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Health surveys and use of maternal and child health care services in three municipalities within the Sao Paulo metropolitan area

CARVALHO, Wladithe Organ de; CESAR, Chester Luiz Galvao; CARANDINA, Luana; BARROS, Marilisa Berti de Azevedo; ALVES, Maria Cecilia Goi Porto; GOLDBAUM, Moises
Fonte: PAN AMER HEALTH ORGANIZATION Publicador: PAN AMER HEALTH ORGANIZATION
Tipo: Artigo de Revista Científica
POR
Relevância na Pesquisa
135.81%
Objectives. To describe the changes in the use of maternal and child health care services by residents of three municipalities-Embu, Itapecerica da Serra, and Taboao da Serra-in the Sao Paulo metropolitan area, 12 years after the implementation of the Unified Health System (SUS) in Brazil, and to analyze the potential of population-based health care surveys as sources of data to evaluate these changes. Methods. Two population-based, cross-sectional surveys were carried out in 1990 and 2002 in municipalities located within the Sao Paulo metropolitan area. For children under 1 year of age, the two periods were compared in terms of outpatient services utilization and hospital admission; for the mothers, the periods were compared in terms of prenatal care and deliveries. In both surveys, stratified and multiple-stage conglomerate sampling was employed, with standardization of interview questions. Results. The most important changes observed were regarding the location of services used for prenatal care, deliveries, and hospitalization of children less than 1 year of age. There was a significant increase in the use of services in the surrounding region or hometown, and decrease in the utilization of services in the city of Sao Paulo (in 1990...

Health surveys and use of maternal and child health care services in three municipalities within the São Paulo metropolitan area

de Carvalho, Wladithe Organ; Galvao Cesar, Chester Luiz; Carandina, Luana; de Azevedo Barros, Marilisa Berti; Goi Porto Alves, Maria Cecilia; Goldbaum, Moises
Fonte: Pan Amer Health Organization Publicador: Pan Amer Health Organization
Tipo: Artigo de Revista Científica Formato: 314-323
SPA
Relevância na Pesquisa
135.81%
Objectives. To describe the changes in the use of maternal and child health care services by residents of three municipalities-Embu, Itapecerica da Serra, and Taboao da Serra-in the São Paulo metropolitan area, 12 years after the implementation of the Unified Health System (SUS) in Brazil, and to analyze the potential of population-based health care surveys as sources of data to evaluate these changes.Methods. Two population-based, cross-sectional surveys were carried out in 1990 and 2002 in municipalities located within the São Paulo metropolitan area. For children under 1 year of age, the two periods were compared in terms of outpatient services utilization and hospital admission; for the mothers, the periods were compared in terms of prenatal care and deliveries. In both surveys, stratified and multiple-stage conglomerate sampling was employed, with standardization of interview questions.Results. The most important changes observed were regarding the location of services used for prenatal care, deliveries, and hospitalization of children less than 1 year of age. There was a significant increase in the use of services in the surrounding region or hometown, and decrease in the utilization of services in the city of São Paulo (in 1990...

Health surveys and use of maternal and child health care services in three municipalities within the Sao Paulo metropolitan area

CARVALHO, Wladithe Organ de; CESAR, Chester Luiz Galvao; CARANDINA, Luana; BARROS, Marilisa Berti de Azevedo; ALVES, Maria Cecilia Goi Porto; GOLDBAUM, Moises
Fonte: PAN AMER HEALTH ORGANIZATION Publicador: PAN AMER HEALTH ORGANIZATION
Tipo: Artigo de Revista Científica
POR
Relevância na Pesquisa
135.81%
Objectives. To describe the changes in the use of maternal and child health care services by residents of three municipalities-Embu, Itapecerica da Serra, and Taboao da Serra-in the Sao Paulo metropolitan area, 12 years after the implementation of the Unified Health System (SUS) in Brazil, and to analyze the potential of population-based health care surveys as sources of data to evaluate these changes. Methods. Two population-based, cross-sectional surveys were carried out in 1990 and 2002 in municipalities located within the Sao Paulo metropolitan area. For children under 1 year of age, the two periods were compared in terms of outpatient services utilization and hospital admission; for the mothers, the periods were compared in terms of prenatal care and deliveries. In both surveys, stratified and multiple-stage conglomerate sampling was employed, with standardization of interview questions. Results. The most important changes observed were regarding the location of services used for prenatal care, deliveries, and hospitalization of children less than 1 year of age. There was a significant increase in the use of services in the surrounding region or hometown, and decrease in the utilization of services in the city of Sao Paulo (in 1990...

