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Strategies to increase facility-based skilled birth attendance in South Asia: a literature review

Metcalfe, Rosenna and Adegoke, Adetoro (2013) 'Strategies to increase facility-based skilled birth attendance in South Asia: a literature review'. International Health, Vol 5, Issue 2, pp. 96-105.

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Abstract

Global strategies to target high maternal mortality ratios are focused on providing skilled attendance at delivery as well as access to emergency obstetric care. South Asia has the lowest rates of skilled birth attendance in the world, and Nepal is lagging behind neighbouring countries. This review looks at the demand-side barriers to seeking care as well as strategies to increase facility delivery in rural South Asia. A search was made of key databases, including PubMed and the WHO, for literature relating to utilisation of facility delivery in South Asia. The main factors found to influence facility delivery in South Asia were physical and financial barriers, socioeconomic and educational status, obstetric history and awareness of danger signs, sociocultural factors and perceived quality of care. Strategies to increase facility delivery include maternity waiting homes, demand-side financing schemes, education programmes and participatory women's groups. Increasing utilisation of delivery services in South Asia requires a multisectoral approach. Key areas are increasing education for girls as well as empowering women through women's groups and community mobilisation. Removal of user fees appears to be successful but needs to be sustainable and equitable in its delivery.

Item Type: Article
Subjects: WA Public Health > WA 30 Socioeconomic factors in public health (General)
WA Public Health > Health Problems of Special Population Groups > WA 310 Maternal welfare
WA Public Health > Health Administration and Organization > WA 530 International health administration
WA Public Health > Health Administration and Organization > WA 540 National and state health administration
WQ Obstetrics > Childbirth. Prenatal Care > WQ 152 Natural childbirth
WQ Obstetrics > Labor > WQ 330 Complications of labor
Faculty: Department: Clinical Sciences & International Health > International Public Health Department
Digital Object Identifer (DOI): https://doi.org/10.1093/inthealth/ihs001
Depositing User: Lynn Roberts-Maloney
Date Deposited: 03 Mar 2015 12:28
Last Modified: 06 Feb 2018 13:09
URI: https://archive.lstmed.ac.uk/id/eprint/4971

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