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Going to scale with professional skilled care

Going to scale with professional skilled care
Going to scale with professional skilled care
Because most women prefer professionally provided maternity care when they have access to it, and since the needed clinical interventions are well known, we discuss in their paper what is needed to move forward from apparent global stagnation in provision and use of maternal health care where maternal mortality is high. The main obstacles to the expansion of care are the dire scarcity of skilled providers and health-system infrastructure, substandard quality of care, and women's reluctance to use maternity care where there are high costs and poorly attuned services. To increase the supply of professional skilled birthing care, strategic decisions must be made in three areas: training, deployment, and retention of health workers. Based on results from simulations, teams of midwives and midwife assistants working in facilities could increase coverage of maternity care by up to 40% by 2015. Teams of providers are the efficient option, creating the possibility of scaling up as much as 10 times more quickly than would be the case with deployment of solo health workers in home deliveries with dedicated or multipurpose workers
0140-6736
1377-1386
Koblinsky, Marge
3774d0e2-8af5-4460-aaa2-955fcfff4186
Matthews, Zoë
ebaee878-8cb8-415f-8aa1-3af2c3856f55
Hussein, Julia
f33f3310-0693-4582-bae6-1cf1b5dacccb
Mavalankar, Dileep
188cdfad-cd67-45e7-a1a0-403e01b88b83
Mridha, Malay K.
8eae310b-da59-4e23-a443-95126889e162
Anwar, Iqbal
a5e50065-0a21-44b8-b3ff-4ab545c20d15
Achadi, Endang
8626bf42-a2ed-43ac-8928-ddde1c13d4e3
Adjei, Sam
7c03c6a4-0049-4861-8e54-74a72f6e1112
Van Lerberghe, Wim
489566ca-1720-4c4f-bb5f-fc3b899a5ef8
Koblinsky, Marge
3774d0e2-8af5-4460-aaa2-955fcfff4186
Matthews, Zoë
ebaee878-8cb8-415f-8aa1-3af2c3856f55
Hussein, Julia
f33f3310-0693-4582-bae6-1cf1b5dacccb
Mavalankar, Dileep
188cdfad-cd67-45e7-a1a0-403e01b88b83
Mridha, Malay K.
8eae310b-da59-4e23-a443-95126889e162
Anwar, Iqbal
a5e50065-0a21-44b8-b3ff-4ab545c20d15
Achadi, Endang
8626bf42-a2ed-43ac-8928-ddde1c13d4e3
Adjei, Sam
7c03c6a4-0049-4861-8e54-74a72f6e1112
Van Lerberghe, Wim
489566ca-1720-4c4f-bb5f-fc3b899a5ef8

Koblinsky, Marge, Matthews, Zoë, Hussein, Julia, Mavalankar, Dileep, Mridha, Malay K., Anwar, Iqbal, Achadi, Endang, Adjei, Sam and Van Lerberghe, Wim (2006) Going to scale with professional skilled care. The Lancet, 368 (9544), 1377-1386. (doi:10.1016/S0140-6736(06)69382-3).

Record type: Article

Abstract

Because most women prefer professionally provided maternity care when they have access to it, and since the needed clinical interventions are well known, we discuss in their paper what is needed to move forward from apparent global stagnation in provision and use of maternal health care where maternal mortality is high. The main obstacles to the expansion of care are the dire scarcity of skilled providers and health-system infrastructure, substandard quality of care, and women's reluctance to use maternity care where there are high costs and poorly attuned services. To increase the supply of professional skilled birthing care, strategic decisions must be made in three areas: training, deployment, and retention of health workers. Based on results from simulations, teams of midwives and midwife assistants working in facilities could increase coverage of maternity care by up to 40% by 2015. Teams of providers are the efficient option, creating the possibility of scaling up as much as 10 times more quickly than would be the case with deployment of solo health workers in home deliveries with dedicated or multipurpose workers

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More information

Published date: October 2006
Organisations: Sociology & Social Policy

Identifiers

Local EPrints ID: 40743
URI: http://eprints.soton.ac.uk/id/eprint/40743
ISSN: 0140-6736
PURE UUID: 642a4ab4-5377-4876-b29f-5eea224fe56a
ORCID for Zoë Matthews: ORCID iD orcid.org/0000-0003-1533-6618

Catalogue record

Date deposited: 10 Jul 2006
Last modified: 16 Aug 2024 01:34

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Contributors

Author: Marge Koblinsky
Author: Zoë Matthews ORCID iD
Author: Julia Hussein
Author: Dileep Mavalankar
Author: Malay K. Mridha
Author: Iqbal Anwar
Author: Endang Achadi
Author: Sam Adjei
Author: Wim Van Lerberghe

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