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dc.contributor.authorMcPake, Barbara
dc.contributor.authorKoblinsky, Marge
dc.date.accessioned2018-06-19T14:14:26Z
dc.date.available2018-06-19T14:14:26Z
dc.date.issued2009
dc.identifierER703
dc.identifier.citationMcPake, B. & Koblinsky, M. (2009) Improving maternal survival in South Asia--what can we learn from case studies? Journal of health, population, and nutrition, 27(2), pp. 93-107.
dc.identifier.issn1606-0997
dc.identifier.urihttps://eresearch.qmu.ac.uk/handle/20.500.12289/703
dc.identifier.urihttps://doi.org/10.3329/jhpn.v27i2.3324
dc.description.abstractTechnical interventions for maternal healthcare are implemented through a dynamic social process. Peoples' behaviours--whether they be planners, managers, providers, or potential users--influence the outcomes. Given the complexity and unpredictability inherent in such dynamic processes, the proposed cause-and-effect relationships in any one context cannot be directly transferred to another. While this is true of all health services, its importance is magnified in maternal healthcare because of the need to involve multiple levels of the health system, multiple types of care providers from the highly skilled specialist to community-level volunteers, and multiple technical interventions, without the ability to measure significant change in the outcome, the maternal mortality ratio. Patterns can be followed however, in terms of outcomes in response to interventions. From these case studies of implementation of maternal health programmes across five states of India, Pakistan, and Bangladesh, some patterns stand out and seem to apply virtually everywhere (e.g., failure of systems to post staff in difficult areas) while others require more data to understand the observed patterns (e.g., response to financial incentives for improving maternal health systems; instituting available accessible safe blood). The patterns formed can provide guidance to programme managers as to what aspects of the process to track and micro-manage, to policy-makers as to what features of a context may particularly influence impacts of alternative maternal health strategies, and to governments more broadly as to the factors shaping dynamic responses that might themselves warrant intervention.
dc.format.extent93-107
dc.relation.ispartofJournal of health, population, and nutrition
dc.titleImproving maternal survival in South Asia--what can we learn from case studies?
dc.typearticle
dc.description.facultysch_iih
dc.description.volume27
dc.description.ispublishedpub
dc.description.eprintid703
qmu.authorMcPake, Barbara
qmu.centreInstitute for Global Health and Development


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