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

Country experience with strengthening of health systems and deployment of midwives in countries with high maternal mortality
Country experience with strengthening of health systems and deployment of midwives in countries with high maternal mortality
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.
0140-6736
1215-1225
Van Lerberghe, Wim
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Matthews, Zoe
ebaee878-8cb8-415f-8aa1-3af2c3856f55
Achadi, Endang
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Ancona, Chiara
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Campbell, James
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Channon, Andrew A.R.
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de Bernis, Luc
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De Brouwere, Vincent
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Fauveau, Vincent
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Fogstad, Helga
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Koblinsky, Marge
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Liljestrand, Jerker
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Mechbal, Abdelhay
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Murray, Susan F
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Rathavay, Tung
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Rehr, Helen
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Richard, Fabienne
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ten Hoope-Bender, Petra
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Turkmani, Sabera
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Van Lerberghe, Wim
489566ca-1720-4c4f-bb5f-fc3b899a5ef8
Matthews, Zoe
ebaee878-8cb8-415f-8aa1-3af2c3856f55
Achadi, Endang
8626bf42-a2ed-43ac-8928-ddde1c13d4e3
Ancona, Chiara
3b63c416-b0aa-4ec1-8113-0ad4beecc05b
Campbell, James
62f4ea7b-70f2-4834-8b3f-fb5751cc5dce
Channon, Andrew A.R.
5a60607c-6861-4960-a81d-504169d5880c
de Bernis, Luc
2675a8f1-15ae-455b-8137-ba1ec1b00961
De Brouwere, Vincent
19194764-6547-4dce-8d93-3b199807d16d
Fauveau, Vincent
2b9f16f2-5281-4c10-b48a-3c8e76c6aba4
Fogstad, Helga
e7063934-dddf-4629-bbd1-17e43f5b28db
Koblinsky, Marge
3774d0e2-8af5-4460-aaa2-955fcfff4186
Liljestrand, Jerker
869a2831-67c7-49e3-8ba7-dd582a5a13d8
Mechbal, Abdelhay
161a38d1-538c-4d1f-a557-880f16be502a
Murray, Susan F
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Rathavay, Tung
8bd2b7f9-913a-4372-a00e-e63c0ba0394e
Rehr, Helen
12d19b9d-c655-48dd-92c3-3926b5160013
Richard, Fabienne
b031e4b3-db6d-4da8-a267-03a1c0590303
ten Hoope-Bender, Petra
1cebd8b5-c9aa-4c3d-9c1b-175edb08fc13
Turkmani, Sabera
57caba50-54b6-48ee-abad-ef835afac5c5

Van Lerberghe, Wim, Matthews, Zoe, Achadi, Endang, Ancona, Chiara, Campbell, James, Channon, Andrew A.R., de Bernis, Luc, De Brouwere, Vincent, Fauveau, Vincent, Fogstad, Helga, Koblinsky, Marge, Liljestrand, Jerker, Mechbal, Abdelhay, Murray, Susan F, Rathavay, Tung, Rehr, Helen, Richard, Fabienne, ten Hoope-Bender, Petra and Turkmani, Sabera (2014) Country experience with strengthening of health systems and deployment of midwives in countries with high maternal mortality. The Lancet, 384 (9949), 1215-1225. (doi:10.1016/S0140-6736(14)60919-3). (PMID:24965819)

Record type: Article

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.

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e-pub ahead of print date: 22 June 2014
Published date: 27 September 2014
Organisations: Social Statistics & Demography

Identifiers

Local EPrints ID: 366296
URI: http://eprints.soton.ac.uk/id/eprint/366296
ISSN: 0140-6736
PURE UUID: dc17d2bc-32ca-4b70-9561-968146bc79ca
ORCID for Zoe Matthews: ORCID iD orcid.org/0000-0003-1533-6618
ORCID for Andrew A.R. Channon: ORCID iD orcid.org/0000-0003-4855-0418

Catalogue record

Date deposited: 26 Jun 2014 16:22
Last modified: 16 Aug 2024 01:40

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Contributors

Author: Wim Van Lerberghe
Author: Zoe Matthews ORCID iD
Author: Endang Achadi
Author: Chiara Ancona
Author: James Campbell
Author: Luc de Bernis
Author: Vincent De Brouwere
Author: Vincent Fauveau
Author: Helga Fogstad
Author: Marge Koblinsky
Author: Jerker Liljestrand
Author: Abdelhay Mechbal
Author: Susan F Murray
Author: Tung Rathavay
Author: Helen Rehr
Author: Fabienne Richard
Author: Petra ten Hoope-Bender
Author: Sabera Turkmani

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