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Table 5 Case example

From: How do accountability problems lead to maternal health inequities? A review of qualitative literature from Indian public sector

Kaur [52] referring to Shanti Devi’s litigation case from Haryana state highlighted that flaws at different levels of health system from policy to service provision led to her death. She died of postpartum hemorrhage in her sixth pregnancy after a home delivery without any medical assistance. After the Delhi High Court intervened for the investigation of her death, it was identified that she died of an obstetric condition that was preventable and the health system was particularly responsible for her death for not acting responsibly to provide services guaranteed by the state and addressing her socio-economic constraints (see [52]). It particularly highlights the lack of accountability of the health system to ensure functional health-care services and interventions to address the determinants of their access.