Reproductive Health Services in Russia and CEE - a Review on Providers and Provider-Patient-Relations Research in English 1990-2010,

Larivaara, Meri

doi:10.23979/fypr.45078

Cited by 1 publication

(4 citation statements)

References 26 publications

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“…Women in some CEE countries (e.g. Serbia and Russia) need to wait for a free bed or necessary medical procedures (Arsenijevic et al, 2014;Larivaara, 2012). However, Roma women in Balkan countries frequently have to wait longer than others due to their ethnicity (Janevic et al, 2011).…”

Section: Availability 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, Danischevski, et al, 2005). A study in Poland reports on social beliefs that access to good services depends on the ability to 'bribe' healthcare professionals (Mishtal, 2010).…”

Section: Affordability Of Maternal Carementioning

confidence: 99%

“…Belarus reports minor informal payments while such payments are reported to be high in Ukraine (Stepurko et al, 2013;Danilovich, 2010). Women have a rather negative attitude towards monetary informal payments, but they do pay to avoid 'substandard care' and to assure a child's safety or quick access (Arsenijevic et al, 2014;Belli et al, 2004;Larivaara, 2012;Stepurko et al, 2013). Thus, good specialists and necessary procedures can become unaffordable for people who cannot pay those informal costs (Stepurko et al, 2013).…”

Section: Affordability Of Maternal Carementioning

confidence: 99%

“…In Serbia for example, communication with patients in general is inadequate and derogative and providers lack skills to interpret mothers' needs and behaviors (Arsenijevic et al, 2014). Poor bedside manners, disrespect for woman's privacy and cynical nicknames towards the mothers are reported in other countries as well, causing mistrust in the care provider (Larivaara, 2012;Colombini et al, 2012;Janevic et al, 2011;Parkhurst, Penn-Kekana, et al, 2005).…”

Section: Approachability and Acceptability Of Maternal Carementioning

confidence: 99%

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Barriers to accessing adequate maternal care in Latvia: A mixed-method study among women, providers and decision-makers

et al. 2019

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Maternal 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: Availability Of Maternal Carementioning

confidence: 99%