Exploring inequalities in access to and use of maternal health services in South Africa

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dc.contributor.authorSilal, Sheetal P
dc.contributor.authorPenn-Kekana, Loveday
dc.contributor.authorHarris, Bronwyn
dc.contributor.authorBirch, Stephen
dc.contributor.authorMcIntyre, Diane
dc.date.accessioned2012-07-10T15:42:56Z
dc.date.available2012-07-10T15:42:56Z
dc.date.copyright2012
dc.date.issued2012-05
dc.description.abstractWhile health system barriers to obstetric care have been well documented, “patient-oriented” barriers have been neglected. This article explores affordability, availability and acceptability barriers to obstetric care in South Africa. Rural women face the greatest barriers, including longest travel times, highest costs associated with delivery, and lowest levels of service acceptability. Negative provider-patient interactions include: staff inattentiveness, turning away women in early-labour, shouting at patients, and insensitivity towards those who had experienced stillbirths. To achieve its MDGs, South Africa must systematically address the access constraints as well as altering the attitudes and actions of health care providers.en
dc.formatTexten
dc.format.extent1 digital file (19 p.)en
dc.format.mimetypeapplication/pdf
dc.identifier.citationSilal, S. P., Penn-Kekana, L., Harris, B., Birch, S., & McIntyre, D. (2012). Exploring inequalities in access to and use of maternal health services in South Africa. BMC Health Services Research, 12 (120). doi:10.1186/1472-6963-12-120en
dc.identifier.issn1472-6963
dc.identifier.urihttp://hdl.handle.net/10625/49718
dc.language.isoen
dc.relation.journalBMC Health Services Research
dc.rights.urihttp://creativecommons.org/licenses/by/2.0/
dc.subjectSOUTH AFRICAen
dc.subjectMATERNAL AND CHILD HEALTHen
dc.subjectHEALTH STATISTICSen
dc.subjectACCESS TO SERVICESen
dc.subjectRURAL HEALTHen
dc.subjectMATERNAL MORTALITYen
dc.subjectHEALTH FACILITIESen
dc.subjectHEALTH PERSONNELen
dc.subjectPREGNANCYen
dc.subjectCHILDBIRTHen
dc.subjectOBSTETRICSen
dc.subjectSOUTH OF SAHARAen
dc.subjectRURAL WOMENen
dc.subjectRURAL POVERTYen
dc.titleExploring inequalities in access to and use of maternal health services in South Africaen
dc.typeJournal Article (peer-reviewed)en
idrc.copyright.holderSilal et al. ; licensee BioMed Central Ltd.
idrc.copyright.oapermissionsourceCC BYen
idrc.dspace.accessOpen Accessen
idrc.project.componentnumber103460054
idrc.project.number103460
idrc.project.titleTeasdale-Corti Global Health Research Partnershipen
idrc.rims.adhocgroupIDRC SUPPORTEDen

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IDRC Research Results / Résultats de recherches du CRDI
2010-2019 / Années 2010-2019
Health Systems Research / recherche sur les systèmes de santé
Maternal, Newborn, and Child Health (MNCH) / la santé de la mère, du nouveau-né, et de l’enfant
Research Results (GHRI) / Résultats de recherches (IRSM)
Teasdale-Corti Global Health Research Partnership (TC) / partenariat Teasdale-Corti de recherche en santé mondiale