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Ana Langer - One of the best experts on this subject based on the ideXlab platform.

  • Rethinking Maternal Health
    The Lancet. Global health, 2016
    Co-Authors: Felicia M Knaul, Ana Langer, Rifat Atun, Danielle Rodin, Julio Frenk, Ruth Bonita
    Abstract:

    Women’s Health has gone through a major epidemiological transition in the past decades. It is now time to rethink how global Health defines Maternal in order to encompass challenges to the Health of all women as well as their transformative potential as productive members of society. The Maternal Health agenda must encompass a life course women-centred approach including those who have children and those who do not. The challenge is to continue to push Maternal Health well beyond pregnancy and childbirth to enable all women to realise their full potential in all facets of their lives. It is time to rethink what is Maternal about Maternal Health. (Excerpts) Copyright © Knaul et al. Open Access.

  • Maternal Health Is Women's Health: A Call for Papers for Year 2 of the Maternal Health Task Force–PLOS Collection
    PLoS Medicine, 2012
    Co-Authors: Samantha R. Lattof, Mary Nell Wegner, Ana Langer
    Abstract:

    The PLOS Medicine editors and the Maternal Health Task Force announce a new call for papers on the theme of “Maternal Health is women's Health.”

  • Quality of Maternal Health Care: A Call for Papers for a Maternal Health Task Force-PLoS Collection
    PLoS Medicine, 2011
    Co-Authors: Samantha R. Lattof, Mary Nell Wegner, Ana Langer
    Abstract:

    With four years remaining before the world is held accountable to the Millennium Development Goals (MDGs) and with numerous recent global pledges, it is imperative that energy and resources for Maternal Health remain focused to create the change needed, especially in the most vulnerable settings where Maternal and newborn mortality and morbidity remain far too high. There are key advances on which to capitalize. Important progress has been made in reducing Maternal mortality in specific locations [1–4]—the overall number of women dying from pregnancy and childbirth each year declined from 526,300 in 1980 to about 273,500 in 2011 [2], although the large declines in central Europe and south Asia are overshadowed by negligible progress in all regions of sub-Saharan Africa. Costeffective and evidence-based interventions to prevent and successfully manage all major causes of Maternal morbidity and mortality are available, including good nutrition, access to contraception, skilled attendance at delivery, and emergency obstetric care [5], although coverage of these known interventions is regrettably uneven [5,6]. The field now has high-level political commitment and a more reliable scientific understanding of what it will take to prevent deaths among women and children worldwide. These forces have created an unprecedented opportunity for accelerating progress to achieve Maternal Health goals. Vexing our road to success, however, is the continued lack of access to knowledge on Maternal Health in many settings, which is a major limitation to all of human development. As several large publishers withdraw from making their publications free to those in developing countries [7,8], the Maternal Health Task Force (MHTF) (http://MaternalHealthtaskforce.org/) is concerned that the chasm between those who have access to information on Maternal Health and those who do not will widen. The MHTF’s overarching goal is access: more people should have greater access to more comprehensive Maternal Health information and knowledge. In order to achieve our goal of greater access, the MHTF is collaborating with PLoS to create a freely available, open access collection of published research and commentary on Maternal Health care: the MHTF–PLoS Collection on Maternal Health. During the MHTF’s first phase at EngenderHealth, a leading international reproductive Health organization (www. engenderHealth.org), the Task Force brought together hundreds of global and country organizations to debate and reach consensus on critical issues related to Maternal Health using creative and participatory mechanisms, providing a platform for developing countries to lead and participate in technical exchanges and agenda-setting processes. The Task Force also mentored a cohort of young leaders, and identified and supported innovation in Maternal Health around the world. To address the large set of continued needs identified through extensive consultations with its partners, the MHTF has recently moved to the Women and Health Initiative at Harvard School of Public Health (http://www.hsph.harvard.edu/ women-and-Health-initiative), where it will continue its work with a three-year, US$12 million project funded by the Bill & Melinda Gates Foundation that aims to improve global Maternal Health policies and programs by expanding access to critical knowledge; providing a neutral space for scientific debate and consensus building; strengthening the capacity of developing country professionals; and helping improve the content and quality of Maternal Health care. This second phase is based on a thorough analysis of the critical factors needed to accelerate progress in Maternal Health. While there are many approaches to take, the MHTF–PLoS Collection in 2011–12 will focus on quality of Maternal Health care, as it is clear that such a focus is now a global imperative [9]. The quality of Maternal Health care is highly variable and often extremely poor, even in locations where there is a commitment to improving Maternal Health through increased access to skilled care, for example [10]. The coverage and reach of Maternal Health services have increased dramatically in some high-burden countries, but the content and quality of those services (both

