Pro-poor policies and improvements in maternal health outcomes in India

Bhatia, Mrigesh; Dwivedi, Laxmi Kant; Banerjee, Kajori; Bansal, Anjali; Ranjan, Mukesh; Dixit, Priyanka

doi:10.1186/s12884-021-03839-w

Cited by 44 publications

(44 citation statements)

References 29 publications

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“…Government has always adopted an incentives based strategy to reduce or increase a maternal and child health care indicators. It was found that for reduction of maternal deaths demand side financing like conditional cash transfers have a played an important role [33]. Also, for increasing the acceptance of contraception uptake, well designed service delivery strategies are effective [34][35][36][37].…”

Section: Discussionmentioning

confidence: 99%

Sterilization incentives and associated regret among ever married women in India, NFHS, 2015–16

Bansal

Dwivedi²,

Shirisha

2022

BMC Health Serv Res

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Objective Sterilization is the only family planning method that involves relatively large amount compensation. So, the study attempts to examine the role of incentives received against the sterilization procedures on the reporting of sterilization regret in India. Methods The study used data from the fourth round of National Family Health Survey, 2015–16, which gathered the information on sterilization regret from 1,94,207 ever-married women. Multivariate logistic analysis and predicted probabilities approach was used to study the effect of compensation received on the sterilization regret in India. Results Results show that women who have received compensation were 33% less likely to report sterilization regret. It was found that 70% of women who undergone sterilization in public facility didn’t incur any expenditure, rather received incentives. It is observed that women who had undergone operation in private facility spent a large amount than women who had done their operation in public facility. The regret in the private facility mainly results from high out of pocket expenditure on sterilization procedures. Around eight percent of women regretted getting sterilized in a private hospital and received some compensation amount, vis a vis the six percent who regretted undergoing sterilization in public facility and received compensation. Conclusion The study calls for a need to standardize the cost of sterilization procedure in India's health facilities. A good alternative for reducing the cost could be Public–Private Partnership.

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Section: Discussionmentioning

confidence: 99%

Sterilization incentives and associated regret among ever married women in India, NFHS, 2015–16

Bansal

Dwivedi²,

Shirisha

2022

BMC Health Serv Res

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“…Between 1990 and 2018, the maternal mortality ratio in India decreased from 556 to 113 deaths per 100 000 live births ( Khetrapal, 2018 ; Office of the Registrar General India, 2020 ). The groundbreaking progress observed over the years (see Figure 1 ) was possible due to strong political commitment and implementation of multi-pronged initiatives under the National Health Mission ( Bhatia et al. , 2021 ) and the Department of Women and Child Development.…”

Section: Introductionmentioning

confidence: 99%

Advancing quality and safety of perinatal services in India: opportunities for effective midwifery integration

Vedam

Titoria

Niles

et al. 2022

Health Policy and Planning

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India has made significant progress in improving maternal and child health. However, there are persistent disparities in maternal and child morbidity and mortality in many communities. Mistreatment of women in childbirth and gender-based violence are common and reduce women’s sense of safety. Recently, the Government of India committed to establishing a specialized midwifery cadre: Nurse Practitioners in Midwifery (NPMs). Integration of NPMs into the current health system has strong potential to increase respectful maternity care, reduce unnecessary interventions, and improve resource allocation, ultimately improving maternal newborn outcomes. To synthesize the evidence on effective midwifery integration, we conducted a desk review of peer-reviewed articles, reports and regulatory documents describing models of practice, organization of health services, and lessons learned from other countries. We also interviewed key informants in India who described the current state of the healthcare system, opportunities, and anticipated challenges to establishing a new cadre of midwives. Using an intersectional feminist theoretical framework, we triangulated the findings from the desk review with interview data to identify levers for change and recommendations. Findings from the desk review highlight that benefits of midwifery on outcomes and experience link to models of midwifery care; and limited scope of practice and prohibitive practice settings are threats to successful integration. Interviews with key informants affirm the importance of meeting global standards for practice, education, inter-professional collaboration and midwifery leadership. Key informants noted that expansion of respectful maternity care and improved outcomes will depend on scope and model of practice for the cadre. Domains needing attention include: building professional identity; creating a robust, sustainable education system; addressing existing interprofessional issues; and strengthening referral and quality monitoring systems. Public and professional education on midwifery roles and scope of practice, improved regulatory conditions, and enabling practice environments will be key to successful integration of midwives in India.

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“…India struggles with significant MCH concerns, accounting about one quarter of the global burden of maternal and childhood mortality. 1 Low health literacy, socio-cultural norms, different living environment, poverty and inadequate local participation in decision making etc. are few of the identified reasons for several MCH related unmet needs among tribal people in India.…”

Section: Introductionmentioning

confidence: 99%

Community based sensitization to address maternal and child health problems in tribal population of India

Patil

Lokhande²,

Agarwal³

et al. 2022

Int J Adv Med

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Background: India fights with substantial maternal and child health (MCH) concerns, accounting about one quarter of the global burden of maternal and childhood mortality. The current study was tried to assess the impact of community partnerships between medical students, community stakeholders (TBAs and local tribal girls) and general community members on their awareness levels about MCH care and services.Methods: a community-based pilot interventional study was conducted at one of the rural blocks of Maharashtra state of India. Of 120, sixty (50%) first year undergraduate MBBS medical students (intervention group) posted at two months rural healthcare training programme’ participated in preparing MCH related health education material (HEM) in local language. Similarly local tribal girls, TBAs and general community people were trained about MCH and their knowledge levels were assessed.Results: Pre and post training assessment scores of participants (students, TBAs, tribal girls and general people) indicated significant (p<0.05) differences in their knowledge about MCH. The used approach of community collaborations in this study upgraded the knowledge of stakeholders (TBAs, tribal girls) and common tribal people about basic aspects of MCH and associated welfare schemes. The study also reported positive attitudes of all participants about an intervention.Conclusions: Productive and synergistic community partnerships can be created among health care providers, community health workers and other stakeholders to ensure commitment and engagement towards positive health.

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Pro-poor policies and improvements in maternal health outcomes in India

Cited by 44 publications

References 29 publications

Sterilization incentives and associated regret among ever married women in India, NFHS, 2015–16

Sterilization incentives and associated regret among ever married women in India, NFHS, 2015–16

Advancing quality and safety of perinatal services in India: opportunities for effective midwifery integration

Community based sensitization to address maternal and child health problems in tribal population of India

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