Health Research Program
Focus Areas: Care-seeking behavior
Content Type: Published articles
Author(s): Claudia Hanson, Joanna Schellenberg
Published: April 2019
A strategy of childbirth in facilities close to home has been in place for almost two decades, but given numerous reports of low quality of care, the recent review of the strategy is timely. The Lancet Commission on High-Quality Health Systems in the Sustainable Development Goal Era suggests that childbirth services should be centralised to hospitals under the premise that larger volumes will result in (1) more efficient delivery care, (2) more skillful maternity providers and (3) more timely emergency care interventions including blood transfusion and caesarean section.

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