Mukesh Hamal - One of the best experts on this subject based on the ideXlab platform.

  • social determinants of Maternal Health a scoping review of factors influencing Maternal mortality and Maternal Health service use in india
    Public health reviews, 2020
    Co-Authors: Vincent De Brouwere, Mukesh Hamal, Marjolein Dieleman, Tjard De Cock Buning
    Abstract:

    Maternal Health remains a major public Health problem in India, with large inter- and intra-state inequities in Maternal Health service use and Maternal deaths. The Commission on Social Determinants of Health provides a framework to identify structural and intermediary factors of Health inequities, including Maternal Health, and understand their mechanism of influence, which might be important in addressing Maternal Health inequities in India. Our review aims to map and summarize the evidence on social determinants influencing Maternal Health in India and understand their mechanisms of influence by using a Maternal Health-specific social determinants framework. A scoping review was conducted of peer-reviewed journal articles in two databases (PubMed and Science Direct) on quantitative and qualitative studies conducted in India after 2000. We also searched for articles in a search engine (Google Scholar). Forty-one studies that met the study objectives were included: 25 identified through databases and search engines and 16 through reference check. Economic status, caste/ethnicity, education, gender, religion, and culture were the most important structural factors of Maternal Health service use and Maternal mortality in India. Place of residence, Maternal age at childbirth, parity and women’s exposure to mass media, and Maternal Health messages were the major intermediary factors. The structural factors influenced the intermediary factors (either independently or in association with other factors) that contributed to the use of Maternal Health service or caused Maternal deaths. The Health system emerged as a crucial and independent intermediary factor of influence on Maternal Health in India. Issues of power were observed in broader social contexts and in the relationships of Health workers which led to differential access to Maternal Healthcare for women from different socioeconomic groups. The model integrates existing information from quantitative and qualitative studies and provides a more comprehensive picture of structural and intermediary factors of Maternal Health service use and Maternal mortality in India and their mechanisms of influence. Given the limitations of this study, we indicate the areas for further research pertaining to the framework and Maternal Health.

  • Social determinants of Maternal Health: a scoping review of factors influencing Maternal mortality and Maternal Health service use in India.
    Public health reviews, 2020
    Co-Authors: Mukesh Hamal, Vincent De Brouwere, Marjolein Dieleman, Tjard De Cock Buning
    Abstract:

    Background Maternal Health remains a major public Health problem in India, with large inter- and intra-state inequities in Maternal Health service use and Maternal deaths. The Commission on Social Determinants of Health provides a framework to identify structural and intermediary factors of Health inequities, including Maternal Health, and understand their mechanism of influence, which might be important in addressing Maternal Health inequities in India. Our review aims to map and summarize the evidence on social determinants influencing Maternal Health in India and understand their mechanisms of influence by using a Maternal Health-specific social determinants framework. Methods A scoping review was conducted of peer-reviewed journal articles in two databases (PubMed and Science Direct) on quantitative and qualitative studies conducted in India after 2000. We also searched for articles in a search engine (Google Scholar). Forty-one studies that met the study objectives were included: 25 identified through databases and search engines and 16 through reference check. Results Economic status, caste/ethnicity, education, gender, religion, and culture were the most important structural factors of Maternal Health service use and Maternal mortality in India. Place of residence, Maternal age at childbirth, parity and women's exposure to mass media, and Maternal Health messages were the major intermediary factors. The structural factors influenced the intermediary factors (either independently or in association with other factors) that contributed to the use of Maternal Health service or caused Maternal deaths. The Health system emerged as a crucial and independent intermediary factor of influence on Maternal Health in India. Issues of power were observed in broader social contexts and in the relationships of Health workers which led to differential access to Maternal Healthcare for women from different socioeconomic groups. Conclusion The model integrates existing information from quantitative and qualitative studies and provides a more comprehensive picture of structural and intermediary factors of Maternal Health service use and Maternal mortality in India and their mechanisms of influence. Given the limitations of this study, we indicate the areas for further research pertaining to the framework and Maternal Health.

