Perceptions of quality of care during birth at private Chiranjeevi facilities in Gujarat: lessons for Universal Health Coverage
| Autor: | Rachel Tolhurst, Dileep Mavalankar, Veena R. Iyer, Ayesha De Costa |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Gujarat Economic growth India wa_395 Birthing Centers Public-Private Sector Partnerships 26bc6fb8 03 medical and health sciences Maternity care Young Adult 0302 clinical medicine Pregnancy Universal Health Insurance quality of care National health policy Humans maternity care 030212 general & internal medicine wq_300 Quality of care f0e481db Qualitative Research Quality of Health Care HQ1-2044 030219 obstetrics & reproductive medicine private obstetric care Parturition Obstetrics and Gynecology Diseases of the genitourinary system. Urology Chiranjeevi programme 3. Good health bf023de6 Reproductive Medicine Patient Satisfaction General partnership The family. Marriage. Woman Female RC870-923 Business Research Article |
| Zdroj: | Sexual and Reproductive Health Matters article-version (VoR) Version of Record Sexual and Reproductive Health Matters, Vol 28, Iss 2 (2020) |
| ISSN: | 2641-0397 |
| Popis: | The Indian national health policy encourages partnerships with private providers as a means to achieve universal health coverage. One of these was the Chiranjeevi Yojana (CY), a partnership since 2006 with private obstetricians to increase access to institutional births in the state of Gujarat. More than a\ud million births have occurred under this programme. We studied women’s perceptions of quality of care in the private CY facilities, conducting 30 narrative interviews between June 2012 and April 2013 with mothers who had birthed in 10 CY facilities within the last month. The commonly agreed upon characteristics of a “good (sari) delivery” were: giving birth vaginally, to a male child, with the shortest period of pain, and preferably free of charge. But all this mattered only after the primary outcome of being “saved” was satisfied. Women ensured this by choosing a competent provider, a “good doctor”. They wanted a quick delivery by manipulating “heat” (intensifying contractions) through oxytocics. There were instances of inadequate clinical care for serious morbidities although the few women who experienced poor quality of care still expressed satisfaction with their overall care. Mothers’ experiences during birth are more accurate indicators of the quality of care received by them, than the satisfaction they report at discharge. Improving health\ud literacy of communities regarding the common causes of severe maternal morbidity and mortality must be addressed urgently. It is essential that cashless CY services be ensured to achieve the goal of 100% institutional births. |
| Databáze: | OpenAIRE |
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