Perceptions and viewpoints on proceedings of the Fifteenth Assembly of Heads of State and Government of the African Union Debate on Maternal, Newborn and Child Health and Development, 25-27 July 2010, Kampala, Uganda
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TLDR
There was consensus among the discussants that there was urgent need to speed up actions for strengthening health systems to improve coverage of maternal, newborn and child health services; and to address broad determinants of women, childbirth and children’s health for sustained improvements in health and other development goals.Abstract:
Background
Out of 358000 maternal deaths that occurred globally in 2008, 57.8% occurred in continental Africa. Africa had a maternal mortality ratio of 590 compared to 14 in developed regions, 68 in Latin America and Caribbean, and 190 in Asia. This article reflects on the discussions held during the Fifteenth Assembly of the Heads of State and Government of the African Union on the reasons why the maternal mortality ratio is so high in Africa and what can be done to reduce it.read more
Citations
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Women's autonomy and utilisation of maternal healthcare services in 31 Sub-Saharan African countries: results from the demographic and health surveys, 2010-2016.
TL;DR: A weak relationship between women’s autonomy and the utilisation of maternal healthcare services is revealed and more research is needed to understand why these associations are not stronger.
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Reducing the medical cost of deliveries in Burkina Faso is good for everyone, including the poor.
TL;DR: The subsidy policy was more effective in Burkina Faso than in other African countries, including the poorest, and the distribution of benefits for medical expenses showed a progressive evolution.
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User fee exemptions and excessive household spending for normal delivery in Burkina Faso: the need for careful implementation
TL;DR: It is found that the elimination of fees for facility-based births benefits especially the poorest households, despite an implementation gap regarding the full exemption for obstetric services and neonatal care.
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The impact of user fee removal policies on household out-of-pocket spending: evidence against the inverse equity hypothesis from a population based study in Burkina Faso
Valéry Ridde,Isabelle Agier,Albrecht Jahn,Olaf Mueller,Justin Tiendrebéogo,Maurice Yé,M. De Allegri +6 more
TL;DR: The Burkinabè policy led to a significant and sustained reduction in household OOP health spending across all socio-economic groups, but failed to properly target the poorest by ensuring a progressive payment system.
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Protocol: a realist review of user fee exemption policies for health services in Africa
TL;DR: The authors propose to produce an innovative synthesis of the available evidence on user fee exemption policies in Africa to feed the policy-making process and to understand how contextual elements influence the production of outcomes through the activation of specific mechanisms, in the form of context–mechanism–outcome configurations.
References
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Closing the gap in a generation: health equity through action on the social determinants of health
TL;DR: The Commission on Social Determinants of Health (CSDH) as mentioned in this paper was created to marshal the evidence on what can be done to promote health equity and to foster a global movement to achieve it.
The Millennium Development Goals Report
TL;DR: Ban et al. as discussed by the authors stated that the global community cannot turn its back on the poor and the vulnerable, and that the goals are within reach, and even in the very poor countries, with strong political commitment and sufficient and sustained funding.
Journal ArticleDOI
The world health report 2000 - Health systems: improving performance
Uwe E. Reinhardt,Tsung-mei Cheng +1 more
TL;DR: The chief virtue of the WHO report lies in the challenges it poses for its critics within the health services research community, and it is fair to query whether, on balance, so precarious an undertaking does more good than harm.
Journal Article
Closing the gap in a generation: health equity through action on the social determinants of health. A report of the WHO Commission on Social Determinants of Health (CSDH) 2008.
Trends in maternal mortality: 1990 to 2008. Estimates developed by WHO UNICEF UNFPA and The World Bank.
TL;DR: In this paper, the authors present the global regional and country estimates of maternal mortality in 2008 and the findings of the assessment of trends of mortality levels since 1990, summarizing the challenges involved in measuring maternal mortality and the main approaches to measurement and explains the methodology of the 2008 maternal mortality estimates.
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