Samantha R. Lattof - One of the best experts on this subject based on the ideXlab platform.

  • Maternal Health Is Women's Health: A Call for Papers for Year 2 of the Maternal Health Task Force–PLOS Collection
    PLoS Medicine, 2012
    Co-Authors: Samantha R. Lattof, Mary Nell Wegner, Ana Langer
    Abstract:

    The PLOS Medicine editors and the Maternal Health Task Force announce a new call for papers on the theme of “Maternal Health is women's Health.”

  • Quality of Maternal Health Care: A Call for Papers for a Maternal Health Task Force-PLoS Collection
    PLoS Medicine, 2011
    Co-Authors: Samantha R. Lattof, Mary Nell Wegner, Ana Langer
    Abstract:

    With four years remaining before the world is held accountable to the Millennium Development Goals (MDGs) and with numerous recent global pledges, it is imperative that energy and resources for Maternal Health remain focused to create the change needed, especially in the most vulnerable settings where Maternal and newborn mortality and morbidity remain far too high. There are key advances on which to capitalize. Important progress has been made in reducing Maternal mortality in specific locations [1–4]—the overall number of women dying from pregnancy and childbirth each year declined from 526,300 in 1980 to about 273,500 in 2011 [2], although the large declines in central Europe and south Asia are overshadowed by negligible progress in all regions of sub-Saharan Africa. Costeffective and evidence-based interventions to prevent and successfully manage all major causes of Maternal morbidity and mortality are available, including good nutrition, access to contraception, skilled attendance at delivery, and emergency obstetric care [5], although coverage of these known interventions is regrettably uneven [5,6]. The field now has high-level political commitment and a more reliable scientific understanding of what it will take to prevent deaths among women and children worldwide. These forces have created an unprecedented opportunity for accelerating progress to achieve Maternal Health goals. Vexing our road to success, however, is the continued lack of access to knowledge on Maternal Health in many settings, which is a major limitation to all of human development. As several large publishers withdraw from making their publications free to those in developing countries [7,8], the Maternal Health Task Force (MHTF) (http://MaternalHealthtaskforce.org/) is concerned that the chasm between those who have access to information on Maternal Health and those who do not will widen. The MHTF’s overarching goal is access: more people should have greater access to more comprehensive Maternal Health information and knowledge. In order to achieve our goal of greater access, the MHTF is collaborating with PLoS to create a freely available, open access collection of published research and commentary on Maternal Health care: the MHTF–PLoS Collection on Maternal Health. During the MHTF’s first phase at EngenderHealth, a leading international reproductive Health organization (www. engenderHealth.org), the Task Force brought together hundreds of global and country organizations to debate and reach consensus on critical issues related to Maternal Health using creative and participatory mechanisms, providing a platform for developing countries to lead and participate in technical exchanges and agenda-setting processes. The Task Force also mentored a cohort of young leaders, and identified and supported innovation in Maternal Health around the world. To address the large set of continued needs identified through extensive consultations with its partners, the MHTF has recently moved to the Women and Health Initiative at Harvard School of Public Health (http://www.hsph.harvard.edu/ women-and-Health-initiative), where it will continue its work with a three-year, US$12 million project funded by the Bill & Melinda Gates Foundation that aims to improve global Maternal Health policies and programs by expanding access to critical knowledge; providing a neutral space for scientific debate and consensus building; strengthening the capacity of developing country professionals; and helping improve the content and quality of Maternal Health care. This second phase is based on a thorough analysis of the critical factors needed to accelerate progress in Maternal Health. While there are many approaches to take, the MHTF–PLoS Collection in 2011–12 will focus on quality of Maternal Health care, as it is clear that such a focus is now a global imperative [9]. The quality of Maternal Health care is highly variable and often extremely poor, even in locations where there is a commitment to improving Maternal Health through increased access to skilled care, for example [10]. The coverage and reach of Maternal Health services have increased dramatically in some high-burden countries, but the content and quality of those services (both

