Abstract
Background: Universal health access will not be achieved unless women are cared for in their own communities and are empowered to take decisions about their own health in a supportive environment. This will only be achieved by community-based demand side interventions for maternal health access. In this review article, we highlight three common strategies to increase demand-side barriers to maternal healthcare access and identify the main challenges that still need to be addressed for these strategies to be effective. Discussion: Common demand side strategies can be grouped into three categories:(i) Financial incentives/subsidies; (ii) Enhancing patient transfer, and; (iii) Community involvement. The main challenges in assessing the effectiveness or efficacy of these interventions or strategies are the lack of quality evidence on their outcome and impact and interventions not integrated into existing health or community systems. However, what is highlighted in this review and overlooked in most of the published literature on this topic is the lack of knowledge about the context in which these strategies are to be implemented. Summary: We suggest three challenges that need to be addressed to create a supportive environment in which these demand-side strategies can effectively improve access to maternal health services. These include: addressing decision-making norms, engaging in intergenerational dialogue, and designing contextually appropriate communication strategies.
Original language | English |
---|---|
Article number | 870 |
Journal | BMC Public Health |
Volume | 15 |
Issue number | 1 |
DOIs | |
Publication status | Published - 8 Sept 2015 |
Bibliographical note
Funding Information:This research was funded under the Programme of Strategic Cooperation, of Irish Aid and administered through the Higher Education Authority of Ireland. This research received fund from University of Medical Sciences & Technology UMST, Khartoum Sudan.
Publisher Copyright:
© 2015 Elmusharaf et al.
ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health