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Access and Utilization of Maternal Health Services in Rural Areas

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Global Health".

Deadline for manuscript submissions: 30 June 2026 | Viewed by 1361

Special Issue Editor


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Guest Editor
Department of Maternal and Child Health, Gillings School of Global Public Health, The University of North Carolina, Chapel Hill, NC 27599, USA
Interests: maternal and child health; perinatal and newborn care; reproductive health; health disparities

Special Issue Information

Dear Colleagues,

Despite global and domestic progress in maternal health, rural populations continue to face disproportionate barriers to accessing and utilizing essential maternal health services. Geographic isolation, provider shortages, limited transportation, and under-resourced health systems contribute to persistent differences in maternal outcomes in rural communities.

This Special Issue seeks to bring together new research, insights, policy analyses, and programmatic innovations that address the unique challenges of rural maternal health. We welcome submissions that explore strategies to improve service delivery, strengthen workforce capacity, integrate relevant care models, and leverage technology to expand reach and access. Papers focusing on maternal health care, implementation science, community-engaged research, and cross-sector partnerships in rural settings are especially encouraged.

By centering the experiences and structural realities of rural communities, this Special Issue aims to inform sustainable improvements in maternal health access and outcomes.

Prof. Dr. Alessandra N. Bazzano
Guest Editor

Manuscript Submission Information

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Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 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

  • rural maternal health
  • access to care
  • health service utilization
  • community-engaged research
  • implementation science
  • workforce development
  • telehealth and digital tools
  • public health systems
  • life course approaches

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Published Papers (1 paper)

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Research

22 pages, 495 KB  
Article
Bridging the Gap: A Mixed-Methods Evaluation of a New Rural Maternity Care Center Amid Nationwide Closures
by Kathryn Wouk, Ellen Chetwynd, Emily C. Sheffield, Marni Gwyther Holder, Kelly Holder, Isabella C. A. Higgins, Moriah Barker, Tim Smith, Breanna van Heerden, Dana Iglesias, Andrea Dotson and Margaret Helton
Int. J. Environ. Res. Public Health 2026, 23(1), 102; https://doi.org/10.3390/ijerph23010102 - 12 Jan 2026
Viewed by 990
Abstract
The closure of rural maternity units in hospitals across the United States contributes to health inequities; however, little is known about the effects of reopening maternity services in this context. We conducted a mixed-methods study to characterize labor and delivery outcomes and patient [...] Read more.
The closure of rural maternity units in hospitals across the United States contributes to health inequities; however, little is known about the effects of reopening maternity services in this context. We conducted a mixed-methods study to characterize labor and delivery outcomes and patient experiences associated with the reopening of a rural Level 1 Maternity Care Center (MCC) at a critical access hospital. We compared clinical outcomes and distance to care for patients who gave birth at the rural MCC in the three years after its opening with outcomes from a similar low-risk and geographically located sample who gave birth at a large suburban academic medical center in the same hospital system in the three years before the MCC reopened. We also conducted in-depth interviews with patients who gave birth at the MCC. Labor and delivery outcomes were similar across both groups, with significantly more care provided by family physicians and midwives and lower neonatal intensive care unit use at the MCC. The opening of the MCC halved the distance patients traveled to give birth, and patients reported high rates of satisfaction. Rural maternity care centers can improve access to quality care closer to home using a resource-appropriate model. Full article
(This article belongs to the Special Issue Access and Utilization of Maternal Health Services in Rural Areas)
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