Date of Award
Spring 5-10-2012
Degree Type
Honors College Thesis
Department
Political Science, International Development, and International Affairs
First Advisor
Robert Press
Advisor Department
Political Science, International Development, and International Affairs
Abstract
The West African nation of Sierra Leone has received a large amount of attention for its especially high numbers of maternal mortality. Women in that country face a 1 in 8 chance of dying in childbirth or of related complications (WHO, 2011). In response, in 2010 Sierra Leone instituted a policy of free medical care to pregnant women and children under age 5. The Free Health Care Initiative, as it is called, emphasizes physician and clinical care, an approach that seems top-heavy considering the severe lack of physicians in the country. This study will compare the Free Health Care Initiative of Sierra Leone to health care policy in the Netherlands, where midwife care and home birth are more common than any other industrialized nation. A comparison of maternal health care in Sierra Leone and the Netherlands is interesting, because both countries have a large number of births taking place at home, with a large number of midwives, and important, because these factors have not been compared in any previous study. While the consensus among development-minded organizations such as the World Bank, favors a modernization theory-based approach, this study argues that that more attention should be paid to the Dutch model of health care, and that more resources should be devoted to community-based health care.
Copyright
Copyright for this thesis is owned by the author. It may be freely accessed by all users. However, any reuse or reproduction not covered by the exceptions of the Fair Use or Educational Use clauses of U.S. Copyright Law or without permission of the copyright holder may be a violation of federal law. Contact the administrator if you have additional questions.
Recommended Citation
Simmons, Emily, "Going Dutch: The Netherlands’ Maternal Health Care Framework as a Model for Sierra Leone" (2012). Honors Theses. 85.
https://aquila.usm.edu/honors_theses/85