In this study, the authors aimed to describe the maternal health policy environment and examines its relationship with maternal health service utilization in low- and middle-income countries (LMICs). Findings suggest that despite the availability of supportive structures and free maternity service access policies, there is a dire need for stronger policy support for clinical guidelines and practice regulations, as well as national reporting and review systems for maternal health. A more favorable policy environment for maternal health can improve adoption of evidence-based interventions and increase utilization of maternal health services in LMICs.


  1. Mary M, Maliqi B, Stierman EK, Dohlsten MA, Moran AC, Katwan E, Creanga AA. Assessing the neonatal health policy landscape in low- and middle-income countries: Findings from the 2018 WHO SRMNCAH policy survey. J Glob Health. 2023 Mar 3;13:04024. doi: 10.7189/jogh.13.04024.

  2. Khatri RB, Durham J, Karkee R, Assefa Y. High coverage but low quality of maternal and newborn health services in the coverage cascade: who is benefitted and left behind in accessing better quality health services in Nepal? Reprod Health. 2022 Jul 19;19(1):163. doi: 10.1186/s12978-022-01465-z.

  3. Mbuagbaw L, Medley N, Darzi AJ, Richardson M, Habiba Garga K, Ongolo-Zogo P. Health system and community level interventions for improving antenatal care coverage and health outcomes. Cochrane Database Syst Rev. 2015 Dec 1;2015(12):CD010994. doi: 10.1002/14651858.CD010994.pub2.


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