Country experience with strengthening of health systems and deployment of midwives in countries with high maternal mortality - PubMed (original) (raw)

Review

. 2014 Sep 27;384(9949):1215-25.

doi: 10.1016/S0140-6736(14)60919-3. Epub 2014 Jun 22.

Zoe Matthews 2, Endang Achadi 3, Chiara Ancona 4, James Campbell 5, Amos Channon 6, Luc de Bernis 7, Vincent De Brouwere 8, Vincent Fauveau 9, Helga Fogstad 10, Marge Koblinsky 11, Jerker Liljestrand 12, Abdelhay Mechbal 13, Susan F Murray 14, Tung Rathavay 15, Helen Rehr 16, Fabienne Richard 17, Petra ten Hoope-Bender 5, Sabera Turkmani 18

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Review

Country experience with strengthening of health systems and deployment of midwives in countries with high maternal mortality

Wim Van Lerberghe et al. Lancet. 2014.

Abstract

This paper complements the other papers in the Lancet Series on midwifery by documenting the experience of low-income and middle-income countries that deployed midwives as one of the core constituents of their strategy to improve maternal and newborn health. It examines the constellation of various diverse health-system strengthening interventions deployed by Burkina Faso, Cambodia, Indonesia, and Morocco, among which the scaling up of the pre-service education of midwives was only one element. Efforts in health system strengthening in these countries have been characterised by: expansion of the network of health facilities with increased uptake of facility birthing, scaling up of the production of midwives, reduction of financial barriers, and late attention for improving the quality of care. Overmedicalisation and respectful woman-centred care have received little or no attention.

Copyright © 2014 Elsevier Ltd. All rights reserved.

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