Global health systems strengthening: FIGO 's strategic view on reducing maternal and newborn mortality worldwide

Abstract Objective To demonstrate that successful health systems strengthening (HSS) projects have addressed disparities and inequities in maternal and perinatal care in low‐income countries. Methods A comprehensive literature review covered the period between 1980 and 2022, focusing on successful H...

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Published in:International journal of gynecology and obstetrics 2024-06, Vol.165 (3), p.849-859
Main Authors: Miranda, Jezid, Miller, Suellen, Alfieri, Nikita, Lalonde, Andre, Ivan‐Ortiz, Edgar, Hanson, Claudia, Steinholt, Margit, Palshetkar, Nandita, Suharjono, Harris, Gebhardt, Stefan, Dossou, Jean‐Paul, Pascali‐Bonaro, Debra, Jacobsson, Bo, Okong, Pius
Format: Article
Language:English
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Summary:Abstract Objective To demonstrate that successful health systems strengthening (HSS) projects have addressed disparities and inequities in maternal and perinatal care in low‐income countries. Methods A comprehensive literature review covered the period between 1980 and 2022, focusing on successful HSS interventions within health systems' seven core components that improved maternal and perinatal care. Results The findings highlight the importance of integrating quality interventions into robust health systems, as this has been shown to reduce maternal and newborn mortality. However, several challenges, including service delivery gaps, poor data use, and funding deficits, continue to hinder the delivery of quality care. To improve maternal and newborn health outcomes, a comprehensive HSS strategy is essential, which should include infrastructure enhancement, workforce skill development, access to essential medicines, and active community engagement. Conclusion Effective health systems, leadership, and community engagement are crucial for a comprehensive HSS approach to catalyze progress toward universal health coverage and global improvements in maternal and newborn health. Synopsis Comprehensive health systems strengthening has been demonstrated to reduce maternal and newborn mortality in low‐income countries by addressing service, workforce, and resource gaps while promoting respectful care and equity.
ISSN:0020-7292
1879-3479
DOI:10.1002/ijgo.15553