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Title: Integrating social and clinical services for improving maternal health care : lessons from Mali and Ghana
Author: Boulding, Harriet Frances
ISNI:       0000 0004 5346 8125
Awarding Body: SOAS, University of London
Current Institution: SOAS, University of London
Date of Award: 2015
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Although considerable progress has been made in the reduction of maternal mortality in Sub-Saharan Africa in recent years, mortality rates, especially in rural districts, remain critically high, while uptake of family planning and maternal health services is low. International approaches to maternal health have historically focused on low-cost, technical interventions which have failed to address the social barriers to health care experienced by women. International agencies are now calling for the integration of social initiatives with the provision of clinical services in order to address uptake issues and empower women with greater control over their health and bodies. Through an ethnographic examination of the health systems of the Kati district in Mali and the Shai-Osudoku district in Ghana, this thesis investigates the impact of integrating a social component into formal health service delivery on maternal health care. Taking an actor-oriented approach, I focus on the strategies and community networks generated by the health workers whose actions produce the health care relationships which are central to improving the uptake of services. I conclude by suggesting that the patterns generated by health worker strategies indicate the gaps inherent in the health systems in which they operate, and provide insight into how the integration of social and clinical components might be improved to benefit maternal outcomes.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available