In this module, the participants discuss and analyse a case on disrespect and abuse in obstetric care (vide infra). The analysis and discussion will encourage the participants to apply the conceptual frameworks of HPSR in a real world problem. They will also be encouraged to consider multiple dimensions of inequality to unpack the case.

Learning Objectives:

1. Understand how different building blocks of health systems interact in a real-world scenario
2. Identify how gender and other dimensions of inequality may influence both the provision and experience of care.

Readings:

Required Reading:

1. Barriers to Respectful Maternity Care in a public teaching hospital : A Case Study (circulated separately). The case study is based on qualitative research conducted in public teaching hospitals by Public Health Foundation of India’s Ramalingaswami Centre on Equity and Social Determinants of Health.
2. Perera, D., Lund, R., Swahnberg, K., Schei, B., Infanti, J. J., & ADVANCE study team (2018). ‘When helpers hurt’: women’s and midwives’ stories of obstetric violence in state health institutions, Colombo district, Sri Lanka. BMC pregnancy and childbirth, 18(1), 211. https://doi.org/10.1186/s12884-018-1869-z

Recommended Reading

1. World Health Organization. (2018). WHO recommendations on intrapartum care for a positive childbirth experience. World Health Organization.