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Combining task shifting and community-based care to improve maternal health: Practical approaches and patient perceptions

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  • Hosler, Jennifer J.F.
  • Abrams, Jasmine A.
  • Godsay, Surbhi

Abstract

Globally, community-based care and task shifting strategies are used to address maternal healthcare shortages in low-income countries. Limited research exists on models that combine these strategies. Using a qualitative approach, we explored Haitian women's perceptions of the Midwives for Haiti model, which unites task shifting and community-based care by training nurses as skilled birth attendants and offering healthcare via rotating, mobile clinics. Eight focus groups (N = 52) were conducted in rural Haiti in March 2017. Thematic analysis of data indicated that perceptions of care were universally positive. Participants cited accessible patient-centred care, affordable services, and health education as primary motivators to attend. Results illustrated the importance of women's perceptions on the future use of mobile clinic sites or other formal care. Future efforts to address maternal healthcare shortages should consider the Midwives for Haiti model, combining task shifting and community-based care to address common social, topographical, or financial barriers to maternal healthcare.

Suggested Citation

  • Hosler, Jennifer J.F. & Abrams, Jasmine A. & Godsay, Surbhi, 2018. "Combining task shifting and community-based care to improve maternal health: Practical approaches and patient perceptions," Social Science & Medicine, Elsevier, vol. 216(C), pages 26-32.
    • Handle: RePEc:eee:socmed:v:216:y:2018:i:c:p:26-32
    DOI: 10.1016/j.socscimed.2018.09.018
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    References listed on IDEAS

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    1. Teela, Katherine C. & Mullany, Luke C. & Lee, Catherine I. & Poh, Eh & Paw, Palae & Masenior, Nicole & Maung, Cynthia & Beyrer, Chris & Lee, Thomas J., 2009. "Community-based delivery of maternal care in conflict-affected areas of eastern Burma: Perspectives from lay maternal health workers," Social Science & Medicine, Elsevier, vol. 68(7), pages 1332-1340, April.
    2. Barnes-Josiah, Debora & Myntti, Cynthia & Augustin, Antoine, 1998. "The "three delays" as a framework for examining maternal mortality in Haiti," Social Science & Medicine, Elsevier, vol. 46(8), pages 981-993, April.
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