Rating maternal and neonatal health services in developing countries
OBJECTIVE: To assess maternal and neonatal health services in 49 developing countries. METHODS: The services were rated on a scale of 0 to 100 by 10 - 25 experts in each country. The ratings covered emergency and routine services, including family planning, at health centres and district hospitals,...
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| Format: | Article |
| Language: | English |
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The World Health Organization
2002-01-01
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| Series: | Bulletin of the World Health Organization |
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| Online Access: | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862002000900008 |
| _version_ | 1797289001388867584 |
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| author | Bulatao Rodolfo A. Ross John A. |
| author_facet | Bulatao Rodolfo A. Ross John A. |
| author_sort | Bulatao Rodolfo A. |
| collection | DOAJ |
| description | OBJECTIVE: To assess maternal and neonatal health services in 49 developing countries. METHODS: The services were rated on a scale of 0 to 100 by 10 - 25 experts in each country. The ratings covered emergency and routine services, including family planning, at health centres and district hospitals, access to these services for both rural and urban women, the likelihood that women would receive particular forms of antenatal and delivery care, and supporting elements of programmes such as policy, resources, monitoring, health promotion and training. FINDINGS: The average rating was only 56, but countries varied widely, especially in access to services in rural areas. Comparatively good ratings were reported for immunization services, aspects of antenatal care and counselling on breast feeding. Ratings were particularly weak for emergency obstetric care in rural areas, safe abortion and HIV counselling. CONCLUSION: Maternal health programme effort in developing countries is seriously deficient, particularly in rural areas. Rural women are disadvantaged in many respects, but especially regarding the treatment of emergency obstetric conditions. Both rural and urban women receive inadequate HIV counselling and testing and have quite limited access to safe abortion. Improving services requires moving beyond policy reform to strengthening implementation of services and to better staff training and health promotion. Increased financing is only part of the solution. |
| first_indexed | 2024-03-07T18:57:47Z |
| format | Article |
| id | doaj.art-dc579425471b464cba877c6ca7b0a58a |
| institution | Directory Open Access Journal |
| issn | 0042-9686 |
| language | English |
| last_indexed | 2024-03-07T18:57:47Z |
| publishDate | 2002-01-01 |
| publisher | The World Health Organization |
| record_format | Article |
| series | Bulletin of the World Health Organization |
| spelling | doaj.art-dc579425471b464cba877c6ca7b0a58a2024-03-02T00:05:24ZengThe World Health OrganizationBulletin of the World Health Organization0042-96862002-01-01809721727Rating maternal and neonatal health services in developing countriesBulatao Rodolfo A.Ross John A.OBJECTIVE: To assess maternal and neonatal health services in 49 developing countries. METHODS: The services were rated on a scale of 0 to 100 by 10 - 25 experts in each country. The ratings covered emergency and routine services, including family planning, at health centres and district hospitals, access to these services for both rural and urban women, the likelihood that women would receive particular forms of antenatal and delivery care, and supporting elements of programmes such as policy, resources, monitoring, health promotion and training. FINDINGS: The average rating was only 56, but countries varied widely, especially in access to services in rural areas. Comparatively good ratings were reported for immunization services, aspects of antenatal care and counselling on breast feeding. Ratings were particularly weak for emergency obstetric care in rural areas, safe abortion and HIV counselling. CONCLUSION: Maternal health programme effort in developing countries is seriously deficient, particularly in rural areas. Rural women are disadvantaged in many respects, but especially regarding the treatment of emergency obstetric conditions. Both rural and urban women receive inadequate HIV counselling and testing and have quite limited access to safe abortion. Improving services requires moving beyond policy reform to strengthening implementation of services and to better staff training and health promotion. Increased financing is only part of the solution.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862002000900008Maternal health servicesPerinatal careHealth services accessibilityDelivery of health careFamily planningProgram evaluationComparative studyDeveloping countries |
| spellingShingle | Bulatao Rodolfo A. Ross John A. Rating maternal and neonatal health services in developing countries Bulletin of the World Health Organization Maternal health services Perinatal care Health services accessibility Delivery of health care Family planning Program evaluation Comparative study Developing countries |
| title | Rating maternal and neonatal health services in developing countries |
| title_full | Rating maternal and neonatal health services in developing countries |
| title_fullStr | Rating maternal and neonatal health services in developing countries |
| title_full_unstemmed | Rating maternal and neonatal health services in developing countries |
| title_short | Rating maternal and neonatal health services in developing countries |
| title_sort | rating maternal and neonatal health services in developing countries |
| topic | Maternal health services Perinatal care Health services accessibility Delivery of health care Family planning Program evaluation Comparative study Developing countries |
| url | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862002000900008 |
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