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The Health Systems Stewardship and Regulation in Vietnam, India and China (HESVIC) is a three-year research project (2009-12) being implemented under the European Community Seventh Framework Programme (FP7). The project is a comparative study of Governance and Regulation of Maternal health care delivery in these three countries.
Despite having good policies to reduce maternal deaths, these countries still suffer from high MMR. Under this project, all three countries use Emergency Obstetric care (EMOC) and Grievance Redressal Mechanisms as tracers to track regulatory mechanisms for service delivery, while India will additionally study regulatory systems in relation to Abortions.
The project aims to examine the application of International standards in regulation of maternal health service, develop a typology of private and public practitioners, to outline National standards for Regulation and to evaluate Regulation of maternal health care systems within and across each study country.
- What approaches and processes exist to regulate maternal health care and how do they operate in practice?
- Who are the actors involved in the regulation of maternal health care, what are their roles and power relations?
- What are the effects of regulation on equitable access to quality maternal health care?
- What are the differences or similarities between regulation of maternal health care and health care in general?
- How could regulation be improved to enhance equitable access to quality maternal health care?
The overall project research methodology consists of both qualitative and quantitative research tools, although the primary focus will be on qualitative methods. Secondary and primary data collection will encompass observations, statistics, documents and other written artefacts. Interviews will be held with a range of actors involved in regulation, the maternal health care system and a sample of users of maternal care. In interviews, we will look for saturation, triangulate opinions and researchers’ views.
This research will contribute to an integrated approach to improved stewardship and regulation in health services in Vietnam, India and China. The study results are expected to give a better understanding of the effect of regulations in improving access and quality of maternal health care services in the study countries. The outcomes of the project will be widely disseminated to the Government and other key stake holders in the three countries as well as the scientific forum in the form of publications.
HESVIC is funded by the European Commission Framework Programme 7
- Nuffield Centre for International Health and Development (NCIHD), Leeds Institute of Health Sciences, University of Leeds, UK
- Hanoi School of Public Health (HSPH), Vietnam
- Institute of Public Health (IPH), Bangalore, India
- Department of Public Health, Prince Leopold Institute of Tropical Medicine (ITM), Belgium
- Social Development and Gender Equity, Royal Tropical Institute (KIT), Netherlands
- Fudan School of Public Health (FU), Fudan University, China