Abstract:
:The collection of accurate maternal outcome data enables causes of morbidity and mortality to be identified, which in turn permits interventions to be targeted appropriately. It also allows estimates to be made about the importance of various indicators in predicting birth outcome. These indicators can then be compared between health services, across time and against programme objectives, thus ensuring a management information system that informs policy and provides for real change. A review was done of data collection at the antenatal clinic and maternity ward in a remote rural hospital in northern Ghana. The data collected came from maternity ward records and participant observation, and they highlight deficiencies in the record management procedures. It is argued that exhorting staff to greater accuracy, although obvious, may not be the only solution, because of the structural impediments that often give an illusion of accuracy. The best data need to be collected within the constraints of the equipment and the people. Furthermore, to make the task more meaningful, regular feedback needs to be provided so that the process of record keeping is relevant to those who do it. Ministries of health need to conduct regular audits, like this microanalysis, so that policies are not based on data that are analyzed under a presumption of accuracy.
journal_name
Health Policy Planjournal_title
Health policy and planningauthors
Allotey PA,Reidpath Ddoi
10.1093/heapol/15.2.170subject
Has Abstractpub_date
2000-06-01 00:00:00pages
170-6issue
2eissn
0268-1080issn
1460-2237journal_volume
15pub_type
杂志文章abstract:BACKGROUND:Attention to global health security governance is more important now than ever before. Scientists predict that a possible influenza pandemic could affect 1.5 billion people, cause up to 150 million deaths and leave US$3 trillion in economic damages. A public health emergency in one country is now only hours ...
journal_title:Health policy and planning
pub_type: 历史文章,杂志文章
doi:10.1093/heapol/czq037
更新日期:2010-11-01 00:00:00
abstract::There is a large body of evidence that user fees in the health sector create exclusion. Health equity funds attempt to improve access to health care services for the poorest by paying the provider on their behalf. This paper reviews four hospital-based health equity funds in Cambodia and draws lessons for future opera...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czm015
更新日期:2007-07-01 00:00:00
abstract::Global financing for the HIV response has reached unprecedented levels in recent years. Over US$10 billion were mobilized in 2007, an effort credited with saving the lives of millions of people living with HIV (PLHIV). A relatively unexamined aspect of the global HIV response is the role of the private sector in finan...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czr031
更新日期:2011-07-01 00:00:00
abstract::Advocacy, policy, research and intervention efforts against childhood pneumonia have lagged behind other health issues, including malaria, measles and tuberculosis. Accelerating progress on the issue began in 2008, following decades of efforts by individuals and organizations to address the leading cause of childhood ...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czv070
更新日期:2016-04-01 00:00:00
abstract::Ensuring financial access to health services is a critical challenge for poor countries if they are to reach the health Millennium Development Goals (MDGs). This article examines the case of Rwanda, a country which has championed innovative health care financing policies. Between 2000 and 2007, Rwanda has improved fin...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czr070
更新日期:2011-11-01 00:00:00
abstract::Distributional economic evaluation estimates the value for money of health interventions in terms of population health and health equity impacts. When applied to interventions delivered at the population and health system-level interventions (PSIs) instead of clinical interventions, additional practical and methodolog...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czaa181
更新日期:2020-12-31 00:00:00
abstract::Scarce evidence exists on the features, determinants and implications of physicians' dual practice, especially in resource-poor settings. This study considered dual practice patterns in three African cities and the respective markets for physician services, with the objective of understanding the influence of local de...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czt071
更新日期:2014-09-01 00:00:00
abstract:BACKGROUND:Health insurance premium exemptions for pregnant women are a strategy to increase coverage of maternal health services in sub-Saharan countries. We examine health insurance registration among pregnant women before or after the introduction of a premium exemption, and test whether registration increases utili...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czt086
更新日期:2014-12-01 00:00:00
abstract::Decentralization of the health care system in China has led to an increasing need for income generation at all operational levels, both for curative services and for public health programmes. In general, people have accepted the costs of curative services, although the impact of charges on health-seeking behaviour has...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/16.3.292
更新日期:2001-09-01 00:00:00
abstract::Caesarean section rates have been increasing worldwide, raising the question of the appropriateness of the selection of cases for the procedure. This paper examines the levels and correlates of delivery-related complications and caesarean section deliveries in 18 selected states of India in terms of specific maternal ...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/17.1.90
更新日期:2002-03-01 00:00:00
abstract::The burden of diarrhoeal disease remains high in the developing world. Community-based safe drinking water programmes are being promoted as cost-effective interventions that will help reduce this illness burden. However, the effectiveness of these programmes remains under-investigated. The primary argument of this pap...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czn017
更新日期:2008-11-01 00:00:00
abstract::The connection between HIV and sexual and reproductive health and rights (SRHR) is widely recognised along with the benefits of linking them at the legal/policy, health systems, and service delivery levels. However, despite increased rhetoric about the need for this three-tiered approach, integrated service delivery h...
