Status of national policy on companion of choice at birth in Latin America and the Caribbean: Gaps and challenges
Rev Panam Salud Publica
; 44, mar. 2020
Artículo
en Inglés
| PAHO-IRIS
| ID: phr-51863
Biblioteca responsable:
US1.1
ABSTRACT
[ABSTRACT]. The World Health Organization (WHO) recommends a companion of choice during labor and birth, to improve maternal and perinatal outcomes and women’s satisfaction with health services. To better understand the status of companion of choice in Latin America and the Caribbean (LAC), an online survey was conducted with members of a midwifery virtual community of practice and with key informants, aiming to identify 1) existing regulatory instruments related to companion of choice in the countries where the members are practicing; and, 2) key characteristics of implementation of companion of choice, where regulation exists. Responses (n = 112) were received from representatives of 20 of the 43 countries of LAC. Respondents reported existence of a national policy or legislation in seven countries, ministerial norms or institutional protocols in five countries, and no existing policy/protocol in eight countries. Respondents from the same country often provided contradictory responses. Responses differed from information provided by ministries of health in a WHO-led global policy survey in 11 instances. These variations may reflect that midwives were not always aware of the national policy/guideline in their country. We propose that a more robust effort should be undertaken to understand the status of companion of choice for labor and birth in LAC countries, at national, regional, and local level, in public and private facilities. It is important to know if policies exist, at what level of the system, and if key stakeholders, maternity-care health providers, and women are aware of their existence. Efforts should also be made to understand barriers to implementing companion of choice.
Texto completo:
Disponible
Colección:
Bases de datos de organismos internacionales
Contexto en salud:
Agenda de Salud Sostenible para las Américas
/
ODS3 - Salud y Bienestar
/
ODS3 - Meta 3.1 Reducir la Mortalidad Materna
Problema de salud:
Objetivo 2: Rectoría y gobernanza para la salud
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Meta 3.8: Alcanzar cobertura universal de salud
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Meta 3.7: Acceso universal a servicios de salud relacionados con salud sexual y reproductiva
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Cuidado Materno
Base de datos:
PAHO-IRIS
Asunto principal:
Satisfacción del Paciente
/
Región del Caribe
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América Latina
/
Servicios de Salud Materna
/
Partería
Tipo de estudio:
Guía de práctica clínica
/
Estudio pronóstico
/
Investigación cualitativa
Idioma:
Inglés
Año:
2020
Tipo del documento:
Artículo