Reproductive Health Services in Ethiopia

  • Rajib Dasgupta
  • Narendra Kumar Arora
  • Damen Haile Mariam
  • Solomon Kumbi Hawas
  • Sanjay Chaturvedi
  • Ashok Patwari
  • Kalyan K. Ganguly


The highest incidence of maternal deaths occurs in Africa. Recent research has found governance in health systems to be a strong determinant of maternal health. Although the role and impact of determinants of governance have been studied individually, how and to what extent these variables influence each other and eventually impact access to maternal health services are questions that remain unanswered. In this study, conducted in two administrative units (districts), i.e. Ambo and Fentale in Ethiopia, we drew upon various indicators for measuring governance and undertook a series of systematic delineation and characterization of the variables that impact the governance of health systems in relation to delivery of reproductive health services. The chapter maps stakeholder perceptions about existing status of the governance variables, determines the influence of governance environments on access and client behaviour and identifies potentially modifiable factors of governance that could expand the accessibility of reproductive and maternal health services in the region and encourage client participation.


Maternal Death Governance Environment Maternal Health Service Reproductive Health Service Governance Variable 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer India 2015

Authors and Affiliations

  • Rajib Dasgupta
    • 1
  • Narendra Kumar Arora
    • 2
  • Damen Haile Mariam
    • 3
  • Solomon Kumbi Hawas
    • 4
  • Sanjay Chaturvedi
    • 5
  • Ashok Patwari
    • 6
  • Kalyan K. Ganguly
    • 7
  1. 1.Centre of Social Medicine and Community Health, School of Social SciencesJawaharlal Nehru UniversityNew DelhiIndia
  2. 2.INCLEN Trust InternationalNew DelhiIndia
  3. 3.Public Health and Health EconomicsAddis Ababa UniversityAddis AbabaEthiopia
  4. 4.Addis Ababa UniversityAddis AbabaEthiopia
  5. 5.Community MedicineUniversity College of Medical SciencesNew DelhiIndia
  6. 6.International HealthBoston University School of Public HealthBostonUSA
  7. 7.Indian Council of Medical ResearchNew DelhiIndia

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