journal_title:Health policy and planning
pub_type: 杂志文章,评审
doi:10.1093/heapol/czw119
更新日期:2017-11-01 00:00:00
abstract:INTRODUCTION:Malaria is an important cause of mortality and morbidity in sub-Saharan Africa. Use of insecticide-treated bednets (ITNs) is an important preventive intervention. Selection of the best mechanisms for distribution and promotion of ITNs to vulnerable populations is an important strategic issue. METHODS:Comm...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czm002
更新日期:2007-03-01 00:00:00
abstract:BACKGROUND:Many clients of HIV care and treatment services have unmet contraceptive needs. Integrating family planning (FP) services into HIV services is an increasingly utilized strategy for meeting those unmet needs. However, numerous models for services integration are potentially applicable for clients with diverse...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czt043
更新日期:2014-08-01 00:00:00
abstract::Mental disorders account for a significant and growing proportion of the global burden of disease and yet remain a low priority for public financing in health systems globally. In many low-income countries, formal mental health services are paid for directly by patients out-of-pocket and in middle-income countries und...
journal_title:Health policy and planning
pub_type: 杂志文章,评审
doi:10.1093/heapol/czl004
更新日期:2006-05-01 00:00:00
abstract:OBJECTIVE:To determine whether an expansion in private sector contraceptive supply is associated with increased socio-economic inequality in the modern contraceptive prevalence rate (MCPR inequality). METHODS:Multiple rounds of Demographic and Health Surveys data were analysed for five countries that experienced an in...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czn035
更新日期:2008-11-01 00:00:00
abstract::In recent years there has been a growth in the number of independent health policy analysis institutes in low- and middle-income countries which has occurred in response to the limitation of government analytical capacity and pressures associated with democratization. This study aimed to: (i) investigate the contribut...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czr035
更新日期:2012-05-01 00:00:00
abstract::For many years, Pakistan has had a wide network of Basic Health Units spread across the country, but their utilization by the population in rural and peri-urban areas has remained low. As of 2004, in an attempt to improve the utilization and performance of these public primary healthcare facilities, the government has...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czx040
更新日期:2017-09-01 00:00:00
abstract::In low- and middle-income countries, patients may travel abroad to seek better health services or treatments that are not available at home, especially in regions where great disparities exist between the standard of care in neighbouring countries. While awareness of South-South medical travels has increased, only a f...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czaa061
更新日期:2020-10-01 00:00:00
abstract::Evidence-informed decisions can strengthen health systems. Literature suggests that engaging policymakers and other stakeholders in research priority-setting exercises increases the likelihood of the utilization of research evidence by policymakers. To our knowledge, there has been no previous priority-setting exercis...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czp059
更新日期:2010-01-01 00:00:00
abstract::The burden of disease due to injuries has elicited virtually no public health response in the countries of central and eastern Europe, even though injuries have long been a much greater problem in the east of Europe than in the west, with children especially affected. This paper seeks to identify factors that have inh...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/15.3.263
更新日期:2000-09-01 00:00:00
abstract::The objective of this study was to assess the impact of National Health Insurance (NHI) on the utilization of neonatal care and childhood vaccination in Taiwan. Data are selected from two nationwide maternal and infant surveys undertaken in 1989 and 1996, which were funded by the Department of Health. The questionnair...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/17.4.384
更新日期:2002-12-01 00:00:00
abstract::Formalized task shifting structures have been used to rapidly scale up antiretroviral service delivery to underserved populations in several countries, and may be a promising mechanism for accomplishing universal health coverage. However, studies evaluating the quality of service delivery through task shifting have la...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czu072
更新日期:2014-09-01 00:00:00
abstract:OBJECTIVE:To summarize the expectations held by World Health Organization programme personnel about how the introduction of the Integrated Management of Childhood Illness (IMCI) strategy would lead to improvements in child health and nutrition, to compare these expectations with what was learned from the Multi-Country ...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czi055
更新日期:2005-12-01 00:00:00
abstract::Reproduction is a dual commitment, but so often in much of the world, it is seen as wholly the woman's responsibility. She bears the burden not only of pregnancy and childbirth but also the threats from excessive child bearing, some responsibility for contraception, infertility investigation and often undiagnosed sexu...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/11.1.84
更新日期:1996-03-01 00:00:00
abstract::OBJECTIVES We describe modern and alternative health services use in terminal illness of adults, and assess whether utilization patterns of TB/AIDS patients are distinct from those of patients suffering from other illnesses. METHODS Data are from post-mortem interviews with close relatives or caretakers of the decease...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czp015
更新日期:2009-07-01 00:00:00
abstract::During the past 10 years, donors have recognized the need for major reforms to achieve sustainable development. Using non-project assistance they have attempted to leverage reforms by offering financing conditioned on the enactment of reform. The experience of USAID's health reform programmes in Niger and Nigeria sugg...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/9.4.371
更新日期:1994-12-01 00:00:00
abstract::This paper investigates the key factors associated with the demand for Urban Resident Basic Medical Insurance (URBMI), which was established in 2007 and aims to cover all Chinese urban residents. Two waves of longitudinal household survey data are used, and a three-level random-intercept logit model is used for the an...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czs014
更新日期:2012-12-01 00:00:00
abstract::Previous studies have consistently found an inverse relationship between household-level poverty and health status. However, what is not well understood is whether and how the average economic status at the community level plays a role in the poverty-health relationship. The purpose of this study is to investigate the...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czj008
更新日期:2006-03-01 00:00:00
abstract::Many countries have expanded insurance programmes in an effort to achieve universal health coverage (UHC). We assess a complementary path toward financial risk protection: increased access to technologies that improve health and reduce the risk of large health expenditures. Malawi has provided free HIV treatment since...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czaa023
更新日期:2020-07-01 00:00:00