Decentralization and Regionalization: Redesigning Health Systems for High Quality Maternity Care Comment on "Decentralization and Regionalization of Surgical Care: A Review of Evidence for the Optimal Distribution of Surgical Services in Low- and Middle-Income Countries"

The question of how to optimally design health systems in low- and middle-income countries (LMICs) for high quality care and survival requires context-specific evidence on which level of the health system is best positioned to deliver services. Given documented poor quality of care for surgical cond...

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Bibliographic Details
Published in:International journal of health policy and management 2021-04, Vol.10 (4), p.215-217
Main Author: Roder-DeWan, Sanam
Format: Article
Language:English
Subjects:
Analysis
Care and treatment
decentralization
Delivery of Health Care
Developing Countries
Female
Health care industry
health system quality
Humans
maternal health
Maternal Health Services
Medical care
Medical care quality
Patient care
Patients
Politics
Pregnancy
Quality management
Quality of Health Care
regionalization
service delivery redesign
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Summary:The question of how to optimally design health systems in low- and middle-income countries (LMICs) for high quality care and survival requires context-specific evidence on which level of the health system is best positioned to deliver services. Given documented poor quality of care for surgical conditions in LMICs, evidence to support intentional health system design is urgently needed. Iverson and colleagues address this very important question. This commentary explores their findings with particular attention to how they apply to maternity care. Though surgical maternity care is a common healthcare need, maternal complications are often unpredictable and require immediate surgical attention in order to avert serious morbidity or mortality. A discussion of decentralization for maternity services must grapple with this tension and differentiate between facilities that can provide emergency surgical care and those that can not.
ISSN:2322-5939
2322-5939
DOI:10.34172/ijhpm.2020.30