Improving poor women's access to maternity care: Findings from a primary care intervention in Burkina Faso

被引：38

作者：

Brazier, Ellen ^{[1
]}

Andrzejewski, Catherine ^{[2
]}

Perkins, Margaret E. ^{[1
]}

Themmen, Ellen M. ^{[1
]}

Knight, Rodney J. ^{[2
]}

Bassane, Brahima

机构：

[1] Family Care Int, New York, NY USA

[2] Principia Int Inc, Chapel Hill, NC USA

来源：

SOCIAL SCIENCE & MEDICINE | 2009年 / 69卷 / 05期

关键词：

Burkina Faso; Maternity care-seeking; Wealth inequalities; Skilled attendance; Women; Intervention; HEALTH-CARE; DEVELOPING-COUNTRIES; OBSTETRIC CARE; DELIVERY CARE; SKILLED CARE; EQUITY; MORTALITY; INEQUALITIES; BANGLADESH; STRATEGIES;

D O I：

10.1016/j.socscimed.2009.06.023

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

To date, there has been little progress in reducing wealth inequities in access to maternity care. This paper describes the results of a maternal health intervention in Burkina Faso that was aimed at increasing access to skilled maternity care by improving availability and quality of maternity care, particularly at primary care health facilities, and promoting its use before. during, and after delivery. Post-intervention data show a large overall increase in use of facility-based maternity care in the intervention district, particularly at primary care facilities, but little change in the comparison district. In addition, large wealth inequities in the use of professional care during childbirth were almost eliminated in the intervention district while they increased in the comparison district-both among all women, and among the subset of women who reported experiencing complications during delivery. Study results suggest that efforts to upgrade maternity services at primary care facilities may be key for improving poor women's access to and use of skilled care during childbirth. (C) 2009 Elsevier Ltd. All rights reserved.

引用

页码：682 / 690

页数：9

共 53 条

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