IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v216y2018icp26-32.html
   My bibliography  Save this article

Combining task shifting and community-based care to improve maternal health: Practical approaches and patient perceptions

Author

Listed:
  • Hosler, Jennifer J.F.
  • Abrams, Jasmine A.
  • Godsay, Surbhi

Abstract

Globally, community-based care and task shifting strategies are used to address maternal healthcare shortages in low-income countries. Limited research exists on models that combine these strategies. Using a qualitative approach, we explored Haitian women's perceptions of the Midwives for Haiti model, which unites task shifting and community-based care by training nurses as skilled birth attendants and offering healthcare via rotating, mobile clinics. Eight focus groups (N = 52) were conducted in rural Haiti in March 2017. Thematic analysis of data indicated that perceptions of care were universally positive. Participants cited accessible patient-centred care, affordable services, and health education as primary motivators to attend. Results illustrated the importance of women's perceptions on the future use of mobile clinic sites or other formal care. Future efforts to address maternal healthcare shortages should consider the Midwives for Haiti model, combining task shifting and community-based care to address common social, topographical, or financial barriers to maternal healthcare.

Suggested Citation

  • Hosler, Jennifer J.F. & Abrams, Jasmine A. & Godsay, Surbhi, 2018. "Combining task shifting and community-based care to improve maternal health: Practical approaches and patient perceptions," Social Science & Medicine, Elsevier, vol. 216(C), pages 26-32.
    • Handle: RePEc:eee:socmed:v:216:y:2018:i:c:p:26-32
    DOI: 10.1016/j.socscimed.2018.09.018
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953618305082
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2018.09.018?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Teela, Katherine C. & Mullany, Luke C. & Lee, Catherine I. & Poh, Eh & Paw, Palae & Masenior, Nicole & Maung, Cynthia & Beyrer, Chris & Lee, Thomas J., 2009. "Community-based delivery of maternal care in conflict-affected areas of eastern Burma: Perspectives from lay maternal health workers," Social Science & Medicine, Elsevier, vol. 68(7), pages 1332-1340, April.
    2. Barnes-Josiah, Debora & Myntti, Cynthia & Augustin, Antoine, 1998. "The "three delays" as a framework for examining maternal mortality in Haiti," Social Science & Medicine, Elsevier, vol. 46(8), pages 981-993, April.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Murawski, Lisa & Church, Richard L., 2009. "Improving accessibility to rural health services: The maximal covering network improvement problem," Socio-Economic Planning Sciences, Elsevier, vol. 43(2), pages 102-110, June.
    2. Melaku Desta & Haile Amha & Keralem Anteneh Bishaw & Fentahun Adane & Moges Agazhe Assemie & Getiye Dejenu Kibret & Nigus Bililign Yimer, 2020. "Prevalence and predictors of uterine rupture among Ethiopian women: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 15(11), pages 1-19, November.
    3. Hirose, Atsumi & Borchert, Matthias & Niksear, Homa & Alkozai, Ahmad Shah & Cox, Jonathan & Gardiner, Julian & Osmani, Khadija Ruina & Filippi, Véronique, 2011. "Difficulties leaving home: A cross-sectional study of delays in seeking emergency obstetric care in Herat, Afghanistan," Social Science & Medicine, Elsevier, vol. 73(7), pages 1003-1013.
    4. Footer, Katherine H.A. & Meyer, Sarah & Sherman, Susan G. & Rubenstein, Leonard, 2014. "On the frontline of eastern Burma's chronic conflict – Listening to the voices of local health workers," Social Science & Medicine, Elsevier, vol. 120(C), pages 378-386.
    5. Grundy, John & Annear, Peter & Ahmed, Shakil & Biggs, Beverley-Ann, 2014. "Adapting to social and political transitions – The influence of history on health policy formation in the Republic of the Union of Myanmar (Burma)," Social Science & Medicine, Elsevier, vol. 107(C), pages 179-188.
    6. Cook, Cynthia T., 2002. "The effects of skilled health attendants on reducing maternal deaths in developing countries: testing the medical model," Evaluation and Program Planning, Elsevier, vol. 25(2), pages 107-116, May.
    7. Kyi Mar Wai & Akira Shibanuma & Nwe Nwe Oo & Toki Jennifer Fillman & Yu Mon Saw & Masamine Jimba, 2015. "Are Husbands Involving in Their Spouses’ Utilization of Maternal Care Services?: A Cross-Sectional Study in Yangon, Myanmar," PLOS ONE, Public Library of Science, vol. 10(12), pages 1-13, December.
    8. D'Ambruoso, Lucia & Byass, Peter & Qomariyah, Siti Nurul & Ouédraogo, Moctar, 2010. "A lost cause? Extending verbal autopsy to investigate biomedical and socio-cultural causes of maternal death in Burkina Faso and Indonesia," Social Science & Medicine, Elsevier, vol. 71(10), pages 1728-1738, November.
    9. Anne Schuster & Sabu S. Padmadas & Andrew Hinde, 2019. "The geography of changing fertility in Myanmar," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 41(2), pages 37-52.
    10. Teela, Katherine C. & Mullany, Luke C. & Lee, Catherine I. & Poh, Eh & Paw, Palae & Masenior, Nicole & Maung, Cynthia & Beyrer, Chris & Lee, Thomas J., 2009. "Community-based delivery of maternal care in conflict-affected areas of eastern Burma: Perspectives from lay maternal health workers," Social Science & Medicine, Elsevier, vol. 68(7), pages 1332-1340, April.
    11. Shankar Prinja & Pankaj Bahuguna & P V M Lakshmi & Tushar Mokashi & Arun Kumar Aggarwal & Manmeet Kaur & K Rahul Reddy & Rajesh Kumar, 2014. "Evaluation of Publicly Financed and Privately Delivered Model of Emergency Referral Services for Maternal and Child Health Care in India," PLOS ONE, Public Library of Science, vol. 9(10), pages 1-11, October.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:216:y:2018:i:c:p:26-32. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.