Health Impacts and Economic Evaluations of Maternal and Child Health Programs in Developing Countries

Carvalho, Natalie
Fonte: Harvard University Publicador: Harvard University
Tipo: Thesis or Dissertation
EN_US
Relevância na Pesquisa
125.91%
This dissertation is motivated by two of the health-related Millennium Development Goals (MDGs): MDG 4, focused on reducing child mortality, and MDG 5, which aims to improve maternal health. My three papers evaluate the health and economic impact, and cost-effectiveness, of interventions to improve maternal and child health in three areas of the developing world using methods from decision sciences and statistics. In paper 1, I use a decision-analytic model that simulates the natural history of pregnancy and pregnancy-related complications to assess the expected health outcomes, costs, and cost-effectiveness of strategies to reduce maternal mortality in Afghanistan. Increasing family planning was found to be the most effective single intervention to reduce maternal mortality. Further findings suggest that a stepwise approach that couples increased family planning with incremental improvements in access to appropriate intrapartum care could prevent 3 out of 4 maternal deaths and would be cost-effective. Paper 2 explores the value of community-based disease management programs for reducing mortality from childhood pneumonia and malaria in 24 countries of sub-Saharan Africa. I use a model-based framework that combines symptom patterns...

Designing and Implementing an Innovative SMS-Based Alert System (RapidSMS-MCH) to Monitor Pregnancy and Reduce Maternal and Child Deaths in Rwanda

Ngabo, Fidele; Nguimfack, Judith; Nwaigwe, Friday; Mugeni, Catherine; Muhoza, Denis; Wilson, David R; Kalach, John; Gakuba, Richard; Karema, Corrine; Binagwaho, Agnes
Fonte: The African Field Epidemiology Network Publicador: The African Field Epidemiology Network
Tipo: Artigo de Revista Científica
EN_US
Relevância na Pesquisa
115.85%
Introduction: With the continuous growth of mobile network coverage and unprecedented penetration of mobile devices in the developing world, several mHealth initiatives are being implemented in developing countries. This paper aims to describe requirements for designing and implementing a mobile phone-based communication system aiming at monitoring pregnancy and reducing bottlenecks in communication associated with maternal and newborn deaths; and document challenges and lessons learned. Methods: An SMS-based system was developed to improve maternal and child health (MCH) using RapidSMS(^®), a free and open-sourced software development framework. To achieve the expected results, the RapidSMS-MCH system was customized to allow interactive communication between a community health worker (CHW)following mother-infant pairs in their community, a national centralized database, the health facility and in case of an emergency alert, the ambulance driver. The RapidSMS-MCH system was piloted in Musanze district, Nothern province of Rwanda over a 12-month period. Results: A total of 432 CHW were trained and equipped with mobile phones. A total of 35,734 SMS were sent by 432 CHW from May 2010 to April 2011. A total of 11,502 pregnancies were monitored. A total of 362 SMS alerts for urgent and life threatening events were registered. We registered a 27% increase in facility based delivery from 72% twelve months before to 92% at the end of the twelve months pilot phase. Major challenges were telephone maintenance and replacement. Disctrict heath team capacity to manage and supervise the system was strengthened by the end of pilot phase. Highly committed CHWs and effective coordination by the District health team were critical enablers. Conclusion: We successully designed and implemented a mobile phone SMS-based system to track pregnancy and maternal and child outcomes in limited resources setting. Implementation of mobile-phone systems at community level could contribute to improving emergency obstetric and neonatal care...

