TY - JOUR
T1 - Country experience with strengthening of health systems and deployment of midwives in countries with high maternal mortality
AU - Van Lerberghe, Wim
AU - Matthews, Zoe
AU - Achadi, Endang
AU - Ancona, Chiara
AU - Campbell, James
AU - Channon, Amos
AU - De Bernis, Luc
AU - De Brouwere, Vincent
AU - Fauveau, Vincent
AU - Fogstad, Helga
AU - Koblinsky, Marge
AU - Liljestrand, Jerker
AU - Mechbal, Abdelhay
AU - Murray, Susan F.
AU - Rathavay, Tung
AU - Rehr, Helen
AU - Richard, Fabienne
AU - Ten Hoope-Bender, Petra
AU - Turkmani, Sabera
N1 - Funding Information:
The work on this paper was supported partly through a grant from the Bill & Melinda Gates Foundation ( OPP1042500 ) and additional support from ICS Integrare, the University of York, and the University of Dundee. Julie Glanville from the York Health Economics Consortium contributed to the literature searches, and the Midwives Information and Resource Service (MIDIRS) supported the search work. PtH-B's work was supported by the Instituto de Cooperación Social Integrare. The funding organisations had no role in the undertaking of the analysis and synthesis of the findings of this report. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of their employers. Jenny Brown and Tracy Sparey provided administrative support, and Natalie Muir provided project support. We thank the close readers and colleagues who made helpful contributions: Hamid Ashwal, Hilda Bonilla, Mickey Chopra, Bernadette Daelmans; Frances Day-Stirk, Eugene Declerc, France Donnay, Soo Downe; Elizabeth Goodburn, Wendy Graham, Isaline Greindl, Caroline Homer, Louise Hulton, Peter Johnson, Fran McConville, Blerta Maliqi, Liz Mason, Matthews Mathai, Remo Meloni, Nester Moyo; Mary Renfrew, Arul Sabaratum, Kate Somers, Kate Teela, and Veronica Walford.
Publisher Copyright:
© 2014 Elsevier Ltd.
PY - 2014/9/27
Y1 - 2014/9/27
N2 - 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.
AB - 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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U2 - 10.1016/S0140-6736(14)60919-3
DO - 10.1016/S0140-6736(14)60919-3
M3 - Review article
C2 - 24965819
AN - SCOPUS:84908337955
SN - 0140-6736
VL - 384
SP - 1215
EP - 1225
JO - The Lancet
JF - The Lancet
IS - 9949
ER -