{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T22:00:13Z","timestamp":1791583213359,"version":"4.3.4"},"reference-count":39,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,4,23]],"date-time":"2024-04-23T00:00:00Z","timestamp":1713830400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To demonstrate that successful health systems strengthening (HSS) projects have addressed disparities and inequities in maternal and perinatal care in low\u2010income countries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A comprehensive literature review covered the period between 1980 and 2022, focusing on successful HSS interventions within health systems' seven core components that improved maternal and perinatal care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The findings highlight the importance of integrating quality interventions into robust health systems, as this has been shown to reduce maternal and newborn mortality. However, several challenges, including service delivery gaps, poor data use, and funding deficits, continue to hinder the delivery of quality care. To improve maternal and newborn health outcomes, a comprehensive HSS strategy is essential, which should include infrastructure enhancement, workforce skill development, access to essential medicines, and active community engagement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Effective health systems, leadership, and community engagement are crucial for a comprehensive HSS approach to catalyze progress toward universal health coverage and global improvements in maternal and newborn health.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.15553","type":"journal-article","created":{"date-parts":[[2024,4,23]],"date-time":"2024-04-23T04:34:59Z","timestamp":1713846899000},"page":"849-859","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Global health systems strengthening:\n                    <scp>FIGO<\/scp>\n                    's strategic view on reducing maternal and newborn mortality worldwide"],"prefix":"10.1002","volume":"165","author":[{"given":"Jezid","family":"Miranda","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Grupo de Investigaci\u00f3n en Cuidado Intensivo y Obstetricia (GRICIO) Universidad de Cartagena  Cartagena de Indias Colombia"},{"name":"Centro Hospitalario Serena del Mar y Fundaci\u00f3n Santa Fe de Bogot\u00e1  Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suellen","family":"Miller","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology, and Reproductive Sciences University of California  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikita","family":"Alfieri","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology San Paolo Hospital Medical School, University of Milano  Milano Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andre","family":"Lalonde","sequence":"additional","affiliation":[{"name":"FIGO International Childbirth Initiative and Working Group  Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edgar","family":"Ivan\u2010Ortiz","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Universidad del Valle  Cali Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Hanson","sequence":"additional","affiliation":[{"name":"Public Health Sciences \u2010 Global Health \u2010 Health Systems and Policy Karolinska Institute  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margit","family":"Steinholt","sequence":"additional","affiliation":[{"name":"Helgeland Hospital Trust  Sandnessj\u00f8en Norway"},{"name":"Norwegian University of Science and Technology  Trondheim Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nandita","family":"Palshetkar","sequence":"additional","affiliation":[{"name":"Department of Reproductive Medicine Patil Medical College  Mumbai India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harris","family":"Suharjono","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Sarawak General Hospital  Kuching Sarawak Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Gebhardt","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Stellenbosch University  Stellenbosch South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean\u2010Paul","family":"Dossou","sequence":"additional","affiliation":[{"name":"Centre de Recherche en Reproduction Humaine et en D\u00e9mographie  Cotonou Benin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debra","family":"Pascali\u2010Bonaro","sequence":"additional","affiliation":[{"name":"International Childbirth Consultant, Trainer, and Speaker  River Vale New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bo","family":"Jacobsson","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Institute of Clinical Science, Sahlgrenska Academy University of Gothenburg  Gothenburg Sweden"},{"name":"Department of Obstetrics and Gynecology, Region V\u00e4stra G\u00f6taland Sahlgrenska University Hospital  Gothenburg Sweden"},{"name":"Department of Genetics and Bioinformatics, Domain of Health Data and Digitalization Institute of Public Health  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pius","family":"Okong","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology St Francis Hospital Nsambya  Kampala City Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the FIGO Committee on Health Systems Strengthening and Respectful Care","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,4,23]]},"reference":[{"key":"e_1_2_13_2_1","unstructured":"WHO UNICEF UNFPA WBG.Trends in maternal mortality 2000 to 2020 Estimates by WHO UNICEF UNFPA World Bank Group and UNDESA\/Population Division. Accessed October 2023.https:\/\/iris.who.int\/bitstream\/handle\/10665\/366225\/9789240068759\u2010eng.pdf?sequence=1"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1004257"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.13618"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(14)70227-X"},{"key":"e_1_2_13_6_1","volume-title":"Everybody's Business\u2010Strengthening Health Systems to Improve Health Outcomes: WHO's Framework for Action","author":"World Health Organization","year":"2007"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pgph.0001134"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/heapol\/czx172"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.10.077339"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)60177-3"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12992-017-0259-z"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-8080(12)39611-0"},{"key":"e_1_2_13_13_1","unstructured":"World Health Organization.Monitoring the building blocks of health systems: a hand\u2010book of indicators and their measurement strategies.2010. Accessed October 2023.https:\/\/iris.who.int\/bitstream\/handle\/10665\/258734\/9789241564052\u2010eng.pdf"},{"key":"e_1_2_13_14_1","unstructured":"World Health Organization.Community engagement: a health promotion guide for universal health coverage in the hands of the people.2020. Accessed October 2023.https:\/\/www.who.int\/publications\/i\/item\/9789240010529"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0272684X17738089"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(08)60962-9"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2017-000674"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.9745\/GHSP-D-18-00263"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.11604\/pamj.2022.41.125.30170"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.11604\/pamj.2020.37.73.24597"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.15015"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2005.10.030"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)60919-3"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2018.07.016"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2016.07.013"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2014.11.006"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1093\/heapol\/czw045"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0173445"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)60696-6"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.09.068791"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)61646-9"},{"key":"e_1_2_13_32_1","first-page":"105","article-title":"Responding to the challenge\u2014the Ethiopian Health Extension Programme and back up support for maternal health care","volume":"1","author":"Koblinsky M","year":"2010","journal-title":"Ethiop J Health Dev"},{"key":"e_1_2_13_33_1","unstructured":"FIGO.FIGO Strategic Plan 2021\u20132030. Accessed October 2023.https:\/\/www.figo.org\/about\u2010us\/figo\u2010strategic\u2010plan\u20102021\u20102030\/introduction"},{"key":"e_1_2_13_34_1","doi-asserted-by":"publisher","DOI":"10.1111\/mcn.12533"},{"key":"e_1_2_13_35_1","unstructured":"FIGO.FIGO Statement \u2013 Health System Strengthening and Respectful Care.2021. Accessed October 2023.https:\/\/www.figo.org\/resources\/figo\u2010statements\/health\u2010system\u2010strengthening\u2010and\u2010respectful\u2010care"},{"key":"e_1_2_13_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)31472-6"},{"key":"e_1_2_13_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)60789-3"},{"key":"e_1_2_13_38_1","doi-asserted-by":"publisher","DOI":"10.1093\/heapol\/czab064"},{"key":"e_1_2_13_39_1","volume-title":"Disease Control Priorities in Developing Countries","author":"Mills A","year":"2006"},{"key":"e_1_2_13_40_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12961-015-0034-7"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.15553","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,12]],"date-time":"2024-05-12T11:52:49Z","timestamp":1715514769000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.15553"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,23]]},"references-count":39,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,6]]}},"alternative-id":["10.1002\/ijgo.15553"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.15553","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,23]]},"assertion":[{"value":"2024-04-23","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}