Association between coverage of maternal and child health interventions, and under-5 mortality: a repeated cross-sectional analysis of 35 sub-Saharan African countries

Corsi, Daniel J.; Subramanian, S. V.
Fonte: Co-Action Publishing Publicador: Co-Action Publishing
Tipo: Artigo de Revista Científica
EN_US
Relevância na Pesquisa
125.91%
Background: Infant and child mortality rates are among the most important indicators of child health, nutrition, implementation of key survival interventions, and the overall social and economic development of a population. In this paper, we investigate the role of coverage of maternal and child health (MNCH) interventions in contributing to declines in child mortality in sub-Saharan Africa. Design: Data are from 81 Demographic and Health Surveys from 35 sub-Saharan African countries. Using ecological time-series and child-level regression models, we estimated the effect of MNCH interventions (summarized by the percent composite coverage index, or CCI) on child mortality with in the first 5 years of life net of temporal trends and covariates at the household, maternal, and child levels. Results: At the ecologic level, a unit increase in standardized CCI was associated with a reduction in under-5 child mortality rate (U5MR) of 29.0 per 1,000 (95% CI: −43.2, −14.7) after adjustment for survey period effects and country-level per capita gross domestic product (pcGDP). At the child level, a unit increase in standardized CCI was associated with an odds ratio of 0.86 for child mortality (95% CI: 0.82–0.90) after adjustment for survey period effect...

Maintaining Momentum to 2015 : An Impact Evaluation of Interventions to Improve Maternal and Child Health and Nutrition in Bangladesh

Operations Evaluation Department
Fonte: Washington, DC: World Bank Publicador: Washington, DC: World Bank
EN_US
Relevância na Pesquisa
125.87%
This report addresses the issue of what publicly-supported programs and external assistance from the Bank and other agencies can do to accelerate attainment of targets such as reducing infant mortality by two-thirds. The evidence presented here relates to Bangladesh, a country which has made spectacular progress but needs to maintain momentum in order to achieve its own poverty reduction goals. The report addresses the following issues: (1) What has happened to child health and nutrition outcomes and fertility in Bangladesh since 1990? Are the poor sharing in the progress which is being made? (2) What have been the main determinants of maternal and child health outcomes in Bangladesh over this period? (3) Given these determinants, what can be said about the impact of publicly and externally-supported programs - notably those of the World Bank and DFID - to improve health and nutrition? (4) To the extent that interventions have brought about positive impacts, have they done so in a cost effective manner?

Maternal schooling and child health: preliminary analysis of the intervening mechanisms in rural Nepal

Joshi, Arun R
Fonte: Health Transition Centre, National Centre for Epidemiology and Population Health, The Australian National University Publicador: Health Transition Centre, National Centre for Epidemiology and Population Health, The Australian National University
Tipo: Artigo de Revista Científica Formato: 91784 bytes; application/pdf
EN_AU
Relevância na Pesquisa
115.83%
This article provides evidence from a community-level study in rural Nepal of the mechanisms by which schooling affects maternal behaviour and infant and child health. Two hypotheses concerning the mechanisms are identified and tested. It was found that schooling equips women with specific skills and dispositions or identity which significantly predict two principal domains of health-care behaviour: use of medical services; and changes in household health behaviour. It was also found that women with schooling had healthier children using height-for-age as an indicator of health.; no

Maternal Health, Child Health and Nutrition in Lao PDR : Evidence from a Household Survey in Six Central and Southern Provinces

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Tipo: Economic & Sector Work :: Other Health Study; Economic & Sector Work
ENGLISH; EN_US
Relevância na Pesquisa
105.99%
Despite being on-track on the child- and maternal-health Millennium Development Goals (MDGs), Lao PDR continues to have some of the worst maternal and child health (MCH) and nutrition outcome indicators, both globally as well as in the East Asia and Pacific (EAP) region. This report presents results from a household, village, and facility survey on Maternal and Child Health (MCH) and nutrition in mostly rural areas of six central and southern provinces of Lao People's Democratic Republic (PDR). The information in this report localizes MCH and nutrition-related information that are typical for sampled catchment areas of selected health centers in six central and southern provinces of the country. In addition, the report summarizes data on service availability and readiness of health centers in terms of their ability to provide key MCH & nutrition-related services. The results from this survey thus shed light on what it would take to attain the health-related MDGs. In order to improve the level and equity of maternal and child health indicators...

