Abstract

Mixed methods were used with various data sources to describe organisation and delivery of maternity care in Maputo city, Mozambique in early 2010s and to compare the plans with the service provisi...

Highlights

  • International and national organisations have been active in formulating health policies and how health services ought to or could be organised in developing countries

  • In many sub-Saharan African countries, the desired model of maternity care occurs in primary health care with referral system and arrangements for emergencies

  • In this paper we describe the maternity care services in Maputo city post the millennium shift, and compare how they are related to the official framework for service provision

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Summary

Introduction

International and national organisations have been active in formulating health policies and how health services ought to or could be organised in developing countries. Most statistics and research concern health level, utilisation of health care or specific vertical programmes with focus on disease reduction targets (Gazi, Hossain, Zman, & Koehlmoos, 2011; Kassebaum et al, 2014; Souza et al, 2013) rather than broad health system strengthening This concerns maternity care, which for reason (Bhutta et al, 2014; Kinney et al, 2010; Lawn et al, 2014; Say et al, 2014) has been a special focus of various international and national health policies in poorer countries (Jasseh et al, 2011; Sundby, 2014; WHO, 2015). These indicators are useful for health system framework, but do not tell how the health system works in practice

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