Systems thinking: A turning point for improving respectful obstetric care in South African health districts.
S Afr Med J
; 108(11): 910-914, 2018 Oct 26.
Article
em En
| MEDLINE
| ID: mdl-30645954
ABSTRACT
Poorly functioning health systems and local health systems barriers affect many women giving birth in low- and middle-income countries. The district clinical specialist teams in South Africa are uniquely positioned to provide facilitation and mentoring during interventions for improving the weak primary healthcare system. To ensure success, four key principles should be considered during scale-up of interventions:
systems thinking and awareness of contexts and barriers; a focus on sustainability; harnessing factors known to enhance scalability; and respect for human rights and equity. Asking the right questions about the responsibilities of health systems at the micro-, meso- and macro-levels will benefit scale-up processes and sustain innovative pathways to high-quality obstetric care in communities.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Análise de Sistemas
/
Acessibilidade aos Serviços de Saúde
/
Serviços de Saúde Materna
/
Obstetrícia
Tipo de estudo:
Evaluation_studies
/
Prognostic_studies
/
Sysrev_observational_studies
Aspecto:
Determinantes_sociais_saude
/
Equity_inequality
/
Implementation_research
Limite:
Female
/
Humans
/
Pregnancy
País/Região como assunto:
Africa
Idioma:
En
Revista:
S Afr Med J
Ano de publicação:
2018
Tipo de documento:
Article
País de afiliação:
África do Sul