Transport for Health : The Global Burden of Disease from Motorized Road Transport

Global Road Safety Facility, The World Bank; Institute for Health Metrics and Evaluation
Fonte: Seattle: Institute for Health Metrics and Evaluation Publicador: Seattle: Institute for Health Metrics and Evaluation
Tipo: Publications & Research :: Publication
ENGLISH; EN_US
Relevância na Pesquisa
115.78%
This report summarizes the findings of a long and meticulous journey of data gathering and analysis to quantify the health losses from road deaths and injuries worldwide, as part of the path-finding Global Burden of Disease (GBD) study. It is important, first, to acknowledge the profound contribution made by the lead authors and global team of injury prevention professionals to estimate the disease burden of road trauma, before absorbing their findings and recommendations. Without their dedication and tenacity, the way forward would be less certain. The first GBD study, published nearly two decades ago, signaled an emerging road safety crisis in developing regions of the world. It triggered a remarkable program of global advocacy that culminated in the United Nations decade of action for road safety and global plan to bring road safety outcomes under control in these regions by 2020. However, limited investment has been mobilized so far to implement the UN initiative. The second GBD studies, and related analyses presented in this report...

Brazil : Maternal and Child Health; Brasil - Saude Materno Infantil

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Tipo: Economic & Sector Work :: Pre-2003 Economic or Sector Report; Economic & Sector Work
ENGLISH; EN_US
Relevância na Pesquisa
125.97%
The health care system in Brazil has established the important principle of universal coverage, yet, it faces several key challenges: its expenditure patterns favor the regions that are already better off, and healthier, and, needs to take into account diverse practices, and cultures, in addition to considerations for the weak referral system. The report focuses on the health care system, particularly on enhancing maternal and prenatal health, certain health care interventions, such as immunizations, oral rehydration therapy, and case management. Chapter 1 argues that the major reason for the maternal and child health risks is the concentration of illness and death among the poor : infant mortality rates jump 80-100 percent from the next to lowest income quintile, to the lowest. Several interventions, such as strategies to promote productivity, increase economic opportunities, and enhance maternal education among the poor, could help reduce inequalities. Chapter 2 uses estimates of avoidable child deaths to prioritize health interventions in the country...

Integração de práticas de vigilância sanitária e práticas assistenciais na rede cegonha : a busca pela integralidade do cuidado; Integration of health surveillance actions and health care practices in the brazilian policy for maternal and child health : the search for comprehensiveness

Roberta Zanelli Sartori Fernandes
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 07/02/2014 PT
Relevância na Pesquisa
115.83%
As mortalidades materna e infantil têm sido objeto de análise ao longo da história da saúde coletiva no Brasil e diversos têm sido as estratégias de enfrentamento propostas. O Ministério da Saúde tem trabalhado neste sentido, sendo a estratégia da Rede Cegonha a mais recente política neste contexto. Tendo em vista o princípio da integralidade e a conformação do Sistema Único de Saúde (SUS) em redes de atenção faz-se necessário efetivar a integração de práticas em saúde desenvolvidas, dentre as quais estão as ações de vigilância sanitária (Visa). Considerando que a integração de práticas assistenciais e de Visa pode contribuir para reduzir as taxas de mortalidade citadas, o presente estudo é decorrente de uma pesquisa qualitativa que analisou a integração destas ações em quatro municípios do Estado de São Paulo: Campinas, Indaiatuba, Jaguariúna e Santa Bárbara D'Oeste. A pesquisa foi realizada através de entrevistas com gestores de Visa e de saúde materna e os dados foram analisados a partir da técnica de análise de conteúdo. Os resultados convergem com outros estudos, identificando o isolamento de práticas assistenciais e de Visa. A inserção da Visa nos espaços coletivos de gestão mostra-se estratégia em potencial para o planejamento e execução das ações de saúde no contexto estudado.; Maternal and child mortality have been object of analysis throughout the history of public health in Brazil and several coping strategies have been proposed so far. The Health Ministry has been working in this direction ...

