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Improving maternal health in Pakistan: Toward a deeper understanding of the social determinants of poor women's access to maternal health services

Author

Listed:
  • Mumtaz, Z.
  • Salway, S.
  • Bhatti, A.
  • Shanner, L.
  • Zaman, S.
  • Laing, L.
  • Ellison, G.T.H.

Abstract

Evidence suggests national- and community-level interventions are not reaching women living at the economic and social margins of society in Pakistan. We conducted a 10-month qualitative study (May 2010-February 2011) in a village in Punjab, Pakistan. Data were collected using 94 in-depth interviews, 11 focus group discussions, 134 observational sessions, and 5 maternal death case studies. Despite awareness of birth complications and treatment options, poverty and dependence on richer, higher-caste people for cash transfers or loans prevented women from accessing required care. There is a need to end the invisibility of low-caste groups in Pakistani health care policy. Technical improvements in maternal health care services should be supported to counter social and economic marginalization so progress can be made toward Millennium Development Goal 5 in Pakistan.

Suggested Citation

  • Mumtaz, Z. & Salway, S. & Bhatti, A. & Shanner, L. & Zaman, S. & Laing, L. & Ellison, G.T.H., 2014. "Improving maternal health in Pakistan: Toward a deeper understanding of the social determinants of poor women's access to maternal health services," American Journal of Public Health, American Public Health Association, vol. 104(S1), pages 17-24.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301377_3
    DOI: 10.2105/AJPH.2013.301377
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    Cited by:

    1. Awaworyi Churchill, Sefa & Iqbal, Nasir & Nawaz, Saima & Yew, Siew Ling, 2021. "Unconditional cash transfers, child labour and education: theory and evidence," Journal of Economic Behavior & Organization, Elsevier, vol. 186(C), pages 437-457.
    2. Pearl Pei Liu & Weiye Wen & Ka Fung Yu & Xiaoli Gao & May Chun Mei Wong, 2019. "Dental Care-Seeking and Information Acquisition During Pregnancy: A Qualitative Study," IJERPH, MDPI, vol. 16(14), pages 1-16, July.

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