A Kasper - One of the best experts on this subject based on the ideXlab platform.

  • Maternal Health care provision for refugee women
    European Journal of Public Health, 2020
    Co-Authors: A Kasper
    Abstract:

    Abstract Background In the recent past, the number of forcibly displaced people increased worldwide. About 1/3 of the persons seeking asylum in Germany are female. The majority of all refugee women who are coming to Germany are currently of childbearing age. Refugee women are considered a highly vulnerable refugee subgroup, as they frequently experience physical strains and psychological burdens while fleeing their home countries and being pregnant at the same time. Moreover, pregnancy and the following period require specialized care and support in order to allow a transition to maternity without complications. The aim of this project is to analyze Maternal Health care services for refugee women on the level of interaction with Maternal Health care professionals in Germany. Methods Maternal Health care professionals in outpatient and clinical settings with experiences of caring for refugee women were recruited. Semi-structured interviews were conducted. The interviews were analyzed following the standards of qualitative thematic analysis. Results Maternal Health care professionals face challenges in implementing and providing Maternal Health care concerning their professional practices and interventions. Due to a lack of resources (e.g. translators, time) and other conditions, gynaecologists and midwives are forced to find new solutions that maintain (medical care), adapt (vaginal examination) or miss out on (informed consent) ordinary professional practices. Key messages Maternal Health care professionals face different barriers when providing Maternal Health care to migrant/refugee such as communication barriers and problems in relationship building. The identification of challenges and opportunities for professionals in Maternal Health care provision may contribute to improve Maternal Health (care) for refugee women.

  • The Impact of Refugee Women’s Accommodation on Maternal Health Care Provision
    European Journal of Public Health, 2019
    Co-Authors: A Kasper
    Abstract:

    Abstract Background About 1/3 of the persons seeking asylum in Germany are female. The majority of all refugee women in Germany are currently of childbearing age. The maternity period requires specialized care. Maternal Health care professionals monitor the physiological processes of maternity and the psychosocial well-being in order to allow an uncomplicated transition to maternity. On arriving in Germany there are different types of accommodation for refugee women: 1) shared reception centers (e.g. tents, containerbuildings, gyms), 2) collective shelters for particularly vulnerable refugees and 3) private apartments. Depending on the woman’s accommodation Maternal Health care professionals are confronted with different situations and conditions in providing care for these women. The aim is to analyze the impact of refugee women’s accommodation on Maternal Health care provision and professional’s actions. Methods Structured expert interviews were conducted with Maternal Health care professionals. The interviews were analyzed following the standards of qualitative thematic analysis with a special focus on refugee women’s accommodation and its impact on Maternal Health care provision. Results The accommodation situation does impact the provision of Maternal Health care as well as the actions and doings of Maternal Health care professionals. On the one hand there is a change in tasks, which are no subject to original Maternal Health care, such as organizing transportation. On the other hand there are challenges in actually executing particular Maternal Health care actions, such as taking the medical history or performing examinations where there is no or little privacy. Conclusions Accommodation conditions impact Maternal Health care provision in various ways. Therefore an enhancement of housing for refugee women may improve Maternal Health care provision and therefore Maternal Health for refugee women.

Tjard De Cock Buning - One of the best experts on this subject based on the ideXlab platform.