Atividade física durante a gestação e associação com indicadores de saúde materno-infantil; Actividad física durante la gestación y asociación con indicadores de salud materno-infantil; Physical activity during pregnancy and its association with maternal and child health indicators

Dumith, Samuel C; Domingues, Marlos R; Mendoza-Sassi, Raul A; Cesar, Juraci A
Fonte: Universidade de São Paulo. Faculdade de Saúde Pública Publicador: Universidade de São Paulo. Faculdade de Saúde Pública
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; Formato: application/pdf; application/pdf
Publicado em 01/04/2012 POR; ENG
Relevância na Pesquisa
125.83%
OBJETIVO: Analisar fatores associados à prática de atividade física durante a gestação e sua relação com indicadores de saúde materno-infantil. MÉTODOS: Estudo transversal realizado com todos os nascimentos ocorridos em maternidades no município de Rio Grande, RS, durante o ano de 2007 (N = 2.557). As informações foram obtidas por entrevista, por meio de um questionário pré-codificado aplicado às mães. Os desfechos de saúde materno-infantil analisados foram: hospitalização durante a gravidez, parto por cesárea, prematuridade (idade gestacional menor de 37 semanas), baixo peso ao nascer (< 2.500 g) e morte fetal. RESULTADOS: Relataram ter praticado atividade física durante a gestação 32,8% (IC95% 31,0;34,6) das mães. Os fatores associados à prática de atividade física na gestação, após ajustes para possíveis confundidores, foram: idade materna (associação inversa), escolaridade (associação direta), ser primigesta, ter feito pré-natal, e ter recebido orientação para a prática de exercícios durante o pré-natal. Mulheres que praticaram atividade física durante a gestação mostraram menor probabilidade de realização de cesariana e de terem filho natimorto. Não houve associação entre atividade física e parto prematuro...

Evolução da assistência materno-infantil na cidade de São Paulo (1984-1996); Secular trends in maternal and child health care in S. Paulo city, Brazil(1984-1996)

Monteiro, Carlos Augusto; França Júnior, Ivan; Conde, Wolney Lisboa
Fonte: Universidade de São Paulo. Faculdade de Saúde Pública Publicador: Universidade de São Paulo. Faculdade de Saúde Pública
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; Formato: application/pdf
Publicado em 01/12/2000 POR
Relevância na Pesquisa
125.93%
OBJETIVO: Descrever a evolução da assistência materno-infantil, com base nas informações extraídas de dois inquéritos domiciliares realizados nos anos de 1984/85 e de 1995/96, na cidade de São Paulo, SP. MÉTODOS: Foram estudadas amostras probabilísticas da população entre zero e 59 meses de idade: 1.016 crianças em 1984/85 e 1.280 crianças em 1995/96. Três componentes da assistência materno-infantil foram investigados: assistência pré-natal, assistência ao parto e ao recém-nascido e assistência de puericultura. RESULTADOS: Aspectos favoráveis da evolução da assistência materno-infantil na cidade de São Paulo foram a manutenção da cobertura universal da assistência hospitalar ao parto, a expansão substancial do alojamento conjunto mãe-filho na maternidade, o aumento no número de consultas de puericultura no primeiro ano de vida e, sobretudo, a universalização da cobertura das vacinas BCG, tríplice e anti-sarampo. Aspectos desfavoráveis foram o progresso muito modesto e claramente insuficiente da assistência pré-natal, a manutenção de quase 50% de cesarianas e a não expansão da puericultura após o primeiro ano de vida. CONCLUSÕES: Estimativas sobre a evolução da assistência materno-infantil no conjunto das áreas urbanas do País em período semelhante confirma e acentua o desempenho insatisfatório da assistência pré-natal na cidade de São Paulo. Comparações favoráveis a São Paulo são registradas apenas quanto a cobertura vacinal. A influência que mudanças na assistência materno-infantil podem ter exercido sobre a evolução de diferentes indicadores do estado de saúde das crianças da cidade é examinada em artigos subseqüentes.; OBJECTIVE: Two consecutive household surveys undertaken in mid-80s and mid-90s in the city of S. Paulo...

