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Maternity referral systems in developing countries: current knowledge and future research needs.

Susan F Murray1, Stephen C Pearson

  • 1King's College London, UK. susan_fairley.murray@kcl.ac.uk

Social Science & Medicine (1982)
|December 7, 2005
PubMed
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Effective maternity referral systems are crucial for safe motherhood programs. Key elements include needs assessment, resources, collaboration, clear protocols, and policy support, especially for marginalized populations in developing countries.

Area of Science:

  • Health Systems Research
  • Maternal Health
  • Public Health Policy

Background:

  • Safe motherhood programs necessitate functional referral systems.
  • Developing countries often struggle with optimizing emergency obstetric care access.
  • Disparities in access disproportionately affect poor and marginalized women.

Purpose of the Study:

  • Identify requisites for successful maternity referral systems in developing countries.
  • Highlight knowledge gaps in current referral system implementation.
  • Propose a future research agenda for improving maternity referral.

Main Methods:

  • Scoping review of available literature.
  • Searched key social science, medical, and health system databases and websites.

Related Experiment Videos

  • Evidence synthesis on referral systems for maternity care.

    • Main Results:

    • Documentary evidence on implementation is scarce.
    • Many healthcare systems fail to ensure rapid access to emergency obstetric care.
    • Successful systems require strategic planning, resources, collaboration, clear protocols, and policy support.

    Conclusions:

    • Maternity referral systems require a multi-faceted approach encompassing strategy, resources, collaboration, and policy.
    • Further research is needed on the needs of marginalized populations, workforce organization, and integrated emergency care systems.
    • Addressing knowledge gaps is essential for enhancing maternal and newborn health outcomes.