Le, G, Heng, M, Nou, K et al. (2 more authors) (2018) Can positive inquiry strengthen obstetric referral systems in Cambodia? International Journal of Health Planning and Management, 33 (1). e89-e104. ISSN 0749-6753
Abstract
Maternal death remains high in low resource settings. Current literature on obstetric referral that sets out to tackle maternal death tends to focus on problematization. We took an alternative approach and rather asked what works in contemporary obstetric referral in a low income setting to find out if positive inquiry could generate original insights on referral that could be transformative. We documented and analysed instances of successful referral in a rural province of Cambodia that took place within the last year. Thirty women, their families, healthcare staff and community volunteers were purposively sampled for in‐depth interviews, conducted using an appreciative inquiry lens. We found that referral at its best is an active partnership between families, community and clinicians that co‐constructs care for labouring women during referral and delivery. Given the short time frame of the project we cannot conclude if this new understanding was transformative. However, we can show that acknowledging positive resources within contemporary referral systems enables health system stakeholders to widen their understanding of the kinds of resources that are available to them to direct and implement constructive change for maternal health.
Metadata
Item Type: | Article |
---|---|
Authors/Creators: |
|
Copyright, Publisher and Additional Information: | © 2016 John Wiley & Sons, Ltd. This is the peer reviewed version of the following article: Le, G., Heng, M., Nou, K., So, P., and Ensor, T. (2018) Can positive inquiry strengthen obstetric referral systems in Cambodia?. Int J Health Plann Mgmt, 33: e89–e104. doi: 10.1002/hpm.2385., which has been published in final form at https://doi.org/10.1002/hpm.2385. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | health systems; Cambodia; appreciative inquiry; positive; maternal health |
Dates: |
|
Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Leeds Institute of Health Sciences (Leeds) > Nuffield Centre for International Health and Development (Leeds) |
Funding Information: | Funder Grant number Department for International Development No Ext Ref Given |
Depositing User: | Symplectic Publications |
Date Deposited: | 28 Oct 2016 10:49 |
Last Modified: | 18 Apr 2018 15:54 |
Status: | Published |
Publisher: | Wiley |
Identification Number: | 10.1002/hpm.2385 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:106631 |