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Record W4389374490 · doi:10.1016/j.eclinm.2023.102180

Towards a better tomorrow: addressing intersectional gender power relations to eradicate inequities in maternal health

2023· review· en· W4389374490 on OpenAlex
Meghan A. Bohren, Aditi Iyer, Aluísio J. D. Barros, Caitlin R. Williams, Alya Hazfiarini, Luisa Arroyave, Véronique Filippi, Catherine Chamberlain, Tamar Kabakian‐Khasholian, Kaveri Mayra, Roopan Gill, Joshua P. Vogel, Doris Chou, Asha George, Olufemi T. Oladapo

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueEClinicalMedicine · 2023
Typereview
Languageen
FieldMedicine
TopicMaternal and Perinatal Health Interventions
Canadian institutionsUniversity of TorontoVancouver FoundationUniversity of British Columbia
FundersNational Health and Medical Research CouncilAustralian Research CouncilDepartment of Science and Technology, Ministry of Science and Technology, IndiaMedical Research CouncilSouth African Medical Research CouncilUnited Nations Development ProgrammeWorld Health OrganizationUNICEFNational Research FoundationWorld Bank GroupBill and Melinda Gates FoundationUnited Nations Population FundUnited States Agency for International Development
KeywordsIntersectionalityOppressionEquity (law)Health equityHealth carePsychological interventionPrivilege (computing)MedicineRacismPublic relationsSociologyGender studiesPublic healthNursingPolitical sciencePoliticsLaw

Abstract

fetched live from OpenAlex

An equity lens to maternal health has typically focused on assessing the differences in coverage and use of healthcare services and critical interventions. While this approach is important, we argue that healthcare experiences, dignity, rights, justice, and well-being are fundamental components of high quality and person-centred maternal healthcare that must also be considered. Looking at differences across one dimension alone does not reflect how fundamental drivers of maternal health inequities-including racism, ethnic or caste-based discrimination, and gendered power relations-operate. In this paper, we describe how using an intersectionality approach to maternal health can illuminate how power and privilege (and conversely oppression and exclusion) intersect and drive inequities. We present an intersectionality-informed analysis on antenatal care quality to illustrate the advantages of this approach, and what is lost in its absence. We reviewed and mapped equity-informed interventions in maternal health to existing literature to identify opportunities for improvement and areas for innovation. The gaps and opportunities identified were then synthesised to propose recommendations on how to apply an intersectionality lens to maternal health research, programmes, and policies.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow), Insufficient payload (model declined to judge)
Consensus categoriesInsufficient payload (model declined to judge)
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.851
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0020.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0030.001
Bibliometrics0.0010.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.002
Insufficient payload (model declined to judge)0.0050.002

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.390
GPT teacher head0.534
Teacher spread0.144 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it