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"Maybe it was her fate and maybe she ran out of
blood," Indonesia.
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| Article Type: | Brief article |
| Subject: |
Maternal health services
(Usage) Maternal health services (Research) |
| Pub Date: | 05/01/2010 |
| Publication: | Name: Reproductive Health Matters Publisher: Reproductive Health Matters Audience: General Format: Magazine/Journal Subject: Family and marriage; Health; Women's issues/gender studies Copyright: COPYRIGHT 2010 Reproductive Health Matters ISSN: 0968-8080 |
| Issue: | Date: May, 2010 Source Volume: 18 Source Issue: 35 |
| Topic: | Event Code: 290 Public affairs; 310 Science & research |
| Geographic: | Geographic Scope: Indonesia Geographic Code: 9INDO Indonesia |
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| Accession Number: | 236247748 |
| Full Text: |
This paper examines access to care in obstetric emergencies by
interviewing the final caregivers of 104 women who died during pregnancy
or childbirth in two rural districts of Indonesia, using an adapted
verbal autopsy. Qualitative analysis revealed social and economic
barriers to access and barriers that arose from the health system
itself. Health insurance for the poor was highly problematic. For
providers, incomplete reimbursements and low public pay acted as
disincentives to treat the poor. For users, the schemes were poorly
understood, complicated to use and led to lower quality care. Services,
staff, transport, equipment and supplies were generally unavailable or
unaffordable. The multiple barriers to access resulted in exclusion,
which was reflected in expressions of powerlessness and fatalism
regarding the deaths. The analysis suggests that understanding access as
a complex and dynamic process, and as a reciprocally maintained
phenomenon of disadvantaged groups, could help with health planning.
Planning from this perspective may help to avoid perpetuating exclusion
on social and economic grounds, by health systems and services, and help
foster a sense of control regarding their health in people's
feelings and behaviours. (1) (1.) D'Ambruoso L, Byass P, Qomariyah SN. "Maybe it was her fate and maybe she ran out of blood": final caregivers' perspectives on access to care in obstetric emergencies in rural Indonesia. Journal of Biosocial Science 2010;42(2):213-41. |
| Gale Copyright: | Copyright 2010 Gale, Cengage Learning. All rights reserved. |
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