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September 10, 2025BMC Pregnancy and ChildbirthOpen Access

Health system responsiveness for maternal healthcare services in East Africa: a mixed-methods systematic review

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Authors

ADAyal DebieMWMolla Mesele WassieCRClaire T. Roberts

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Overview

Mixed-methods systematic review highlights challenges and successes of health system responsiveness for maternal health in East Africa.

Key Points

  • Health system responsiveness for maternity care in East Africa ranged from 45.8% to 75.6%.
  • Key challenges include limited decision-making autonomy, breaches of confidentiality, and non-dignified care.
  • Maintaining patient confidentiality and providing abuse-free care improved maternity care responsiveness.
  • Strengthening health system responsiveness is essential to achieve universal access to quality maternal healthcare.

Cite This Study

Debie et al. (2025) studied this question.

synapsesocial.com/papers/68c1d01a54b1d3bfb60f6383https://doi.org/10.1186/s12884-025-07995-1
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