Innovative Approaches to Reducing Financial Barriers to Obstetric Care in Low-Income Countries
Innovative Approaches to Reducing Financial Barriers to Obstetric Care in Low-Income Countries
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DOI：
10.2105/ajph.2009.179689
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发表时间：
2010-10-01
影响因子：
12.7
通讯作者：
de Brouwere, Vincent
中科院分区：
文献类型：
--
作者：
Richard, Fabienne;Witter, Sophie;de Brouwere, Vincent
缺乏获得优质护理的机会是低收入国家降低孕产妇死亡率的主要障碍。在许多情况下，妇女必须自付费用，造成延误，其中一些是致命的，以及使家庭陷入贫困的灾难性支出，各种创新办法针对穷人或免除剖腹产等特定服务。我们分析了8个案例研究，以更好地了解目前的实验，以减少孕产妇护理的财政障碍，虽然服务利用率在大多数情况下增加，但仍然关注的护理质量，贫富患者之间的公平和城乡居民之间，以及财政可持续性，以支持这些新的战略。(Am J公共卫生。2010;100：1845-1852. doi：10.2105/AJPH.2009。179689）
Lack of access to quality care is the main obstacle to reducing maternal mortality in low-income countries. In many settings, women must pay out-of-pocket fees, resulting in delays, some of them fatal, and catastrophic expenditure that push households into poverty.Various innovative approaches have targeted the poor or exempted specific services, such as cesarean deliveries. We analyzed 8 case studies to better understand current experiments in reducing financial barriers to maternal care.Although service utilization increased in most of the settings, concerns remain about quality of care, equity between rich and poor patients and between urban and rural residents, and financial sustainability to support these new strategies. (Am J Public Health. 2010;100:1845-1852. doi:10.2105/AJPH.2009. 179689)