Can the right to health inform public health planning in developing countries? A case study for maternal healthcare from Indonesia

摘要: Background: Maternal mortality remains unacceptably high in developing countries despite international advocacy, health and development targets, simple, affordable effective interventions. In recent years, regard for maternal as a human rights issue well one that pertains to health, has emerged. Objective: We study case of death using theoretical framework derived from the right examine access quality care. Our objective is explore potential rights-based frameworks inform public planning perspective. Design: Information was elicited part verbal autopsy survey investigating deaths rural settings Indonesia. The deceased’s relatives were interviewed collect information on medical signs, symptoms social, cultural systems circumstances surrounding death. Results: case, prolonged, severe fever complicated series referrals culminated 19-year old primagravida at seven months gestation. cause acute infection. woman encountered range barriers access; behavioural, socio-cultural, geographic economic. Several, serious failures also apparent, reflecting her exclusion healthcare. identified none essential elements upheld. Conclusion: There are fundamental inherent conflicts between tradition (collective preventative) (individualistic curative). As result, practice, likely be ineffective Collective such may provide more suitable means achieve equity social justice planning. Keywords: rights; mortality; countries; Indonesia (Published: 9 September, 2008) Citation: Global Health Action 2008. DOI: 10.3402/gha.v1i0.1828