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. 2017 Nov 6:1:1.
doi: 10.12688/gatesopenres.12756.1.

Advancing a conceptual model to improve maternal health quality: The Person-Centered Care Framework for Reproductive Health Equity

May Sudhinaraset  1   2 , Patience Afulani  1 , Nadia Diamond-Smith  1 , Sanghita Bhattacharyya  3 , France Donnay  4 , Dominic Montagu  1
Affiliations

Advancing a conceptual model to improve maternal health quality: The Person-Centered Care Framework for Reproductive Health Equity

May Sudhinaraset et al. Gates Open Res. .

Abstract

Background: Globally, substantial health inequities exist with regard to maternal, newborn and reproductive health. Lack of access to good quality care-across its many dimensions-is a key factor driving these inequities. Significant global efforts have been made towards improving the quality of care within facilities for maternal and reproductive health. However, one critically overlooked aspect of quality improvement activities is person-centered care. Main body: The objective of this paper is to review existing literature and theories related to person-centered reproductive health care to develop a framework for improving the quality of reproductive health, particularly in low and middle-income countries. This paper proposes the Person-Centered Care Framework for Reproductive Health Equity, which describes three levels of interdependent contexts for women's reproductive health: societal and community determinants of health equity, women's health-seeking behaviors, and the quality of care within the walls of the facility. It lays out eight domains of person-centered care for maternal and reproductive health. Conclusions: Person-centered care has been shown to improve outcomes; yet, there is no consensus on definitions and measures in the area of women's reproductive health care. The proposed Framework reviews essential aspects of person-centered reproductive health care.

Keywords: Equity; Health Seeking Behavior; Maternal Health; Patient Experience; Person-Centered Care; Quality; Quality of Care; Reproductive Health.

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Conflict of interest statement

Competing interests: No competing interests were disclosed.

Figures

Figure 1.
Figure 1.. Person-Centered Care Framework for Reproductive Health Equity.
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References

    1. WHO: Maternal mortality. WHO.2015; [cited 2016 Oct 4]. Reference Source
    1. Koblinsky M, Chowdhury ME, Moran A, et al. : Maternal morbidity and disability and their consequences: neglected agenda in maternal health. J Health Popul Nutr. 2012;30(2):124–30. 10.3329/jhpn.v30i2.11294 - DOI - PMC - PubMed
    1. Storeng KT, Baggaley RF, Ganaba R, et al. : Paying the price: the cost and consequences of emergency obstetric care in Burkina Faso. Soc Sci Med. 2008;66(3):545–57. 10.1016/j.socscimed.2007.10.001 - DOI - PubMed
    1. Say L, Raine R: A systematic review of inequalities in the use of maternal health care in developing countries: examining the scale of the problem and the importance of context. Bull World Health Organ. 2007;85(10):812–9. 10.2471/BLT.06.035659 - DOI - PMC - PubMed
    1. Marmot M, Allen J, Bell R, et al. : WHO European review of social determinants of health and the health divide. Lancet. 2012;380(9846):1011–29. 10.1016/S0140-6736(12)61228-8 - DOI - PubMed

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