Innovative approaches to reducing financial barriers to obstetric care in low-income countries

F Richard, S Witter, V De Brouwere

    Research output: Contribution to journalA1: Web of Science-articlepeer-review


    Lack of access to quality care is the main obstacle to reducing maternal mortality in low-income countries. In many settings, women must pay out-of-pocket fees, resulting in delays, some of them fatal, and catastrophic expenditure that push households into poverty. Various innovative approaches have targeted the poor or exempted specific services, such as cesarean deliveries. We analyzed 8 case studies to better understand current experiments in reducing financial barriers to maternal care. Although service utilization increased in most of the settings, concerns remain about quality of care, equity between rich and poor patients and between urban and rural residents, and financial sustainability to support these new strategies. (Am J Public Health. Published online ahead of print August 19, 2010: e1-e8.doi:10.2105/AJPH.2009.179689)
    Original languageEnglish
    JournalAmerican Journal of Public Health
    Issue number10
    Pages (from-to)1845-1852
    Number of pages8
    Publication statusPublished - 2010


    • B780-tropical-medicine
    • Obstetrical care
    • Maternal mortality
    • Women
    • Accessibility
    • Quality of care
    • Barriers
    • Delay
    • Expenditures
    • Costs
    • Cesarean sections
    • Equity
    • Urban
    • Rural
    • Sustainability
    • Free care
    • Strategies
    • Health insurance
    • Developing countries


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