Peer Reviewed

1

Document Type

Article

Publication Date

8-9-2015

Keywords

Strategies, Universal health access, Maternal healthcare access, Resource-limited settings

Funder/Sponsor

Higher Education Authority of Ireland. University of Medical Sciences & Technology UMST.

Comments

The original article is available at www.biomedcentral.com

Abstract

BACKGROUND: Universal health access will not be achieved unless women are cared for in their own communities and are empowered to take decisions about their own health in a supportive environment. This will only be achieved by community-based demand side interventions for maternal health access. In this review article, we highlight three common strategies to increase demand-side barriers to maternal healthcare access and identify the main challenges that still need to be addressed for these strategies to be effective.

DISCUSSION: Common demand side strategies can be grouped into three categories:(i) Financial incentives/subsidies; (ii) Enhancing patient transfer, and; (iii) Community involvement. The main challenges in assessing the effectiveness or efficacy of these interventions or strategies are the lack of quality evidence on their outcome and impact and interventions not integrated into existing health or community systems. However, what is highlighted in this review and overlooked in most of the published literature on this topic is the lack of knowledge about the context in which these strategies are to be implemented. We suggest three challenges that need to be addressed to create a supportive environment in which these demand-side strategies can effectively improve access to maternal health services. These include: addressing decision-making norms, engaging in intergenerational dialogue, and designing contextually appropriate communication strategies.

Disciplines

Health Services Research | Maternal and Child Health | Medicine and Health Sciences | Public Health Education and Promotion | Women's Health

Citation

Elmusharaf K, Byrne E, O'Donovan D. Strategies to increase demand for maternal health services in resource-limited settings: challenges to be addressed. BMC Public Health. 2015;15(1):870. doi: 10.1186/s12889-015-2222-3.

PubMed ID

26350731

DOI Link

10.1186/s12889-015-2222-3

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-Share Alike 4.0 License.