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Related Experiment Videos

Going to scale with professional skilled care.

Marge Koblinsky1, Zoë Matthews, Julia Hussein

  • 1ICDDR,B, Centre for Health and Population Research, Dhaka, Bangladesh. margek@icddrb.org

Lancet (London, England)
|October 19, 2006
PubMed
Summary
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Improving maternal health care requires addressing provider shortages and system weaknesses. Utilizing teams of midwives and assistants can significantly increase access to skilled birth services, reducing high maternal mortality rates globally.

Area of Science:

  • Public Health
  • Global Health
  • Health Services Research

Background:

  • Most women prefer professional maternity care when accessible.
  • Global maternal health care provision faces stagnation, particularly where maternal mortality is high.
  • Key interventions for maternal health are well-established.

Purpose of the Study:

  • To identify strategies for advancing global maternal health care provision and utilization.
  • To address obstacles hindering the expansion of professional maternity services.
  • To propose solutions for overcoming stagnation in maternal health care.

Main Methods:

  • Analysis of obstacles to maternal health care expansion.
  • Discussion of strategic decisions for increasing skilled provider supply (training, deployment, retention).

Related Experiment Videos

  • Simulation-based assessment of provider team models for maternity care coverage.

    • Main Results:

    • Major obstacles include provider scarcity, inadequate infrastructure, poor care quality, and user reluctance due to costs and service mismatch.
    • Strategic focus on training, deployment, and retention of health workers is crucial.
    • Simulations indicate facility-based midwife and assistant teams could boost maternity care coverage by up to 40% by 2015.

    Conclusions:

    • Teams of skilled providers offer an efficient model for scaling up maternity care.
    • This approach enables significantly faster expansion compared to solo providers in home settings.
    • Addressing systemic issues and optimizing provider deployment is key to reducing maternal mortality.