Políticas de saúde materna no Brasil: os nexos com indicadores de saúde materno-infantil; Maternal health policies in Brazil: relations to maternal and child health indicators

Santos Neto, Edson Theodoro dos; Alves, Kelly Cristina Gomes; Zorzal, Martha; Lima, Rita de Cássia Duarte
Fonte: Universidade de São Paulo. Faculdade de Saúde Pública Publicador: Universidade de São Paulo. Faculdade de Saúde Pública
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; Formato: application/pdf
Publicado em 01/06/2008 POR
Relevância na Pesquisa
125.92%
Desde o início do processo de medicalização diversos esforços ocorreram para a perpetuação da força de trabalho. Uma das medidas para o exercício do controle estatal foi a institucionalização do parto. Com isso, o entendimento sobre os processos fisiológicos e patológicos referentes à gestante, ao parto e ao recém-nascido avançou nos campos científico e tecnológico, permitindo a intervenção médica para melhoria das condições de saúde materno-infantil. O presente estudo se propõe a identificar as principais legislações que fundamentaram a formulação e a execução de políticas públicas para a saúde materno-infantil no Brasil, a partir da década de 1980, além de estabelecer as relações dessas políticas com indicadores de mortalidade materna e neonatal, no período de 1996 a 2005. Uma pesquisa documental foi realizada para identificar as principais legislações aprovadas e políticas implementadas pelo Ministério da Saúde relacionadas à saúde materno-infantil; enquanto os dados referentes aos indicadores de saúde foram coletados nas bases de dados do SINASC e SIM e disponibilizados on-line. Concluiu-se que as políticas públicas geradas no seio da sociedade pelos movimentos sociais na década de 1980...

A importância da participação cidadã nas políticas de saúde: o caso da reestruturação dos serviços de saúde materno-infantil em Portugal; Citizen Participation relevance in health policies: the case of the maternal and child health services restructuring in Portugal

Matos, Ana Raquel
Fonte: Universidade de São Paulo. Faculdade de Saúde Pública Publicador: Universidade de São Paulo. Faculdade de Saúde Pública
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; ; Formato: application/pdf
Publicado em 01/01/2011 POR
Relevância na Pesquisa
125.78%
In the so-called democratic societies citizens' participation has become a central issue to the analysis of decision making processes. However, in this scope the major difficulty is related to a broad definition of what can be considered as participatory modalities. In this paper protest actions are assumed as legitimate forms of participation in public decision making processes. Accordingly, this work describes and analyses the maternity wards closure in Portugal, one of the measures of the recent restructuring of the maternal and child health services that was implemented between May 2006 and December 2007, and the consequent protest actions developed by the local populations affected by the measure. It is also evaluated how a non-informed and communicated measure based on criteria such as security and quality of the provided health care can trigger protest movements, particularly as a strategy of citizens to participate in a public policy (re)formulation.; As questões em torno da participação cidadã tornaram-se indiscutivelmente centrais na análise dos processos públicos de decisão das sociedades ditas democráticas. Uma das maiores dificuldades tem, no entanto, residido na ampla definição das modalidades participativas a considerar neste domínio. Neste trabalho assume-se que as ações de protesto são uma modalidade legítima de participar nos processos públicos de decisão. Analisa-se...

