Neoliberal reforms and privatisation of reproductive health services in post-socialist Poland

Mishtal, Joanna

doi:10.1016/s0968-8080(10)36524-4

Cited by 24 publications

(16 citation statements)

References 26 publications

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“…In some countries, however, formal out-of-pocket payments are required for extra services. In Poland for example, anesthesia and epidurals have to be fully paid out-of-pocket (Mishtal, 2010). In addition, some population groups fail to obtain health insurance.…”

Section: Affordability Of Maternal Carementioning

confidence: 99%

“…Informal payments are also prevalent in CEE and impose an additional burden on poor population groups, making care unaffordable (Mishtal, 2010). The reasons for these payments include low-paid medical staff and gaps in maternal care funding (Larivaara, 2012;Mishtal, 2010;Parkhurst et al, 2005a).…”

Section: Affordability Of Maternal Carementioning

confidence: 99%

Section: Affordability Of Maternal Carementioning

confidence: 99%

“…The reasons for these payments include low-paid medical staff and gaps in maternal care funding (Larivaara, 2012;Mishtal, 2010;Parkhurst et al, 2005a). A study in Poland reports on social beliefs that access to good services depends on the ability to 'bribe' healthcare professionals (Mishtal, 2010). These informal payments seem to be more common in the maternal sector due to the planned nature of care and the prolonged contact with healthcare providers (Parkhurst et al, 2005b).…”

Section: Affordability Of Maternal Carementioning

confidence: 99%

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Barriers to accessing adequate maternal care in Central and Eastern European countries: A systematic literature review

Miteniece

Pavlova

Rechel

et al. 2017

Social Science & Medicine

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a b s t r a c tMaternal health outcomes in Central and Eastern Europe (CEE) compare unfavorable with those in Western Europe, despite macro-indicators that suggest well-designed maternal care systems. However, macro-indicators at the system level only capture capacity, funding and utilization of care and not the actual allocation of financial and human resources, the quality of care and access to it. It is these latter which are problematic in the CEE region. In this study service-related indicators of access to maternal care in CEE are examined. These include availability, appropriateness, affordability, approachability and acceptability of maternal care.This study uses a qualitative systematic literature review, analyzing information of peer-reviewed articles published since 2004. Other inclusion criteria included language, setting and publication purpose. The included articles were analyzed using a framework analysis technique and quality was assessed using standardized evaluation checklists.Results indicate improvements in maternal care. However, availability of care is limited by outdated equipment and training curricula, and the lack of professionals and pharmaceuticals. Geographical distance to healthcare institutions, inappropriate communication of providers and waiting times are the main approachability barriers. Some mothers are unaware of the importance of care or are discouraged to utilize healthcare services because of cultural aspects. Finally, a major barrier in accessing maternal care in the CEE is the inability to pay for it.Our findings indicate that major gaps in evidence exist and that more representative and better quality data should be collected. Governments in CEE countries need to establish a reliable system for measuring and monitoring a suitable set of indicators, as well as deal with the general social and economic problem of informality. Medical curricula in the CEE region need to be overhauled and there should be a focus on improving the allocation of medical staff and institutions as well as protecting vulnerable population groups to ensure universal access to care.

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Section: Affordability Of Maternal Carementioning

confidence: 99%

Section: Affordability Of Maternal Carementioning

confidence: 99%

Section: Affordability Of Maternal Carementioning

confidence: 99%

Section: Affordability Of Maternal Carementioning

confidence: 99%

See 2 more Smart Citations

Barriers to accessing adequate maternal care in Central and Eastern European countries: A systematic literature review

Miteniece

Pavlova

Rechel

et al. 2017

Social Science & Medicine

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“…[5][6][7] Moreover, "laws and customs concerning sexual mores and reproduction are heavily influenced by the Roman Catholic church". 5 However, although the vast majority of Poles consider themselves Catholic, research by Polish sociologists shows that when it comes to certain issues, including ones concerning morality, its followers often do not agree with the standpoint of the Church.…”

mentioning

confidence: 99%

The creation of “monsters”: the discourse of opposition to in vitro fertilization in Poland

Radkowska-Walkowicz

2012

Reproductive Health Matters

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Rights Claims in Anti-abortion Campaigns in Poland and Sweden

Selberg

Kolankiewicz

2023

Struggles for Reproductive Justice in the Era of Anti-Genderism and Religious Fundamentalism

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This chapter presents two case analyses, one situated in Sweden and the other in Poland, where attempts have been made to intervene in the existing laws regulating access to abortion. The first case involves the lawsuits filed by midwives in Sweden who claimed to have been discriminated against on the grounds of their religion when they had been turned down for work due to their objection to performing abortion as part of the job description. The second is that of a Polish civic legislative initiative aimed at restricting the prevailing abortion legislation in Poland in cases of foetal anomalies. We explore the rights claims deployed in these anti-abortion campaigns with an aim to contribute to the growing feminist scholarship on rhetorical devices and mobilisation tactics employed in the struggles over access to abortion. The two cases illustrate how anti-abortion mobilisations have been using rights claims that traditionally had been employed by feminist movements fighting for access to abortion. While it can be observed that this trend is part of a broader development of what has been described as a transnational anti-gender movement’s appeal to the law, our analyses illustrate different and context-sensitive ways in which rights claims are articulated.

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Neoliberal reforms and privatisation of reproductive health services in post-socialist Poland

Cited by 24 publications

References 26 publications

Barriers to accessing adequate maternal care in Central and Eastern European countries: A systematic literature review

Barriers to accessing adequate maternal care in Central and Eastern European countries: A systematic literature review

The creation of “monsters”: the discourse of opposition to in vitro fertilization in Poland

Rights Claims in Anti-abortion Campaigns in Poland and Sweden

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