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The policy environment encouraging C-section in Lebanon

Show simple item record Kabakian-Khasholian T. Kaddour A. DeJong J. Shayboub R. Nassar A.
dc.contributor.editor Sep-2007 2017-10-05T15:46:59Z 2017-10-05T15:46:59Z 2007
dc.identifier 10.1016/j.healthpol.2006.11.006
dc.identifier.issn 01688510
dc.description.abstract Objective: This study aims to analyse the environment encouraging C-section in Lebanon and to reveal approaches that could be adopted for the reduction of this practice, by considering the attitudes, opinions and actions of different stakeholders. Methods: Semi-structured interviews were conducted with 20 selected key players, including hospital directors, midwives, insurance bodies, syndicates and scientific societies, ministries, international agencies, medical schools, media representatives and women's groups. In addition, a group discussion was conducted with 10 obstetricians. Semi-structured interviews were conducted with a convenience sample of 36 women who had a C-section within 4 months preceding the study. Data was analysed using the Policy Maker software version 2.3. Results: Findings of the study point to the role of multiple factors in shaping the current practices related to C-section deliveries, among which are the organisation of the health care system, the dominance of the private sector, the lack of physician accountability, the minimisation of midwives' roles in the process and women's misconceptions about C-sections. Conclusions: Involvement of the diversity of players is important to change practices in maternity care in Lebanon, after considering their position and power. Different strategies making use of available opportunities to improve the current situation are discussed. © 2006 Elsevier Ireland Ltd. All rights reserved.
dc.format.extent Pages: (37-49)
dc.language English
dc.publisher CLARE
dc.relation.ispartof Publication Name: Health Policy; Publication Year: 2007; Volume: 83; no. 1; Pages: (37-49);
dc.source Scopus
dc.title The policy environment encouraging C-section in Lebanon
dc.type Article
dc.contributor.affiliation Kabakian-Khasholian, T., Health Behavior and Education Department, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
dc.contributor.affiliation Kaddour, A., Centre for Research on Population and Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
dc.contributor.affiliation DeJong, J., Epidemiology and Population Health Department, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
dc.contributor.affiliation Shayboub, R., Health Behavior and Education Department, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
dc.contributor.affiliation Nassar, A., Obstetrics and Gynecology Department, Faculty of Medicine, American University of Beirut, Beirut, Lebanon
dc.contributor.authorAddress Kabakian-Khasholian, T.; Health Behavior and Education Department, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon; email:
dc.contributor.authorCorporate University: American University of Beirut Medical Center; Faculty: Faculty of Medicine; Department: Obstetrics and Gynecology;
dc.contributor.authorDepartment Obstetrics and Gynecology
dc.contributor.faculty Faculty of Medicine
dc.contributor.authorInitials Kabakian-Khasholian, T
dc.contributor.authorInitials Kaddour, A
dc.contributor.authorInitials DeJong, J
dc.contributor.authorInitials Shayboub, R
dc.contributor.authorInitials Nassar, A
dc.contributor.authorReprintAddress Kabakian-Khasholian, T (reprint author), Amer Univ Beirut, Fac Hlth Sci, Hlth Behav and Educ Dept, Beirut, Lebanon.
dc.contributor.authorResearcherID Kaddour, Afamia -G-2279-2010
dc.contributor.authorUniversity American University of Beirut Medical Center
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dc.description.citedCount 6
dc.description.citedTotWOSCount 7
dc.description.citedWOSCount 6
dc.format.extentCount 13
dc.identifier.coden HEPOE
dc.identifier.pubmedID 17178426
dc.identifier.scopusID 34447315516
dc.relation.ispartOfISOAbbr Health Policy
dc.relation.ispartOfIssue 1
dc.relation.ispartofPubTitle Health Policy
dc.relation.ispartofPubTitleAbbr Health Policy
dc.relation.ispartOfVolume 83
dc.source.ID WOS:000248904000004
dc.type.publication Journal
dc.subject.otherAuthKeyword Cesarean section
dc.subject.otherAuthKeyword Health policy
dc.subject.otherAuthKeyword Lebanon
dc.subject.otherAuthKeyword Maternity care
dc.subject.otherIndex article
dc.subject.otherIndex attitude
dc.subject.otherIndex cesarean section
dc.subject.otherIndex health care policy
dc.subject.otherIndex human
dc.subject.otherIndex information center
dc.subject.otherIndex insurance
dc.subject.otherIndex international cooperation
dc.subject.otherIndex Lebanon
dc.subject.otherIndex medical practice
dc.subject.otherIndex medical school
dc.subject.otherIndex medical society
dc.subject.otherIndex midwife
dc.subject.otherIndex semi structured interview
dc.subject.otherIndex Cesarean Section
dc.subject.otherIndex Female
dc.subject.otherIndex Health Policy
dc.subject.otherIndex Humans
dc.subject.otherIndex Interviews
dc.subject.otherIndex Lebanon
dc.subject.otherIndex Maternal-Child Nursing
dc.subject.otherIndex Policy Making
dc.subject.otherIndex Pregnancy
dc.subject.otherKeywordPlus MATERNAL MORBIDITY
dc.subject.otherKeywordPlus RATES
dc.subject.otherKeywordPlus WOMEN
dc.subject.otherKeywordPlus DELIVERIES
dc.subject.otherKeywordPlus DECISION
dc.subject.otherKeywordPlus TOO
dc.subject.otherWOS Health Care Sciences and Services
dc.subject.otherWOS Health Policy and Services

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