World health statistics quarterly. Rapport trimestriel de statistiques sanitaires mondiales最新文献_第9页

Ethiopia: an epidemiological study of vesico-vaginal fistula in Addis Ababa. 埃塞俄比亚:亚的斯亚贝巴膀胱阴道瘘的流行病学研究。

World health statistics quarterly. Rapport trimestriel de statistiques sanitaires mondiales Pub Date : 1995-01-01

J Kelly

{"title":"Ethiopia: an epidemiological study of vesico-vaginal fistula in Addis Ababa.","authors":"J Kelly","doi":"","DOIUrl":"","url":null,"abstract":"A 10% sample was drawn from 3000 records on vesicovaginal fistulae operations performed at the Addis Ababa Fistula Hospital for Poor Women with Childbirth Injuries and their content were analyzed. In 88% of the cases under review the operation was classified as successful. The results of this study underline the tremendous maternal health gains which can be achieved by appropriate obstetric care in case of obstructed labour. It also reinforced the need for early detection and referral of high risk births among the very young mothers who are likely to experience an obstructed labour, the loss of the child, vesico-vaginal fistulae and possibly a ruptured uterus. In the absence of likely increases in the availability of transport, the building of waiting homes at maternal clinics is encouraged so that women can await delivery in the vicinity of a referral centre. There is a need for increased attendance of delivery by trained personnel as well as for continuing education for both staff and traditional birth attendants. It is further recommended to train former patients as helpers for the dedicated care which needs to be extended to the unfortunate, and often stigmatized victims.","PeriodicalId":76824,"journal":{"name":"World health statistics quarterly. Rapport trimestriel de statistiques sanitaires mondiales","volume":"48 1","pages":"15-7"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18576929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pakistan: consumer satisfaction and dissatisfaction with maternal and child health services. 巴基斯坦:消费者对妇幼保健服务的满意和不满意。

World health statistics quarterly. Rapport trimestriel de statistiques sanitaires mondiales Pub Date : 1995-01-01

S Kazmi

引用次数: 0

Maternal health and safe motherhood: findings from concluded research studies. 产妇保健和安全孕产:已完成的研究结果。

World health statistics quarterly. Rapport trimestriel de statistiques sanitaires mondiales Pub Date : 1995-01-01

引用次数: 0

The Gambia: cost and effectiveness of a mobile maternal health care service, West Kiang. 冈比亚:西江流动孕产妇保健服务的成本和效益。

World health statistics quarterly. Rapport trimestriel de statistiques sanitaires mondiales Pub Date : 1995-01-01

J A Fox-Rushby

{"title":"The Gambia: cost and effectiveness of a mobile maternal health care service, West Kiang.","authors":"J A Fox-Rushby","doi":"","DOIUrl":"","url":null,"abstract":"A relatively small body of knowledge has been generated in the past to identify the cost-effectiveness of mobile versus static clinics, or combinations thereof. The changes introduced by the new mobile maternal health care service offered an opportunity to address the issue of cost-effectiveness of changes introduced to a specific geographical area. Considerably higher total costs were incurred, particularly as a result of increased training and staffing. However, evidence (Foord, 1993) has shown that several key measures of process eg. number of haemoglobin tests taken and haemoglobin levels increased significantly. Therefore the extra expenditure created clear service improvements. Linking such changes to reductions in mortality was more difficult as the population size and rarity of maternal deaths made it difficult to show statistically significant differences. The results should only provide part of the information required by decision makers, for a number of reasons. First, this cost-effectiveness analysis provided no information regarding any form of equity. Secondly, many factors affect cost-effectiveness ratios and further investigation of the organisation and management of the mobile service may highlight further room for improvement within the service itself, thus improving the efficiency. In this case there were grounds for re-assessing costs in relation to training, undertaking an assessment of staffing needs and increasing accountability in the use of resources. This study gives detailed information on the structure of costs for a mobile unit. It is unusual in its consideration of how a mobile team fits into the structure of existing health services and implications of provision on other levels of service.(ABSTRACT TRUNCATED AT 250 WORDS)","PeriodicalId":76824,"journal":{"name":"World health statistics quarterly. Rapport trimestriel de statistiques sanitaires mondiales","volume":"48 1","pages":"23-7"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18576932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Guatemala: maternal mortality in Guatemala: assessing the gap, beginning to bridge it. 危地马拉:危地马拉的产妇死亡率:评估差距，开始缩小差距。

World health statistics quarterly. Rapport trimestriel de statistiques sanitaires mondiales Pub Date : 1995-01-01

E E Kestler

引用次数: 0

Argentina: risk factors and maternal mortality in La Matanza, Province of Buenos Aires, 1990. 阿根廷:1990年布宜诺斯艾利斯省拉马坦扎的危险因素和产妇死亡率。

