Advancing Equity in Maternal and Reproductive Healthcare

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Women’s and Children’s Health".

Deadline for manuscript submissions: 6 November 2026 | Viewed by 956

Editors


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Guest Editor
Department of Health Behavior and Clinical Sciences, University of Michigan School of Nursing, Ann Arbor, MI 48109-5482, USA
Interests: gender-based violence; intimate-partner violence; reproductive health; innovation; vulnerable populations

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Guest Editor
Department of Systems, Populations and Leadership, University of Michigan School of Nursing, Ann Arbor, MI 48109-5482, USA
Interests: global health; maternal and child health; health equity; refugee health; family planning; community-based intervention

Special Issue Information

Dear Colleagues,

Despite decades of global commitments to improve maternal and reproductive health, deep inequities persist within and across countries. Structural and systemic barriers—rooted in social determinants of health, gender norms, poverty, racism, displacement, and discrimination—continue to shape who survives pregnancy, who has autonomy over their reproductive choices, and who receives respectful, high-quality care. Recent global health crises, funding fluctuations, and rapid digital transformations have further exposed and, in many cases, widened these disparities.

Advancing equity in maternal and reproductive healthcare requires moving beyond documenting disparities toward dismantling the root causes that perpetuate them. This involves generating contextually grounded evidence, amplifying community and patient voices, and implementing actionable strategies that bridge policy and practice. Interdisciplinary collaboration—spanning nursing, medicine, midwifery, public health, social sciences, and health systems engineering—is essential to address inequities across the continuum of care, from preconception to postpartum and across generations.

The aim of this Special Issue, “Advancing Equity in Maternal and Reproductive Healthcare,” is to highlight innovative research, implementation strategies, and policy insights that contribute to more just and inclusive health systems. We invite scholars, practitioners, and policymakers to share evidence and experiences that illuminate pathways to achieving equity in maternal and reproductive health outcomes globally.

We seek studies that engage diverse populations and contexts—particularly those historically marginalized or underserved—including racial and ethnic minorities, refugees, adolescents, sexual and gender minorities, and rural or low-resource communities. We also welcome analyses of how health systems, digital technologies, financing, and policy reforms can address inequities and strengthen resilience in maternal and reproductive care.

In this Special Issue, original research articles and reviews are welcome. Research areas may include, but are not limited to, the following:

  • Social and structural determinants of maternal and reproductive health inequities;
  • Intersectionality and gender equity in healthcare access and outcomes;
  • Healthcare system innovations to improve the quality, accessibility, and continuity of maternal care;
  • Digital health and telehealth approaches for equitable service delivery using technology;
  • Health workforce diversity, training, and retention in maternal and reproductive health;
  • Community-based and participatory approaches to improving care and autonomy;
  • Faith-informed, cultural, or behavioral interventions for reproductive health decision-making;
  • Health economics, financing, and policy analyses on equitable service provision;
  • Effects of humanitarian crises, migration, and displacement on maternal and reproductive health;
  • Ethical and rights-based frameworks for reproductive healthcare delivery and research.

We welcome diverse methodologies including literature reviews, cross-sectional and longitudinal studies, qualitative and mixed-methods research, and randomized controlled trials.

We invite authors to contribute manuscripts that expand understanding, inform practice, and influence policy toward equitable maternal and reproductive healthcare. Submissions should emphasize methodological rigor, innovation, and relevance to healthcare providers, systems, and policy audiences.

This Special Issue will serve as a multidisciplinary platform for sharing cutting-edge insights and practical solutions aimed at ensuring that all women and birthing people—regardless of race, socioeconomic status, nationality, or geography—have the opportunity to experience safe, dignified, and high-quality care.

We look forward to your participation.

