Evaluating program effects on institutional delivery in Peru

McQuestion, Michael; Velásquez, Aníbal

doi:10.1016/j.healthpol.2005.07.007

Cited by 14 publications

(27 citation statements)

References 15 publications

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“…All studies but two were conducted in high-income, OECD-member countries: Australia ( n = 6) (Nel and Pashen 2003; Jan et al 2004; NSW Health 2005; Panaretto et al 2005, 2007; Kildea et al 2012), the United States of America (USA) ( n = 4) (Julnes et al 1994; Thompson et al 1998; Jewell and Russell 2000; Marsiglia et al 2010), the United Kingdom (UK) ( n = 2) (Mason 1990; Parsons and Day 1992) and Israel ( n = 1) (Bilenko et al 2007). The two exceptions were conducted in Peru (McQuestion and Velasquez 2006; Gabrysch et al 2009). …”

Section: Resultsmentioning

confidence: 99%

“…Strategies included: using health care providers with shared cultural and/or linguistic background with service users (Thompson et al 1998; Jewell and Russell 2000; Nel and Pashen 2003; Panaretto et al 2005, 2007; Bilenko et al 2007); providing cultural brokers, mediators or interpreters (Mason 1990; Parsons and Day 1992; Julnes et al 1994; Marsiglia et al 2010; Kildea et al 2012); training staff to improve cultural awareness (Jan et al 2004; NSW Health 2005); incorporating culturally appropriate practices (McQuestion and Velasquez 2006) and adapting the setting within which the service is provided (Gabrysch et al 2009). …”

Section: Resultsmentioning

confidence: 99%

“…Eight of 12 studies reported improvements in use and/or timing of initiation of ANC (Julnes et al 1994; Jewell and Russell 2000; Nel and Pashen 2003; Jan et al 2004; NSW Health 2005; Bilenko et al 2007; Panaretto et al 2005, 2007). One of three studies reported increases in birth at a health facility (Julnes et al 1994; McQuestion and Velasquez 2006; Gabrysch et al 2009). The one study that considered postpartum care reported a positive effect (Marsiglia et al 2010).…”

Section: Resultsmentioning

confidence: 99%

“…Four studies reported no significant effects on care utilization (Mason 1990; Parsons and Day 1992; Thompson et al 1998; McQuestion and Velasquez 2006), of which two were assessed to be of moderate quality (Parsons and Day 1992; Thompson et al 1998). One study in Australia also reported a negative effect on number of ANC visits, albeit positive effects on other maternal and newborn outcomes not addressed in this review (Kildea et al 2012).…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Effectiveness of interventions to provide culturally appropriate maternity care in increasing uptake of skilled maternity care: a systematic review

Coast

Jones

Lattof

et al. 2016

Health Policy Plan.

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Addressing cultural factors that affect uptake of skilled maternity care is recognized as an important step in improving maternal and newborn health. This article describes a systematic review to examine the evidence available on the effects of interventions to provide culturally appropriate maternity care on the use of skilled maternity care during pregnancy, for birth or in the postpartum period. Items published in English, French and/or Spanish between 1 January 1990 and 31 March 2014 were considered. Fifteen studies describing a range of interventions met the inclusion criteria. Data were extracted on population and intervention characteristics; study design; definitions and data for relevant outcomes; and the contexts and conditions in which interventions occurred. Because most of the included studies focus on antenatal care outcomes, evidence of impact is particularly limited for care seeking for birth and after birth. Evidence in this review is clustered within a small number of countries, and evidence from low- and middle-income countries is notably lacking. Interventions largely had positive effects on uptake of skilled maternity care. Cultural factors are often not the sole factor affecting populations’ use of maternity care services. Broader social, economic, geographical and political factors interacted with cultural factors to affect targeted populations’ access to services in included studies. Programmes and policies should seek to establish an enabling environment and support respectful dialogue with communities to improve use of skilled maternity care. Whilst issues of culture are being recognized by programmes and researchers as being important, interventions that explicitly incorporate issues of culture are rarely evaluated.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Effectiveness of interventions to provide culturally appropriate maternity care in increasing uptake of skilled maternity care: a systematic review

Coast

Jones

Lattof

et al. 2016

Health Policy Plan.

