The Role of Care‐seeking Delays in Intrauterine Fetal Deaths among ‘Near‐miss’ Women in Herat, Afghanistan

Hirose, Atsumi; Borchert, Matthias; Niksear, Homa; Alkozai, Ahmad Shah; Gardiner, J. Stanley; Filippi, Véronique

doi:10.1111/j.1365-3016.2012.01299.x

Cited by 9 publications

(13 citation statements)

References 34 publications

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“…Taking into consideration suboptimal prenatal care, due to limited access to higher quality healthcare services, this could be the most likely explanation for this finding. An explanation given by studies from developing countries already related delayed transport and reduced accessibility to health services, to increased risk of fetal loss [14].…”

Section: Discussionmentioning

confidence: 99%

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Prepregnancy maternal obesity and fetal-perinatal death in a Mediterranean country

Papachatzi

Papadopoulos

Dimitriou

et al. 2014

Journal of Perinatal Medicine

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Section: Discussionmentioning

confidence: 99%

“…It is estimated that 500 million adults were obese, in 2008, worldwide [8], while Greek rates of obesity in males secure the first place among European countries [8]. Moreover Greek women (over 20 years) face obesity in [10][11][12][13][14][15][16][17][18][19].9% [35].…”

Section: Introductionmentioning

confidence: 99%

Prepregnancy maternal obesity and fetal-perinatal death in a Mediterranean country

Papachatzi

Papadopoulos

Dimitriou

et al. 2014

Journal of Perinatal Medicine

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“…15,27,32,[36][37][38][39] One study in the capital city revealed the mean age at marriage was 17.2 years with 16% married at age 14 or younger. 10 Another study in rural western Afghanistan found that 47% of women became pregnant before the age of sixteen.…”

Section: Sociocultural Practicesmentioning

confidence: 99%

“…Health care services including health promotion, disease preventon, treatment facilities, and presence of skilled health personnel have a direct impact on maternal health. 9,10,13,27,30,52,53 Studies also documented the direct health effects of local sociocultural practices such as childhood marriage and pregnancy, unwanted sexual activity, physical abuse, and the need to obtain permission to access health services. 10,32,38,52 Undesirable social conditions such as lack of proper shelter, lack of potable water, and poor waste management definitely impacts maternal health.…”

Section: Sanitation and Foodmentioning

confidence: 99%

“…9,10,13,27,30,52,53 Studies also documented the direct health effects of local sociocultural practices such as childhood marriage and pregnancy, unwanted sexual activity, physical abuse, and the need to obtain permission to access health services. 10,32,38,52 Undesirable social conditions such as lack of proper shelter, lack of potable water, and poor waste management definitely impacts maternal health. 9,10,29,31 Women's education, on the other hand, improves the social status of women in the family and alters the undesirable and healthdeteriorating sociocultural practices, and thus improves maternal health.…”

Section: Sanitation and Foodmentioning

confidence: 99%

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Social Determinants of Maternal Health in Afghanistan: A Review

Najafizada

Bourgeault

Labonté

2017

cajgh

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Introduction: Afghanistan has a high maternal mortality rate of 400 per 100,000 live births. Although direct causes of maternal morbidity and mortality in Afghanistan include hemorrhage, obstructed labor, infection, high blood pressure, and unsafe abortion, the high burden of diseases responsible for maternal mortality arises in large part due to social determinants of health. The focus of this literature review is to examine the impact of various social determinants of health on maternal health in Afghanistan, filling an important gap in the existing literature. Methods: This narrative review was conducted using Arksey and O'Malley's framework of (1) defining the question, (2) searching the literature, (3) assessing the studies, (4) synthesizing selected evidence in context, and (5) summarizing potential programmatic implication of the context. We searched Medline, CABI global health database, and Google Scholar for relevant publications. Results: A total of 38 articles/reports were included in this review. We found that social determinants such as maternal education, sociocultural practices, and social infrastructure have a significant impact on maternal health. Health care may be the immediate determinant, but it is influenced by other determinants that must be addressed in order to alleviate the burden on health care, as well as to achieve long-term reduction in maternal mortality. Conclusion: Because of the importance of social factors for maternal health outcomes, committed involvement of multiple government sectors (i.e. education, labor and social affairs, information and culture, transport and rural development among others, alongside health care) is the long-term solution to the maternal health problems in Afghanistan. National and international organizations' long-term commitment to social investment such as education, local economy, cultural change, and social infrastructure is recommended for Afghanstan and globally.

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What is the impact of water sanitation and hygiene in healthcare facilities on care seeking behaviour and patient satisfaction? A systematic review of the evidence from low-income and middle-income countries

2018

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Patient satisfaction with healthcare has clear implications on service use and health outcomes. Barriers to care seeking are complex and multiple and delays in seeking care are associated with significant morbidity and mortality. We sought to assess the relationship between water, sanitation and hygiene (WASH) provision in healthcare facilities (HCF) and patient satisfaction/care seeking behaviour in low-income and middle-income countries. Pubmed and Medline Ovid were searched using a combination of search terms. 984 papers were retrieved and only 21 had a WASH component warranting inclusion. WASH was not identified as a driver of patient satisfaction but poor WASH provision was associated with significant patient dissatisfaction with infrastructure and quality of care. However, this dissatisfaction was not sufficient to stop patients from seeking care in these poorly served facilities. With specific regard to maternal health services, poor WASH provision was the reason for women choosing home delivery, although providers’ attitudes and interpersonal behaviours were the main drivers of patient dissatisfaction with maternal health services. Patient satisfaction was mainly assessed via questionnaires and studies reported a high risk of courtesy bias, potentially leading to an overestimation of patient satisfaction. Patient satisfaction was also found to be significantly affected by expectation, which was strongly influenced by patients’ socioeconomic status and education. This systematic review also highlighted a paucity of research to describe and evaluate interventions to improve WASH conditions in HCF in low-income setting with a high burden of healthcare-associated infections. Our review suggests that improving WASH conditions will decrease patience dissatisfaction, which may increase care seeking behaviour and improve health outcomes but that more rigorous research is needed.

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The Role of Care‐seeking Delays in Intrauterine Fetal Deaths among ‘Near‐miss’ Women in Herat, Afghanistan

Abstract: An integrated approach to improving fetal and maternal health from pre-pregnancy through childbirth (including increasing women's social and financial resources) is crucial particularly where senior family members act as gatekeepers to women's access to health care.

Cited by 9 publications

References 34 publications

Prepregnancy maternal obesity and fetal-perinatal death in a Mediterranean country

Prepregnancy maternal obesity and fetal-perinatal death in a Mediterranean country

Social Determinants of Maternal Health in Afghanistan: A Review

What is the impact of water sanitation and hygiene in healthcare facilities on care seeking behaviour and patient satisfaction? A systematic review of the evidence from low-income and middle-income countries

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