Dr. Michelle Munro-Kramer
Dr. Haeun Grace Lee
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 250 words) can be sent to the Editorial Office for assessment.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-anonymized peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • maternal health
  • reproductive health
  • contraception
  • family planning
  • gender-based violence
  • global health

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Published Papers (2 papers)

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Research

17 pages, 1398 KB  
Article
Construction and Validation of a Contextualized Competency Framework for Newly Recruited Nurses in Maternal and Child Health Hospitals
by Nan Wan, Siying Liu, Zhaoyi Ye, Yongqi He and Yutao Lan
Healthcare 2026, 14(12), 1772; https://doi.org/10.3390/healthcare14121772 - 19 Jun 2026
Viewed by 176
Abstract
Objectives: Existing nursing competency instruments are generally designed for broad nursing populations and may not fully capture the observable, task-linked, and developmental requirements of newly recruited nurses in maternal and child health (MCH) hospitals. This study developed the Newly recruited nurses’ Competency Framework [...] Read more.
Objectives: Existing nursing competency instruments are generally designed for broad nursing populations and may not fully capture the observable, task-linked, and developmental requirements of newly recruited nurses in maternal and child health (MCH) hospitals. This study developed the Newly recruited nurses’ Competency Framework for Maternal and Child Health Hospitals (NCF-MCH) and preliminarily validated its corresponding self-assessment tool. Methods: Guided by Benner’s novice-to-expert perspective and Mills’ reconceptualised competency terminology, the framework was developed through a structured literature and framework review, item mapping, two-round Delphi consultation, and pilot testing. A cross-sectional survey was conducted among newly recruited nurses from four MCH hospitals. Exploratory factor analysis, confirmatory factor analysis, and reliability and validity analyses were performed. Results: The final framework included six domains and 70 items. The scale showed high internal consistency (Cronbach’s α = 0.944), but weak total split-half reliability (0.585). Exploratory factor analysis using principal axis factoring with Promax rotation suggested a six-factor solution explaining 59.01% of the variance. Confirmatory factor analysis showed acceptable absolute fit (χ2/df = 1.675, SRMR = 0.0595, RMSEA = 0.055), whereas incremental fit was marginal (TLI = 0.861, CFI = 0.866). Convergent and discriminant validity analyses provided preliminary support for the multidimensional structure. Conclusions: The NCF-MCH provides a context-specific framework and corresponding self-assessment tool for describing self-perceived competency among newly recruited nurses in MCH hospitals. It may inform professional transition programs and competency-based training, but further external, longitudinal, and objective validation is required. Full article
(This article belongs to the Special Issue Advancing Equity in Maternal and Reproductive Healthcare)
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15 pages, 387 KB  
Article
Evaluating the Effects of a Mobile Obstetric Emergency System on Healthcare Providers’ Communication and Relationships in Bong County, Liberia
by Tiffany Lin, HaEun Lee, Karina Paredes, Alisha Keshwani, Joseph Sieka and Jody R. Lori
Healthcare 2026, 14(12), 1738; https://doi.org/10.3390/healthcare14121738 - 16 Jun 2026
Viewed by 159
Abstract
Background/Objectives: Maternal mortality remains disproportionately high in low- and middle-income countries, where ineffective referral systems and a lack of infrastructure contribute to delays in emergency obstetric care. In sub-Saharan Africa, referrals are largely conducted via paper, often resulting in lost documents and [...] Read more.
Background/Objectives: Maternal mortality remains disproportionately high in low- and middle-income countries, where ineffective referral systems and a lack of infrastructure contribute to delays in emergency obstetric care. In sub-Saharan Africa, referrals are largely conducted via paper, often resulting in lost documents and limited follow-up. Mobile health (mHealth) offers a promising solution by enabling real-time, bidirectional communication. This study aimed to examine how the Mobile Obstetric Referral Emergency System (MORES), a WhatsApp-based referral platform piloted in 20 rural health facilities and two district hospitals in Bong County, Libera, influences healthcare providers’ communication, collaboration, and relationships. Methods: A mixed-methods design was used. Ninety one (N = 91) providers completed demographic and Trust and Teamwork surveys. Of the 91 providers, 35 providers from rural health facilities and 56 providers from district hospitals participated in a 10-question survey and individual interviews. Results: Survey results indicated high levels of mutual respect, confidence, and teamwork perceived by both the rural health facility and district hospital providers. Qualitative data further expanded on the quantitative results showing the MORES intervention enhanced the timeliness and accuracy of referrals, supported problem-solving between facilities, and fostered shared goals, mutual respect, and knowledge exchange. Conclusions: Providers perceived the MORES to be associated with increased collaboration and continuity of care, as well as a feasible, low-cost, and sustainable intervention to improve obstetric referral systems in low-resource settings. Full article
(This article belongs to the Special Issue Advancing Equity in Maternal and Reproductive Healthcare)
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