Socio-cultural and service delivery dimensions of maternal mortality in rural central India: a qualitative exploration using a human rights lens

摘要: Background : Despite the avoidable nature of maternal mortality, unacceptably high numbers deaths occur in developing countries. Considering its preventability, mortality is being increasingly recognised as a human rights issue. Integration perspective health programmes could contribute positively eliminating avertable deaths. This study was conducted to explore socio-cultural and service delivery–related dimensions rural central India using lens. Design Social autopsies were for 22 during 2011 Khargone district India. The data analysed thematic analysis. factors associated with classified by ‘three delays’ framework examined Results All women tried access medical assistance, but various delayed their appropriate care. underestimation severity complications family members, gender inequity, perceptions low-quality delivery services decisions seek Transportation problems care seeking at multiple facilities reaching facilities. Negligence staff unavailability blood emergency obstetric receiving adequate after facility. Conclusions highlighted which are violating women’s resulting highlights that, despite system’s conscious effort improve health, normative elements approach (i.e. availability, accessibility, acceptability, quality services) not upheld. analysis suggest that deceased relatives unable claim entitlements duty bearers successful meeting obligations. Based on findings our study, we conclude prevent deaths, further concentrated efforts required better community education, empowerment, systems strengthening provide timely services, including care, good quality. Keywords : maternal health; death; right rights-based approach; (Published: 1 April 2015) Citation Glob Health Action 2015,  8 24976 -  http://dx.doi.org/10.3402/gha.v8.24976