shortages of drugs and medical supplies. It was noted however that the current investment in maternal health is insufficient to meet the fifth millennium development goal (Borghi & Ensor, 2006:1456 in many countries. Therefore health financing strategies all have their strengths and weakness and governments need to be careful so as not to incur negative impacts of any specific reform strategy.…”

Section: Changes In Financingmentioning

confidence: 99%

Health Sector Reforms: Implications for Maternal and Child Healthcare in South Africa

Jumare¹,

Ogujiuba²,

Stiegler

2013

MJSS

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Mobilising financial resources for maternal health

Cited by 205 publications

References 40 publications

Professional assistance during birth and maternal mortality in two Indonesian districts

Professional assistance during birth and maternal mortality in two Indonesian districts

Emergency Obstetric Kits: Knowledge, Attitudes and Practices of Health Care Providers

Health Sector Reforms: Implications for Maternal and Child Healthcare in South Africa

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