World health statistics quarterly. Rapport trimestriel de statistiques sanitaires mondiales Pub Date : 1995-01-01

S Szmoisz, S E Vuegen, A S Plaza, R Barracchini, S Checa, A Derlindati, D A Espinola, E C Rúgolo

{"title":"Argentina: risk factors and maternal mortality in La Matanza, Province of Buenos Aires, 1990.","authors":"S Szmoisz, S E Vuegen, A S Plaza, R Barracchini, S Checa, A Derlindati, D A Espinola, E C Rúgolo","doi":"","DOIUrl":"","url":null,"abstract":"An evaluation of the health services infrastructure of the La Matanza part of Buenos Aires in 1990 was carried out in addition to an evaluation of maternal mortality case studies. This procedure allowed for an assessment of factors related to the performance of health services and the health behaviour of women which, concomitantly, led to maternal deaths. Approximately 50% of maternal deaths went unreported in La Matanza on the basis of record checks performed in the institutions, hence the maternal mortality was twice as high as officially indicated for 1990. Flaws in the proper clinical diagnosis of the causes of deaths were detected and a higher degree of precision was called for. In the case of women who came from the poorest section of La Matanza, most deaths were due to complications related to abortion (either self-induced or non-professionally induced). Most of the maternal deaths could have been avoided. The sociological enquiry revealed conflicting social pressures which led the women onto the path of maternal death. The men were found not to be involved in the health issues arising from pregnancy and delivery, and the reproductive process was seen to lie exclusively in the women's domain. The services were not prepared to cater for the needs of poor women, and the inadequacy of the existing system to reach the women in need was well documented. Detection of women at risk was lacking in most establishments and, with the exception of one hospital, referral procedures did not exist. At the municipal level the absence of a policy for maternal and child health was noted.(ABSTRACT TRUNCATED AT 250 WORDS)","PeriodicalId":76824,"journal":{"name":"World health statistics quarterly. Rapport trimestriel de statistiques sanitaires mondiales","volume":"48 1","pages":"4-7"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18578229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Health and environment analysis for decision making. 用于决策的健康和环境分析。

World health statistics quarterly. Rapport trimestriel de statistiques sanitaires mondiales Pub Date : 1995-01-01

C Corvalán, T Kjellström

引用次数: 0

The effect of outdoor air pollution on mortality risk: an ecological study from Santiago, Chile. 室外空气污染对死亡风险的影响:来自智利圣地亚哥的生态学研究。

World health statistics quarterly. Rapport trimestriel de statistiques sanitaires mondiales Pub Date : 1995-01-01

M Salinas, J Vega

{"title":"The effect of outdoor air pollution on mortality risk: an ecological study from Santiago, Chile.","authors":"M Salinas, J Vega","doi":"","DOIUrl":"","url":null,"abstract":"The aim of this ecological study was to investigate the effect of outdoor air pollution on the mortality risk of metropolitan inhabitants in Santiago de Chile. Cause-specific deaths by the day for the years 1988-1991 in Santiago de Chile were extracted from mortality data tapes of the National Center for Statistics. Deaths from accidents were excluded. Total and some specific respiratory diseases deaths were compared calculating the risk of death by municipality and month of the year using age-adjusted standardized mortality ratios (SMRs) controlling for socioeconomic level. Daily counts of deaths were regressed using a Poisson model on the total and fine suspended particles, SO2, CO and ozone on the preceding day, controlling for temperature and humidity. A clear pattern in the geographical distribution of risk of death, both for general mortality and specific respiratory causes (pneumonia, COPD and asthma) was found using SMR, with higher values in the most polluted areas regardless of socioeconomic and living conditions. A highly significant positive association was found between total mortality and both fine suspended particles and CO level. The association remained significant for those days with fine suspended particles levels below 150 micrograms/dl suggesting a no-threshold effect for the total number of deaths. These results are in agreement with previously reported associations, and they add to the body of evidence showing that particulate pollution is associated with increases daily mortality.","PeriodicalId":76824,"journal":{"name":"World health statistics quarterly. Rapport trimestriel de statistiques sanitaires mondiales","volume":"48 2","pages":"118-25"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19565278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Progress towards health for all: third monitoring report. 实现人人享有卫生保健的进展:第三次监测报告。

World health statistics quarterly. Rapport trimestriel de statistiques sanitaires mondiales Pub Date : 1995-01-01

引用次数: 0

Developing indicators for environment and health. 制定环境和健康指标。

World health statistics quarterly. Rapport trimestriel de statistiques sanitaires mondiales Pub Date : 1995-01-01

J T Wills, D J Briggs

引用次数: 0