ReviewPublic health reviews
How do accountability problems lead to maternal health inequities? A review of qualitative literature from Indian public sector.
Review in Public health reviews. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Health system responsiveness: a systematic evidence mapping review of the global literature.International journal for equity in health · 2021Pooled it
- Article
- Article
- Article
- The Health and Human Rights Impact Assessment: The Preeminent Value of Equity.Health and human rights · 2024Article
- Facilitators for and Barriers to the Implementation of Performance Accountability Mechanisms for Quality Improvement in the Delivery of Maternal Health Services in a District Hospital in Pwani Region, Tanzania.International journal of environmental research and public health · 2023Article
- Aligning theory with practice: Child health programmes in Malaysia, a Narrative Review.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2023Review
- Maternal Referral Delays and a Culture of Downstream Blaming Among Healthcare Providers: Causes and Solutions.Public health ethics · 2022Article
- Horizontal inequity in the utilisation of Continuum of Maternal Health care Services (CMHS) in India: an investigation of ten years of National Rural Health Mission (NRHM).International journal for equity in health · 2022Article
- Perceptions and Experiences of Health Care Workers on Accountability Mechanisms for Enhancing Quality Improvement in the Delivery of Maternal Newborns and Child Health Services in Mkuranga, Tanzania.Frontiers in global women's health · 2022Article
- Accessing Maternal Health Care in the Midst of the COVID-19 Pandemic: A Study in Two Districts of Assam, India.Frontiers in global women's health · 2022Article
- Improving maternal health services through social accountability interventions in Nepal: an analytical review of existing literature.Public health reviews · 2020Review
- The community health worker as service extender, cultural broker and social change agent: a critical interpretive synthesis of roles, intent and accountability.BMJ global health · 2020Article
- Intrapartum monitoring using partograph at secondary level public health facilities-A cross-sectional study in Odisha, India.Journal of family medicine and primary care · 2019Article
- Social Accountability in Maternal Health Services in the Far-Western Development Region in Nepal: An Exploratory Study.International journal of health policy and management · 2019Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere are several studies from different geographical settings and levels on maternal health, but none analyzes how accountability problems may contribute to the maternal health outcomes. This study aimed to analyze how accountability problems in public health system lead to maternal deaths and inequities in India.
methodsA conceptual framework was developed bringing together
resultsAn overarching influence of health system-related factors over non-health system-related factors leading to maternal deaths and inequities was observed. A potential link among such factors was identified with gaps in accountability functions at all levels of health system pertaining to policy gaps or conflicting/discriminatory policies and political commitment. A large number of gaps were also observed concerning performance or implementation of existing standards. Inherent to these issues was potentially a lack of proper monitoring and accountability functions. A critical role of power was observed influencing the accountability functions.
conclusionThe narrative and interpretive synthesis approach allowed to integrate and reframe the relevant comparable information from the limited empirical studies to identify the hot spots of systemic flaws from an accountability perspective. The framework highlighted problems in health system beyond health service delivery to wider areas such as policy or politics justifying their relevance and importance in such analysis. A crucial message from the study pertains to a need to move away from the traditional concept of viewing accountability as a blame-game approach and a concern of limited frontline health workers towards a constructive and systemic approach.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.