Key factors deterring women's engagement with skilled birth attendants in three districts of Timor—Leste. A qualitative descriptive study

King, Rosemary; Jones, Linda

doi:10.1016/j.midw.2019.102555

Cited by 15 publications

(21 citation statements)

References 31 publications

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“…Among studies included in the review, a majority was from India (n=30, 48 %) . There were 11 studies from Nepal (42)(43)(44)(45)(46)(47)(48)(49)(50)(51)(52) , 10 from Bangladesh (53)(54)(55)(56)(57)(58)(59)(60)(61)(62) , six from Indonesia (63)(64)(65)(66)(67)(68) and two from Timor-Leste 69,70 . From Bhutan 71 , Thailand 72 , and Myanmar 73 one from each was identi ed.…”

Section: Resultsmentioning

confidence: 99%

“…Male controlled family structures, intergenerational decision-making and cultural attitudes towards reproductive health information and service has reduced women's access to reproductive health services in Timor-Leste 69 . Distance to health facilities, di culty in geographical access, high transport costs, poor roads and lack of transportation facilities were identi ed as challenges for access to MCH care institutions throughout the region 13,20,33,39,42,[44][45][46]49,52,63,69,70 .…”

Section: E Leadership and Governancementioning

confidence: 99%

“…Several studies reported that the low quality of delivery and postpartum care provided by the institutions is a major challenge for health care access in the region 44,49,69,70 . The low quality is re ected with poor infrastructure, unfriendly health care providers, hospital policies and poor staff attitude.…”

Section: E Leadership and Governancementioning

confidence: 99%

“…The low quality is re ected with poor infrastructure, unfriendly health care providers, hospital policies and poor staff attitude. The restricted hours of opening, the lack of availability of medical resources and the lack of privacy are identi ed in maternity services in Timor-Leste 69 .…”

Section: E Leadership and Governancementioning

confidence: 99%

“…Inadequate healthcare workers including specialists was identi ed as a challenge for provision of better maternal and neonatal care in India, Nepal, Bangladesh, Indonesia, Timor-Leste and Myanmar 12,22,24,26,29,8,45,47,49,51,56,61,63,69,73 . Shortage of staff is widespread in rural areas.…”

Section: Human Resourcesmentioning

confidence: 99%

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Successes, Challenges and Opportunities Towards Universal Health Coverage for Maternal and Child Health in South East Asian Countries: A Systematic Review

Perera

Gilks

Alemu

2020

Preprint

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Background: Sustainable Development Goal 3 (SDG-3) aims to ensure healthy lives and promote wellbeing for all. Universal Health Coverage (UHC) assures delivering health services to all who need without suffering from financial hardships. This paper aims to identify the successes, challenges and opportunities towards achieving UHC for maternal and childcare in countries in the World Health Organization, South East Asian Region (SEAR). Methods: We conducted a systematic review of the literature. We searched PubMed, Embase, Scopus, CINAHL, PsycINFO, WHO research portal and Google scholar for studies published in English from 2010 to 2020. We included studies conducted in maternal and childcare focusing on challenges, opportunities or successes towards UHC in countries in SEAR. Data was synthesized and presented as a narrative description, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.Results: We identified 62 studies with different study designs from eight SEAR countries , majority were from India. We observed successes or opportunities in access and quality in MCH with government cash transfer schemes and private sector contribution in India, Bangladesh and Indonesia. Politically prioritized MCH care was identified as an opportunity in a state of India. Inadequate healthcare infrastructure including trained human resources, medical products and other supplies were identified as the main challenges in the region. Facilities are overcrowded in Bangladesh and Indonesia. From provider perspective, health care workers’ knowledge and skills as well as attitudes and behaviors were also identified as issues in the region. Lack of health literacy, misconceptions and cultural barriers are identified as challenges from clients’ side. Difficulties in geographical distribution and transport were contributing to poor healthcare access in four countries. Deficiencies in government policies and administration were identified in some fields. Poverty was detected as an overarching barrier.Conclusions: SEAR countries have demonstrated improvements in access, quality and equity on MCH towards UHC. There are, however, challenges related to human and other resources, health care facilities and socio-economic determinants of health. Regional bodies as well as authorities in individual countries should work on these issues to address challenges to achieve UHC.Registration: PROSPERO: CRD42020166404

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