An index of maternal and child health in the least developed countries of Asia

Rodríguez Martín,José Antonio; Salinas Fernández,José Antonio
Fonte: Gaceta Sanitaria Publicador: Gaceta Sanitaria
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/04/2012 ENG
Relevância na Pesquisa
125.82%
In this article, we propose a new index to measure maternal and child health in the least developed countries (LDCs) of Asia. This new index is applied to a group of countries particularly affected by poverty, which, in the terminology of the United Nations' Conference on Trade and Development, are the poorest of the poor. Our index has been designed by including the variables defined in the Goals of the Millennium Declaration. For this purpose, we used the P2 distance method for 2008, the last year for which data were available. This index integrates variables of maternal and child health that allow territorial ordering of the LDCs in terms of these partial indicators. This analysis is particularly useful in a scenario such as the LDCs of Asia, which are beset by profound social and economic inequalities.

Women's experiences of maternal and child health and family planning services in KwaZulu-Natal

Gatsinzi,S; Maharaj,P
Fonte: Curationis Publicador: Curationis
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2008 EN
Relevância na Pesquisa
125.8%
The increasing recognition that millions of women and children die every year as a result of the poor health of the mother coupled with inadequate care before, during, and after delivery, has highlighted the importance of seeking women's views of health services in order to contribute to improving their health. The purpose of this paper is to shed more light on women's views of health services by exploring their experiences of maternal and child health and family planning services in Cato Manor in KwaZulu-Natal. The findings suggest that the majority of women were unclear about the purpose of antenatal care. Most women had little or no knowledge about the required number of antenatal care visits. In addition, few women reported that they were offered a comprehensive range of contraceptive services during their visit. In most cases, they were only given information on a limited number of family planning methods. However, the majority of women expressed overall satisfaction with the services. Discontent mainly rose from the long waiting period, duration of the consultation and limited contraceptive counselling. In order to ensure sustainable improvements in women's health increasing involvement of men is also important.

An index of maternal and child health in the least developed countries of Asia

Rodríguez Martín,José Antonio; Salinas Fernández,José Antonio
Fonte: Ediciones Doyma, S.L. Publicador: Ediciones Doyma, S.L.
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/04/2012 EN
Relevância na Pesquisa
125.82%
In this article, we propose a new index to measure maternal and child health in the least developed countries (LDCs) of Asia. This new index is applied to a group of countries particularly affected by poverty, which, in the terminology of the United Nations' Conference on Trade and Development, are the poorest of the poor. Our index has been designed by including the variables defined in the Goals of the Millennium Declaration. For this purpose, we used the P2 distance method for 2008, the last year for which data were available. This index integrates variables of maternal and child health that allow territorial ordering of the LDCs in terms of these partial indicators. This analysis is particularly useful in a scenario such as the LDCs of Asia, which are beset by profound social and economic inequalities.

Coping with changing conditions: alternative strategies for the delivery of maternal and child health and family planning services in Dhaka, Bangladesh

Routh,Subrata; Arifeen,Shams El; Jahan,Shamim Ara; Begum,Anwara; Thwin,Aye Aye; Baqui,Abdullah  Hel
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2001 EN
Relevância na Pesquisa
115.8%
The door-to-door distribution of contraceptives and information on maternal and child health and family planning (MCH-FP) services, through bimonthly visits to eligible couples by trained fieldworkers, has been instrumental in increasing the contraceptive prevalence rate and immunization coverage in Bangladesh. The doorstep delivery strategy, however, is labour- intensive and costly. More cost-effective service delivery strategies are needed, not only for family planning services but also for a broader package of reproductive and other essential health services. Against this backdrop, operations research was conducted by the Centre for Health and Population Research at the International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B) from January 1996 to May 1997, in collaboration with government agencies and a leading national nongovernmental organization, with a view to developing and field-testing alternative approaches to the delivery of MCH-FP services in urban areas. Two alternative strategies featuring the withdrawal of home-based distribution and the delivery of basic health care from fixed-site facilities were tested in two areas of Dhaka. The clinic-based service delivery strategy was found to be a feasible alternative to the resource-intensive doorstep system in urban Dhaka. It did not adversely affect programme performance and it allowed the needs of clients to be addressed holistically through a package of essential health and family planning services.