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CABI Book Chapter

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 7 (Page no: 77)

Financing maternity care.

The cost of accessing maternity care in low and middle income countries falls heavily on users, contributing to the low uptake of key services such as deliveries in health facilities and limited access to emergency obstetric care. This is a particular challenge for poor households. Different strategies have been piloted in recent years to reduce out of pocket payments of various kinds for maternity services. These include demand-side mechanisms such as user fee removal or reduction, community subsidies, social health insurance and provision of vouchers. Paying providers for performance, use of contracts and budget reforms are among the supply-side measures intended to increase access to services. These strategies have resulted in a degree of success in some contexts, depending on localized factors such as implementation capacity, external support and local ownership of the policy. Countries which have performed most strongly in improving access to maternity services have combined a range of strategies addressing provider incentives as well as consumer costs. Using pooled funds (such as taxation) to finance emergency obstetric care should be a priority, given the unpredictability, urgency and potentially catastrophic nature of these costs. Addressing core health systems issues such as the capacity to deliver reliable funds and drugs to facilities and reliable and adequate salaries to staff are critical to the quality, cost and sustainability of maternity services.

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: 6 (Page no: 64) Health systems. Author(s): Mavalankar, D. V. Raman, P. S.
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.

Chapter details

  • Author Affiliation
  • University of Aberdeen, Aberdeen, UK.
  • Year of Publication
  • 2012
  • ISBN
  • 9781845937454
  • Record Number
  • 20123188919