'It requires something drastic': Interviews with health care leaders about organisational responses to social disadvantage.

Abstract

PROBLEM: Persisting disparities in maternal and child health outcomes in high income countries require new insights for health service response. BACKGROUND: Significant social hardship, including factors related to migration, are associated with perinatal morbidity and mortality. The universality of maternity and child health care offers opportunities to reduce health disparities. Process evaluation of health service initiatives to address refugee health inequalities in Melbourne, Australia, is the setting for the study. AIM: To explore the views of health service leaders about health system and service capacity to tailor care to address social adversity and reduce disparities in maternal an..