Changing the conversation: applying a health equity framework to maternal mortality reviews

Kramer, Michael R.; Strahan, Andrea E.; Preslar, Jessica; Zaharatos, Julie; Pierre, Amy St.; Grant, Jacqueline E.; Davis, Nicole L.; Goodman, David A.; Callaghan, William M.

doi:10.1016/j.ajog.2019.08.057

Cited by 55 publications

(48 citation statements)

References 47 publications

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“…A precondition to ensure that women and their children receive the care they need is equal opportunities to access care for those with equal needs, regardless of personal characteristics,-such as gender, age, ethnicity, geographic location and socioeconomic status [170,171]. However, our results show that care provision is determined by many characteristics-often a combination, or intersection [172] of characteristics-including characteristics of health systems and care providers [173][174][175][176][177][178][179]. Although some salient potential barriers to care, such as geography, are considered in the papers, the notion of equity of access to care remains unaddressed.…”

Section: Blind Spots Of Risk Selection: Equitable Access To Care Wommentioning

confidence: 97%

Towards a better understanding of risk selection in maternal and newborn care: A systematic scoping review

et al. 2020

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Globally, millions of women and their children suffer due to preventable morbidity and mortality, associated with both underuse and overuse of maternal and newborn care. An effective system of risk selection that differentiates between what care should be provided and who should provide it is a global necessity to ensure women and children receive appropriate care, at the right place and the right time. Poor conceptualization of risk selection impedes evaluation and comparison of models of risk selection across various settings, which is necessary to improve maternal and newborn care. We conducted a scoping review to enhance the understanding of risk selection in maternal and newborn care. We included 210 papers, published over the past four decades, originating from 24 countries. Using inductive thematic analysis, we identified three main dimensions of risk selection: (1) risk selection as an organisational measure to optimally align women's and children's needs and resources, (2) risk selection as a practice to detect and assess risk and to make decisions about the delivery of care, and (3) risk selection as a tool to ensure safe care. We found that these three dimensions have three themes in common: risk selection (1) is viewed as both requiring and providing regulation, (2) has a provider centred focus and (3) aims to avoid underuse of care. Due to the methodological challenges of contextual diversity, the concept of risk selection needs clear indicators that capture the complexity of care to make crosssetting evaluation and comparison of risk selection possible. Moreover, a comprehensive understanding of risk selection needs to consider access disparity, women's needs, and unnecessary medicalization.

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Section: Blind Spots Of Risk Selection: Equitable Access To Care Wommentioning

confidence: 97%

Towards a better understanding of risk selection in maternal and newborn care: A systematic scoping review

et al. 2020

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“…Analyzing these data allows the committee members to establish the chronological sequence and the possible relationships between the events that led to death, to define the cause of death if related to pregnancy, and to identify whether it was a preventable death. Since these data comprise all levels and care settings, it is possible to identify gaps in the line of care, even if not related to the death itself [12].…”

Section: Clinical Autopsy On Maternal Deathmentioning

confidence: 99%

Why Should Clinical Autopsies Continue to Exist?

et al. 2021

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“…Se deparar com altas taxas de mortalidade materna pode revelar falhas e deficiências críticas nos sistemas de saúde, nas comunidades e na sociedade em geral, onde oportunidades de prevenção foram perdidas. E ao estratificar em determinados grupos o fardo da mortalidade materna se demonstra ainda pior (KRAMER et al, 2019).…”

Section: Palavras-chaveunclassified

Avaliação Da Mortalidade Materna a 5° Regional De Saúde Do Estado Do Paraná: Série Temporal

Silva¹,

Andrade²,

Rodrigues³

et al. 2021

Saúde Pública No Século Xxi: Uma Abordagem Sobre Epidemiologia, Vol 2

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Changing the conversation: applying a health equity framework to maternal mortality reviews

Cited by 55 publications

References 47 publications

Towards a better understanding of risk selection in maternal and newborn care: A systematic scoping review

Towards a better understanding of risk selection in maternal and newborn care: A systematic scoping review

Why Should Clinical Autopsies Continue to Exist?

Avaliação Da Mortalidade Materna a 5° Regional De Saúde Do Estado Do Paraná: Série Temporal

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