dc.contributor.author |
Kabakian-Khasholian T. |
dc.contributor.author |
Kaddour A. |
dc.contributor.author |
DeJong J. |
dc.contributor.author |
Shayboub R. |
dc.contributor.author |
Nassar A. |
dc.contributor.editor |
|
dc.date |
Sep-2007 |
dc.date.accessioned |
2017-10-05T15:46:59Z |
dc.date.available |
2017-10-05T15:46:59Z |
dc.date.issued |
2007 |
dc.identifier |
10.1016/j.healthpol.2006.11.006 |
dc.identifier.isbn |
|
dc.identifier.issn |
01688510 |
dc.identifier.uri |
http://hdl.handle.net/10938/18595 |
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 |
|
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.relation.ispartofseries |
|
dc.relation.uri |
|
dc.source |
Scopus |
dc.subject.other |
|
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: tamar.kabakian@aub.edu.lb |
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.authorDivision |
|
dc.contributor.authorEmail |
tamar.kabakian@aub.edu.lb |
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.authorOrcidID |
|
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 |
dc.description.cited |
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dc.description.citedCount |
6 |
dc.description.citedTotWOSCount |
7 |
dc.description.citedWOSCount |
6 |
dc.format.extentCount |
13 |
dc.identifier.articleNo |
|
dc.identifier.coden |
HEPOE |
dc.identifier.pubmedID |
17178426 |
dc.identifier.scopusID |
34447315516 |
dc.identifier.url |
|
dc.publisher.address |
ELSEVIER HOUSE, BROOKVALE PLAZA, EAST PARK SHANNON, CO, CLARE, 00000, IRELAND |
dc.relation.ispartofConference |
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dc.relation.ispartofConferenceCode |
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dc.relation.ispartofConferenceDate |
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dc.relation.ispartofConferenceHosting |
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dc.relation.ispartofConferenceLoc |
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dc.relation.ispartofConferenceSponsor |
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dc.relation.ispartofConferenceTitle |
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dc.relation.ispartofFundingAgency |
|
dc.relation.ispartOfISOAbbr |
Health Policy |
dc.relation.ispartOfIssue |
1 |
dc.relation.ispartOfPart |
|
dc.relation.ispartofPubTitle |
Health Policy |
dc.relation.ispartofPubTitleAbbr |
Health Policy |
dc.relation.ispartOfSpecialIssue |
|
dc.relation.ispartOfSuppl |
|
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.otherChemCAS |
|
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 |