The impact of health reform on maternal and child health indicators in developing countries: A systematic review

Hossein Jabbari Beyrami , Salaheddin Asadi, Leila Doshmangir

Hossein Jabbari Beyrami
Associate professor, Iranian Center Excellence in Health Management (IceHM), Tabriz University of Medical Sciences, Tabriz, Iran.. Email: hossinhossinj@yahoo.com

Salaheddin Asadi
Master of Health Care Management, Iranian Center Excellence in Health Management (IceHM), Tabriz University of Medical Sciences, Tabriz, Iran.

Leila Doshmangir
Assistant professor, Iranian Center Excellence in Health Management (IceHM), Tabriz University of Medical Sciences, Tabriz, Iran
Online First: April 01, 2019 | Cite this Article
Beyrami, H., Asadi, S., Doshmangir, L. 2019. The impact of health reform on maternal and child health indicators in developing countries: A systematic review. Bali Medical Journal 8(1): 9-17. DOI:10.15562/bmj.v8i1.1168


Objective: The aim of the study has been designed and implemented aiming at investigating the impact of reform program on maternal and child health indicators in developing countries.

Method: This study was done as a systematic review by searching on SID, Magiran, Pubmed, Science Direct, and Scopus during 2000-2017. The searched keywords in Farsi databases: health reforms, impact of reforms on health, consequences of health reforms, maternal and child health indicators, and their Latin equivalences on English databases. Then data were entered in summary tables and at the next step were investigated and concluded.

Result: According to inclusion and exclusion criteria, the result of search was 2837 articles refined step by step and finally 19 articles were selected and analyzed. The results of national studies showed that after executing health reform program, the rate of cesarean section decreased about 2.5-4% in the country in the first three-month period of execution of the program and total status of realization of indicators was in a desirable level. Natural childbirth promotion program (free natural childbirth franchise indicator) was 90.8%. Global experiences also show that mortality rate of newborns decreased from 11.1% to 9.1% after reform and promotion of health system in Mozambique. Also, health reforms in Pakistan for developing health of mothers and newborns showed that beneficiaries should support evidence-based interventions for the sake of health of mothers and newborns. Finally, health reform in Indonesia, Nepal, Philippines, and India showed that the rate of mortality of mothers, newborns, and stillbirth has been reduced.

Conclusion: Results show that reforms have had a positive impact on maternal and child health indicators and the status of realization of indicators has reached an acceptable level through execution of reform and the main reasons for improvement in indicators are: extension of health system, increase in labour force, and more support by government for health system.

Keywords: Health reforms, Maternal and child health indicators, Developing countries, Systematic review




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