Equity and Respect in Maternal and Infant Healthcare—A Report From the 2025 Venice Forum
ABSTRACT Aim To examine equity and respectful care for women and infants from five perspectives: the global context; economic issues; healthcare systems; legal and policy issues; opportunities to benefit from biomedical research. Methods Narrative review. Results Healthcare accounts for half the variance in health in low‐income countries and substantially less in high‐income settings; however, healthcare investment remains efficient and equitable. Gross Domestic Product (GDP) affects women and infants disproportionately. Women undertake the major proportion of domestic and childcare duties including breastfeeding as unremunerated labour. This is not factored into GDP, so they do not benefit from growth‐promoting incentives. Many countries do not provide adequate paid parental leave, nor the option of sharing leave with the non‐birthing parent, despite their positive impacts on infant wellbeing and family cohesion with economic benefits. The rights of infants have received little attention. Women and infants have less opportunities to benefit from biomedical preclinical, translational, and population research. Only one medicine has been developed specifically for a neonatal disease (surfactant). Conclusion Inequity and disrespect to mothers and infants is a barrier to human progress. Recognising the problem and developing policies and legislation to ensure equitable and respectful care, as well as monitoring effectiveness, are extremely important.
Authors
- A Malamitsi-Puchner
- Neena Modi (ORCID: https://orcid.org/0000-0002-2093-0681)
- Jennifer Harris Requejo (ORCID: https://orcid.org/0000-0002-0351-7465)
- Kate Womersley (ORCID: https://orcid.org/0000-0002-2272-9842)
- Gian Carlo Di Renzo (ORCID: https://orcid.org/0000-0003-4467-240X)
- Mark Hanson
- Anne Kihara
- Flavia Bustreo
- Lesley Regan
- Sandra Oyarzo‐Torres
- Rajat Khosla
- Donna Ockenden
- Hema Divaker
- Agnès Soucat
- Camilla Pickles
- Joseph Haddad
Institutions
- Universidad de Santiago de Chile (CL)
- University of Nairobi (KE)
- International Social Security Association (CH)
- NHS Lothian (GB)
- Nottingham University Hospitals NHS Trust (GB)
- Johns Hopkins University (US)
- Sechenov University (RU)
- Durham University (GB)
- National and Kapodistrian University of Athens (GR)
- Tamil Nadu Government Multi Super Speciality Hospital (IN)
- Universidad Autónoma de Chile (CL)
- British Heart Foundation (GB)
- Agence française de développement (FR)
- Gender Studies (CZ)
- World Health Organization (CH)
- European School of Molecular Medicine (IT)
- NIHR Imperial Biomedical Research Centre (GB)
- The Geneva Association (CH)
- Partnership for Child Health (US)
- Chelsea and Westminster Hospital (GB)
- University of Southampton (GB)
- Imperial College London (GB)
- University of Chile (CL)
- Columbia Asia (IN)
- University of Edinburgh (GB)
Publication Details
- Journal
- Acta Paediatrica
- Published
- 2026-05-28
- DOI
- https://doi.org/10.1111/apa.70625
- Primary Topic
- Global Maternal and Child Health
- Type
- article
- Field-Weighted Citation Impact
- 0.00