View full text Add to dashboard Cite

show abstract

“…At the same time, large-scale investments in women-oriented interventions such as family planning programmes and female education subsidies have contributed to better child health 23. Similarly, a number of Latin America countries have introduced far-reaching interventions to address the barrier of user fees, thus contributing to socioeconomic development,24 25 an approach that has not been particularly evident in sub-Saharan Africa.…”

Section: Interventions Targeting the Poormentioning

confidence: 99%

Abolishing inequity, a necessity for poverty reduction and the realisation of child mortality targets

Målqvist

2015

Arch Dis Child

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The first Millennium Development Goal (MDG 1) due in 2015 concerns poverty reduction. It has been claimed to be fulfilled on a global level, but still more than 1 billion people are living in abject poverty. There is a strong link between the economy and child survival, and only a minority of countries will have reached the MDG target for child mortality reduction by 2015. This paper discusses the relationship between poverty and child survival. It argues that a focus on equity is necessary to further reduce child mortality, through poverty reduction in absolute terms and also through targeting interventions for increased child survival to disadvantaged populations. The political will to actually achieve real change for those in greatest need is crucial but not to be taken for granted, and the distribution rather than the generation of wealth needs to be made a priority in the post-MDG era. INTRODUCTIONThe first Millennium Development Goal (MDG 1) deals with the allocation of resources and halving the rate of extreme poverty and hunger by 2015 compared to the level in 1990.1 It has been claimed that this goal was fulfilled some years ago.1 2 The proportion of extremely poor people living on less than US$1.25 a day has decreased, but the population has grown and today more than 1 billion people still live in abject poverty. 1 2 Furthermore, the global success in reaching the first MDG can to a large extent be attributed to the tremendous economic development in East Asia over the past two decades (tables 1-4).3 China alone has made a major contribution to the achievement of MDG 1. However, not much has happened in Africa. In countries like Kenya, Nigeria and Zambia, the ratio of people living on less than US $1.25 a day has actually increased (table 4).2 3 This raises the question whether achieving MDG 1 was due to the MDG effort or was just the result of inevitable development as the most populous country on Earth reached a developmental tipping point. This suggestion has both positive and negative implications-positive in the sense that once the economy of a developing society reaches a critical mass the rate of poverty will decrease as a result, and negative in the sense that world community efforts may ultimately be irrelevant as macroeconomics have a dynamic of their own. However, people drive development and changes can be made, for example, in child mortality. The so-called 'child survival revolution' from the 1970s to the turn of the millennium, when under-5 mortality fell substantially worldwide, 4 testifies to the possibility of achieving change with determination and effort unrelated to economic development. For example, before it experienced the tremendous economic development of later years, Vietnam managed to reduce child mortality from 55/1000 to 30/1000 live births through community mobilisation and a deliberate effort to improve public health through large-scale programmes for immunisation and health awareness. 5 The effort in the last 10 years to reduce neonatal mortality globally is ano...

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Promoting sustainability for micro health insurance: a risk-adjusted subsidy approach for maternal healthcare service

Yao

Schmit

Shi

2018

Geneva Pap Risk Insur Issues Pract

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Micro health insurance is an important way to finance health expenditure for lowincome people, and maternity care is a key component of relevant coverage. We propose a risk-adjusted subsidy provided by the government to microinsurers as a method to enhance micro health insurance for maternity benefits. Using a large data set from a micro health insurance programme in Pakistan, we apply various econometric models to predict maternity-related expenses and to calculate an appropriate risk-adjusted subsidy from the government to microinsurer. This allows us to further simulate the microinsurers' financial results. We find that the risk-adjusted subsidy could significantly improve the loss ratio by almost 40%, and the Ordinary Least Squares model is preferred among the four model forms we test. We contribute to the literature by demonstrating that this method is feasible, and further, by illustrating the potential effect of such a subsidy on micro health insurer outcomes. If successful, such a payment model could improve efficiency and extend affordable maternity care to low-income women in developing regions.

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Evaluating program effects on institutional delivery in Peru

Cited by 14 publications

References 15 publications

Effectiveness of interventions to provide culturally appropriate maternity care in increasing uptake of skilled maternity care: a systematic review

Effectiveness of interventions to provide culturally appropriate maternity care in increasing uptake of skilled maternity care: a systematic review

Abolishing inequity, a necessity for poverty reduction and the realisation of child mortality targets

Promoting sustainability for micro health insurance: a risk-adjusted subsidy approach for maternal healthcare service

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