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Maternal and perinatal health in developing countries.

Book cover for Maternal and perinatal health in developing countries.

Description

The promotion of maternal health and mortality reduction is of worldwide importance, and constitutes a vital part of the UN Millennium Development Goals. The highest maternal mortality rates are in developing countries, where global and regional initiatives are needed to improve the systems and practices involved in maternal care and medical access. Taking a practical policy approach, this book co...

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Chapter 6 (Page no: 64)

Health systems.

A functioning health system is crucial ucial for maternal health programmes to achieve their goals of improving maternal and perinatal health. The six essential building blocks of a health system are service delivery, health workforce, information, equipment and supplies, financing and leadership and governance. Health systems are complex and interconnected social and political organizations. Although some of their core elements are tangible (infrastructure, equipment, supplies, vehicles and people), many are intangible or conceptual in nature, such as health sector reforms and governance. Maternity services are the means through which the health system provides care for mothers and their babies. Maternity services are usually organized in at least three levels - primary, secondary and tertiary. Acute problems exist in the recruitment, retention, deployment and distribution of people working in the health system. The problems are not restricted to doctors, nurses and midwives, but extend to paramedical and ancillary staff (such as laboratory technicians, radiographers) and professional managers. Health sector reforms are changes in policy and institutional arrangements of the health system and are required for a health system to be responsive to a range of external factors and ultimately to provide equitable and efficient health services. Some major reforms pertinent to maternity care in India are discussed in this chapter, including examples of public-private partnerships, financing health care and aid harmonization.

Other chapters from this book

Chapter: 1 (Page no: 1) An introduction to maternal and perinatal health. Author(s): Hussein, J. Blanc, A. K. Donnay, F. McCaw-Binns, A.
Chapter: 2 (Page no: 10) The Millennium Development Goals. Author(s): McCaw-Binns, A. Hussein, J.
Chapter: 3 (Page no: 25) The politics of progress: the story of maternal mortality. Author(s): Graham, W. J.
Chapter: 4 (Page no: 40) The epidemiology of maternal mortality. Author(s): Stanton, C. McCaw-Binns, A.
Chapter: 5 (Page no: 51) The epidemiology of stillbirths and neonatal deaths. Author(s): Stanton, C. Lawn, J. E.
Chapter: 7 (Page no: 77) Financing maternity care. Author(s): Witter, S. Ensor, T.
Chapter: 8 (Page no: 96) Implementing clinical interventions within maternal health programmes. Author(s): Langer, A. Knight, H. Charnock, A. Wegner, M. N. Villar, J.
Chapter: 9 (Page no: 114) Medical conditions in pregnancy. Author(s): Webber, R. McCaw-Binns, A. Hussein, J.
Chapter: 10 (Page no: 127) Improving the availability of services. Author(s): Phoya, A. Mavalankar, D. V. Raman, P. S. Hussein, J.
Chapter: 11 (Page no: 139) Geographical access, transport and referral systems. Author(s): Munjanja, S. P. Magure, T. Kandawasvika, G.
Chapter: 12 (Page no: 155) Demand for maternity care: beliefs, behaviour and social access. Author(s): Mumtaz, Z. Levay, A.
Chapter: 13 (Page no: 170) Empowering the community: BRAC's approach in Bangladesh. Author(s): Kaosar Afsana
Chapter: 14 (Page no: 181) Quality of care. Author(s): Achadi, E. Pitchforth, E. Hussein, J.
Chapter: 15 (Page no: 193) Monitoring and evaluation. Author(s): Hounton, S. Newlands, D. Meda, N. Hussein, J.
Chapter: 16 (Page no: 210) Addressing maternal health in emergency settings. Author(s): Bartlett, L. Aitken, I. Smith, J. M. Thomas, L. J. Rosen, H. E. Tappis, H. Burnham, G.

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