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Date Added to Site: 2nd October 2005
    Short Summary
Title Gendered Health Systems Biased Against Maternal Survival: Preliminary Findings from Koppal, Karnataka, India
Author George, A., Iyer, A. and Sen, G.
Publication Date September 2005
Publisher Institute of Development Studies (IDS)
Volume IDS Working Papers
Series 253
Short Summary What is the context of pregnant women's lives and the many health systems they encounter in Koppal, the most deprived district in the state of Karnataka, South India? Preliminary survey findings are combined with qualitative work to illustrate the dynamics involved in seeking and receiving obstetric care. Despite high levels of poverty and scarce resources supporting primary health care in the region, women with obstetric complications do access a range of health services. Yet they still die. Addressing the technical and managerial capacity constraints to ensuring equitable access to emergency obstetric care is essential. However, maternal well-being and survival cannot be effectively ensured without confronting the gender biases that also constrain health systems from supporting women's health and saving women's lives. These biases are the result of failures to acknowledge pregnant women's needs and to be accountable for meeting such needs. The paper concludes with recommendations for technical, managerial and political action.

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