Gender inequity in postpartum hemorrhage: A public health issue
Postpartum hemorrhage (PPH), a leading cause of maternal mortality globally, disproportionately affects women in low- and middle-income countries (LMICs), highlighting the deep-rooted gender related inequities in healthcare access, quality, and outcomes. Despite being largely preventable and treatable, PPH continues to claim the lives of thousands of women annually, because of systemic failures, including inadequate maternal health infrastructure, under-resourced healthcare systems, and sociocultural norms that devalue women's health. Gender inequity is manifested in delayed care-seeking, a lack of decision-making autonomy, limited access to skilled birth attendants, and emergency obstetric care. Moreover, implicit biases and structural discrimination often limit investment in women-centered health interventions. This issue is compounded by socioeconomic disparities, educational gaps, and the underrepresentation of women's health priorities in policy and research agendas. Addressing PPH through a gender-equity lens is imperative to improve maternal health outcomes and achieve global health equity. This paper underscores the urgent need for integrated, gender-sensitive public health strategies to mitigate the burden of PPH and protect the rights and lives of women.
Authors
- Inês Nunes (ORCID: https://orcid.org/0000-0001-6709-3916)
- Cherrie Evans (ORCID: https://orcid.org/0000-0002-4909-5165)
- Anne‐Beatrice Kihara (ORCID: https://orcid.org/0000-0002-7202-2079)
- Akaninyene Eseme Ubom (ORCID: https://orcid.org/0000-0002-7543-0510)
- Zechariah J. Malel (ORCID: https://orcid.org/0009-0003-1349-2665)
- Alison J. Wright (ORCID: https://orcid.org/0000-0002-0373-5219)
- Bo Jacobsson
- Dietmar Schlembach (ORCID: https://orcid.org/0000-0003-3641-5278)
- A. Metin Gülmezog̈lu (ORCID: https://orcid.org/0000-0003-4674-0998)
- Diana Ramašauskaitė (ORCID: https://orcid.org/0000-0003-1481-3558)
- Albaro José Nieto‐Calvache (ORCID: https://orcid.org/0000-0001-5639-9127)
- Monica Oguttu (ORCID: https://orcid.org/0000-0003-4231-9004)
- Jolly Beyeza‐Kashesya (ORCID: https://orcid.org/0000-0001-8148-100X)
- Ferdousi Begum (ORCID: https://orcid.org/0009-0004-8898-2674)
Institutions
- University of Nairobi (KE)
- University College Hospital (GB)
- Norwegian Institute of Public Health (NO)
- Royal Free London NHS Foundation Trust (GB)
- Vilnius University (LT)
- Universidade do Porto (PT)
- University of Juba (SS)
- Mulago Hospital (UG)
- Sahlgrenska University Hospital (SE)
- Instituto Superior de Espinho (PT)
- Fundación Valle del Lili (CO)
- Vivantes Klinikum (DE)
- Concept Foundation (CH)
- Centre for Health Technology and Services Research (PT)
- Child Health Research Foundation (BD)
- Obafemi Awolowo University Teaching Hospitals Complex (NG)
- Institute of Child and Mother Health (BD)
- University College London (GB)
- University of Aveiro (PT)
- Icesi University (CO)
- University of Gothenburg (SE)
- Great Lakes University of Kisumu (KE)
Publication Details
- Journal
- International Journal of Gynecology & Obstetrics
- Published
- 2025-09-24
- DOI
- https://doi.org/10.1002/ijgo.70526
- Primary Topic
- Maternal and fetal healthcare
- Type
- article
- Field-Weighted Citation Impact
- 0.00