Message in a bottle: sinking in a sea of safe motherhood concepts

Julia Hussein

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

The experiences of implementing maternal health programmes over the last two decades have resulted in the development of many approaches and concepts to address the problems of maternal death and disability in developing countries. These safe motherhood "messages" are generally conveyed from international organisations to implementers of programmes working in developing countries. The messages are sometimes unclear, ambiguous and open to misinterpretation. Case studies are used to describe varying interpretations of messages on essential and emergency obstetric care, skilled attendance at delivery and measurement of progress. Limited technological access to information, rapidly changing ideology, overly complicated terminology, inadequate evidence, poor international and inter-agency consensus are key reasons contributing to confusion in implementation. Policy-implementation gaps can be bridged with better needs-based evidence, improved consistency and means of delivery of global messages, building capacity, strengthening partnerships and more inclusive participation in the global arena. (c) 2004 Elsevier Ireland Ltd. All rights reserved.

Original languageEnglish
Pages (from-to)294-302
Number of pages8
JournalHealth Policy
Volume73
Issue number3
DOIs
Publication statusPublished - 8 Sep 2005

Keywords

  • maternal health
  • safe motherhood
  • programme implementation
  • MONITORING OBSTETRIC SERVICES
  • MATERNAL MORTALITY
  • UN GUIDELINES
  • ATTENDANCE
  • AFRICA
  • HEALTH
  • MALAWI

Cite this

Message in a bottle : sinking in a sea of safe motherhood concepts. / Hussein, Julia.

In: Health Policy, Vol. 73, No. 3, 08.09.2005, p. 294-302.

Research output: Contribution to journalArticle

Hussein, Julia. / Message in a bottle : sinking in a sea of safe motherhood concepts. In: Health Policy. 2005 ; Vol. 73, No. 3. pp. 294-302.
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