  • social determinants of Maternal Health a scoping review of factors influencing Maternal mortality and Maternal Health service use in india
    Public health reviews, 2020
    Co-Authors: Vincent De Brouwere, Mukesh Hamal, Marjolein Dieleman, Tjard De Cock Buning
    Abstract:

    Maternal Health remains a major public Health problem in India, with large inter- and intra-state inequities in Maternal Health service use and Maternal deaths. The Commission on Social Determinants of Health provides a framework to identify structural and intermediary factors of Health inequities, including Maternal Health, and understand their mechanism of influence, which might be important in addressing Maternal Health inequities in India. Our review aims to map and summarize the evidence on social determinants influencing Maternal Health in India and understand their mechanisms of influence by using a Maternal Health-specific social determinants framework. A scoping review was conducted of peer-reviewed journal articles in two databases (PubMed and Science Direct) on quantitative and qualitative studies conducted in India after 2000. We also searched for articles in a search engine (Google Scholar). Forty-one studies that met the study objectives were included: 25 identified through databases and search engines and 16 through reference check. Economic status, caste/ethnicity, education, gender, religion, and culture were the most important structural factors of Maternal Health service use and Maternal mortality in India. Place of residence, Maternal age at childbirth, parity and women’s exposure to mass media, and Maternal Health messages were the major intermediary factors. The structural factors influenced the intermediary factors (either independently or in association with other factors) that contributed to the use of Maternal Health service or caused Maternal deaths. The Health system emerged as a crucial and independent intermediary factor of influence on Maternal Health in India. Issues of power were observed in broader social contexts and in the relationships of Health workers which led to differential access to Maternal Healthcare for women from different socioeconomic groups. The model integrates existing information from quantitative and qualitative studies and provides a more comprehensive picture of structural and intermediary factors of Maternal Health service use and Maternal mortality in India and their mechanisms of influence. Given the limitations of this study, we indicate the areas for further research pertaining to the framework and Maternal Health.

  • Social determinants of Maternal Health: a scoping review of factors influencing Maternal mortality and Maternal Health service use in India.
    Public health reviews, 2020
    Co-Authors: Mukesh Hamal, Vincent De Brouwere, Marjolein Dieleman, Tjard De Cock Buning
    Abstract:

    Background Maternal Health remains a major public Health problem in India, with large inter- and intra-state inequities in Maternal Health service use and Maternal deaths. The Commission on Social Determinants of Health provides a framework to identify structural and intermediary factors of Health inequities, including Maternal Health, and understand their mechanism of influence, which might be important in addressing Maternal Health inequities in India. Our review aims to map and summarize the evidence on social determinants influencing Maternal Health in India and understand their mechanisms of influence by using a Maternal Health-specific social determinants framework. Methods A scoping review was conducted of peer-reviewed journal articles in two databases (PubMed and Science Direct) on quantitative and qualitative studies conducted in India after 2000. We also searched for articles in a search engine (Google Scholar). Forty-one studies that met the study objectives were included: 25 identified through databases and search engines and 16 through reference check. Results Economic status, caste/ethnicity, education, gender, religion, and culture were the most important structural factors of Maternal Health service use and Maternal mortality in India. Place of residence, Maternal age at childbirth, parity and women's exposure to mass media, and Maternal Health messages were the major intermediary factors. The structural factors influenced the intermediary factors (either independently or in association with other factors) that contributed to the use of Maternal Health service or caused Maternal deaths. The Health system emerged as a crucial and independent intermediary factor of influence on Maternal Health in India. Issues of power were observed in broader social contexts and in the relationships of Health workers which led to differential access to Maternal Healthcare for women from different socioeconomic groups. Conclusion The model integrates existing information from quantitative and qualitative studies and provides a more comprehensive picture of structural and intermediary factors of Maternal Health service use and Maternal mortality in India and their mechanisms of influence. Given the limitations of this study, we indicate the areas for further research pertaining to the framework and Maternal Health.