Skip to main content

Social Determinants of Perinatal Health in Morocco

  • Reference work entry
  • First Online:
Handbook of Healthcare in the Arab World

Abstract

Socioeconomic development and improved health of the population require a consideration of all interfering determinants4. This chapter discusses the socioeconomic determinants of perinatal health based on research at the Maternity Souissi in Rabat, Morocco. We also attempt to extrapolate these findings to a national level.

Based on a sample of 1000 parturient women (women about to give birth), with a response rate of 98%, our study shows that: (1) The level of education of women in labor is closely related to recorded complications, so that a higher level of education is associated with decreased complications of perinatal health. (2) Women living in poor neighborhoods have a greater percentage (57%) of gestational complications compared to women from middle-class neighborhoods (29%). Women from more affluent neighborhoods were not studied in this investigation. (3) Income and the working conditions also impact perinatal health. (4) Access for monitoring of pregnancy also positively impacts the quality of maternal and newborn health. (5) Social exclusion negatively impacts perinatal health.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 1,599.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 1,799.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  • Auger N, Alix C (2009) Income distribution, and health in Canada. Social determinants of health: Canadian perspectives, 3éme edn. Edited by Dennis Raphael, 2éme edn. Ottawa, p 74

    Google Scholar 

  • Bakkali MEL, Azzouzi Y, Arfaoui A (2014) Facteurs de risques associés à la pratique d’épisiotomie et la survenue des déchirures périnéales chez les mères au niveau de la maternité de l’hôpital Chérif Idrissi dans la région du Gharb Chrarda Bni Hssen (Maroc). IJIAS 7(3):911–919. ISSN: 2028-9324

    Google Scholar 

  • Black JN (1988) Inequalities in health: the Black report. The health divide. Penguin, London, p 231

    Google Scholar 

  • Bynner J (1995) Risques et résultats de l’exclusion sociale. Institut national de la santé et de la recherche médicale, Paris, p 31

    Google Scholar 

  • Cleary-Goldman J, Robinson JN (2003) The role of episiotomy in current obstetric practice. Pubmed 27(1):3–12

    Google Scholar 

  • Comité éditorial de l’UVMaF (2011) Episiotomie. Université Médicale Virtuelle Francophone

    Google Scholar 

  • Cour de compte française, Rapport public annuel, la politique de périnatalité: l’urgence d’une remobilisation, Février 2012, Paris, p: 395

    Google Scholar 

  • Dahlgren G 1995 European health policy conference: opportunities for the future. Intersectoral action for health, vol 11. WHO Regional Office for Europe, Copenhagen

    Google Scholar 

  • Département des activités médicales, Etude du service social hospitalier. Femmes en grande vulnérabilité et maternité, AP-HP, Coordination du service social hospitalier, 2005, France

    Google Scholar 

  • Direction de la Maternité Souissi de Rabat (2013) service de SSI, Rapport annuel

    Google Scholar 

  • Graham ID, Guillermo Carroli MD, Christine Davies BA, Jennifer Mary Medves RN (2005) Episiotomy rates around the world: an update. Birth 32(3):221

    Article  Google Scholar 

  • Green A (2005) Exclusion, inequity and health system development: the critical emphases for maternal, neonatal and child health. Bull World Health Organ 83(6):402

    Google Scholar 

  • Gwatkin D (2007) Socio-economic differences in health, nutrition, and population, Morocco, country report on HNP and poverty. The World Bank, Washington, DC, p 107

    Google Scholar 

  • Haut-Commissariat au Plan (2008a) Les indicateurs sociaux du Maroc 2007

    Google Scholar 

  • Haut-Commissariat au Plan(2008b) Objectifs du Millénaire pour le Développement, Rapport National. p 57

    Google Scholar 

  • Haut-commissariat au plan (2010a) Les indicateurs sociaux au Maroc. p 249

    Google Scholar 

  • Haut-Commissariat au plan (2010b) l’enquête Nationale de la consommation, p 32

    Google Scholar 

  • Hulchanski D (2007) The three cities within Toronto: income polarization among Toronto’s Neighbourhoods, Centre for urban and community studies. Université de Toronto, Toronto, p 200

    Google Scholar 

  • Institut Scientifique de recherches économiques et sociales (1989) Recueil Sirey, Paris, p 239

    Google Scholar 

  • OMS.OMS > Programmes et projets > Rapport sur la santé dans le monde > Rapport sur la santé dans le monde, 2005 - donnons sa chance à chaque mère et à chaque enfant > Réaliser le potentiel des soins prénatals. Chapitre 3. Page 3

    Google Scholar 

  • Organisation mondiale de la santé (2014) Thème de santé: la mortalitématernelle, Maternal, newborn, child and adolescent health”. Consulté le 15/6/2014 au site: http://www.who.int/mediacentre/factsheets/fs348/fr

  • Pesenti P, d’Etat C Guide d’introduction à l’évaluation d’impact sur la santé en Suisse», 60 pages, Mars 2010. Plateforme Suisse sur l’Evaluation d’Impact sur la Santé (Plateforme EIS)

    Google Scholar 

  • Préambule à la Constitution de l’Organisation mondiale de la Santé, tel qu'adopté par la Conférence internationale sur la Santé, New York, 19–22 juin 1946; signé le 22 juillet 1946 par les représentants de 61 Etats. 1946; (Actes officiels de l’Organisation mondiale de la Santé, n°. 2, p. 100) et entré en vigueur le 7 avril 1948

    Google Scholar 

  • Raphael D (2009) Social determinants of health: Canadian perspectives, 2ème édn. Canadian Scholars’ Press Incorporated, Toronto

    Google Scholar 

  • Ronson B (2009) Literacy and health literacy: new understandings about their impact on health, 2ème édn. Canadian Scholars’ Press Incorporated, Toronto, p 170–186

    Google Scholar 

  • Rutstein S (2004) The DHS wealth index, DHS comparative reports, vol 6. ORC Macro, Calverton, p 71

    Google Scholar 

  • Suhrcke M (2008) Economic aspects of chronic disease and chronic disease management. European Observatory on Health Systems and Policies Series, Edited by E, Nolte and M, Mckee, Open University Press

    Google Scholar 

  • UNICEF (2005) La situation des enfants dans le monde 2006. Excluset invisibles. UNICEF, New York, p 143

    Google Scholar 

  • Wildman K, Blondel B’a, Nijhuis J, Defoort P, Bakoula C (2003) European indicators of health care during pregnancy, delivery and the postpartum period. Eur J Obstet Gynecol Reprod Biol 111:S53–S65

    Article  Google Scholar 

  • Wilkinson RG (2002) Unhealthy societies: the afflictions of inequality. Routledge Press, London, p 272

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to M. A. Radouani .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this entry

Check for updates. Verify currency and authenticity via CrossMark

Cite this entry

Barkat, A., Radouani, M.A., Barkat, A. (2021). Social Determinants of Perinatal Health in Morocco. In: Laher, I. (eds) Handbook of Healthcare in the Arab World. Springer, Cham. https://doi.org/10.1007/978-3-030-36811-1_4

Download citation

Publish with us

Policies and ethics