Blogging has been light around here lately (more on all the things happening in my life shortly) but in the meantime, a comment published in the Lancet this week was so right on the money that I knew I had to blog about it…immediately.

In this comment, Wendy Graham (whose work I profoundly admire) and Beena Varghese argue that current proposed efforts to improve Maternal and Child Health via the UN Secretary-General’s new Global Strategy for Women’s and Children’s Health are nothing less than “insane”. They argue it is time to, in their words:

…seize this opportunity to address a global insanity—continuing over and over again to deliver poor-quality health services for women and children and yet expecting positive results.

What is the problem with current efforts? They argue that current efforts are too focus on expanding “coverage” and are not focused enough on exactly what is delivered and how – that is the quality of services delivered. I could not agree more.

“What you count is what you do” is a reality that helps to explain the national and international neglect of quality targets. There is a danger of presuming sustained reductions in mortality on the basis of increased coverage of services but without intelligence about the content and quality of care.

Specifically, they argue:

This repositioning requires something else to be done differently: to routinely and robustly monitor quality along the continuum of care, including users’ perspectives as well as providers’.

What?! Asking women what they actually want and what it is they value in terms of the services that are being made available to them?! That is just crazy talk! What do they know! Actually, that has been a big part of some of the new projects I have been working on this past year in Kenya and to some extent in Ghana (see excuse above to justify the lack of blogging).

A highly recommended read.

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26 Responses to “I could not agree more….stopping the global insanity on maternal and child health”

  1. Karen Grepin says:

    I could not agree more….stopping the global insanity on maternal and child health http://t.co/Rkoj3bAG

  2. I could not agree more….stopping the global insanity on maternal and child health http://t.co/Rkoj3bAG

  3. Robin Rogers says:

    I could not agree more….stopping the global insanity on maternal and child health http://t.co/YpOCgIta

  4. RT @KarenGrepin "I could not agree more – stopping the global insanity on maternal & child health" http://t.co/Ao3GM3Zn #globalhealth

  5. Martie Wyatt says:

    I could not agree more….stopping the global insanity on maternal and child health http://t.co/Rkoj3bAG

  6. SRH Bot says:

    I could not agree more….stopping the global insanity on maternal and child health http://t.co/kJ5jBjSS

  7. I could not agree more….stopping the global insanity on maternal and child health http://t.co/dKlW5iui

  8. Nathan Grey says:

    Stopping the global insanity on maternal & child health. K. Grepin comments on Lancet piece. http://t.co/NTpG8MrT #MCH

  9. KerenL says:

    I could not agree more….stopping the global insanity on maternal and child health http://t.co/Rkoj3bAG

  10. Tom Murphy says:

    I could not agree more….stopping the global insanity on maternal and child health via @karengrepin http://t.co/ggHhM9S5

  11. I could not agree more….stopping the global insanity on maternal and child health via @karengrepin http://t.co/ggHhM9S5

  12. I could not agree more….stopping the global insanity on maternal and child health http://t.co/4gPBRW33

  13. Stopping the global insanity on maternal & child health. K. Grepin comments on Lancet piece. http://t.co/NTpG8MrT #MCH

  14. cori says:

    I could not agree more….stopping the global insanity on maternal and child health http://t.co/Rkoj3bAG

  15. How Matters says:

    Insanity in #MCH? Expanding “coverage” w/o focus on what is delivered and HOW! says @karengrepin http://t.co/5f6PjVyg HT @viewfromthecave

  16. SRH Bot says:

    Insanity in #MCH? Expanding “coverage” w/o focus on what is delivered and HOW! says @karengrepin http://t.co/GyIyrGKI HT @viewfromthecave

  17. Debbie Koh says:

    This 'insanity' might not be limited to #mch RT @KarenGrepin: stopping the global insanity on maternal and child health http://t.co/KqHgW9KQ

  18. Quality matters: "@andrew_harmer: I could not agree more….stopping the global insanity on maternal and child health http://t.co/5fqHfe4p”

  19. Karen Grepin says:

    True but might be among the craziest RT @thedebkoh: This 'insanity' might not be limited #mch http://t.co/fdtD6I2g

  20. N Howard says:

    This 'insanity' might not be limited to #mch RT @KarenGrepin: stopping the global insanity on maternal and child health http://t.co/KqHgW9KQ

  21. RT @KarenGrepin: I could not agree more….stopping the global insanity on maternal and child health http://t.co/9V4EvFkR

  22. I could not agree more….stopping the global insanity on maternal and child health http://t.co/0U0OXNBv (via Instapaper)

  23. I could not agree more….stopping the global insanity on maternal and child health http://t.co/0U0OXNBv (via Instapaper)

  24. SRH Bot says:

    I could not agree more….stopping the global insanity on maternal and child health http://t.co/WIs8qNoZ (via Instapaper)

  25. I could not agree more….stopping the global insanity on maternal and child health http://t.co/0U0OXNBv (via Instapaper)

  26. I could not agree more….stopping the global insanity on maternal and child health http://t.co/WIs8qNoZ (via Instapaper)

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