Cause of Death in Women of Reproductive Age in Rural Nepal Obtained Through Community-Based Surveillance: Is Reducing Maternal Mortality the Right Priority for Women's Health Programs?

2014 ◽  
Vol 36 (6) ◽  
pp. 655-662 ◽  
Author(s):  
Ram Pyakurel ◽  
Nirmala Sharma ◽  
Deepak Paudel ◽  
Anna Coghill ◽  
Laura Sinden ◽  
...  
Keyword(s):  
Maternal Mortality ◽  
Women’S Health ◽  
Women's Health ◽  
Cause Of Death ◽  
Reproductive Age ◽  
Health Programs ◽  
Women Of Reproductive Age ◽  
Community Based ◽  
The Right ◽  
Rural Nepal

scholarly journals Deaths Due to Cancer Among Women of Reproductive Age in Bangladesh on the Rise: Findings From Two National Level Mortality and Health Care Survey

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 220s-220s
Author(s):  
S. Khan ◽  
S. Arifeen ◽  
N. Chakrobarty ◽  
A.E. Rahman
Keyword(s):  
Health Care ◽  
Maternal Mortality ◽  
Cause Of Death ◽  
Action Plan ◽  
National Level ◽  
Reproductive Age ◽  
Epidemiologic Transition ◽  
Women Of Reproductive Age ◽  
Health Care Survey ◽  
Care Survey

Background: Bangladesh, a developing country from southeast Asia has the population of 160 million and currently ranks as being the 7th most populated country in the world. Like many other developing countries, Bangladesh is going through an epidemiologic transition, with significant reductions in mortality due to acute, infectious, and parasitic diseases and increases in noncommunicable, degenerative, and chronic diseases over the last 20 years. In this course, of transition, the deaths due to cancer is also on the rise. Among all adult deaths, cancer the third leading cause of death and accounts for one fifth of all mortality in Bangladesh. However, for women the proportions are even higher. Aim: This abstract looks into the datasets of 2 national surveys - Bangladesh maternal mortality and health care survey 2010 and 2016 - and assess the cause of death among women from reproductive age in Bangladesh. The 2010 survey covered over 150,000 households around Bangladesh, while the 2016 survey covered over 310,000 households from the whole of Bangladesh. Methods: Both the survey followed the same clustering process and sampling procedure, to ensure the compatibility among the surveys. Though the main objective of the survey was to look into the status of maternal mortality and corresponding health service seeking behavior, the surveys also shed lights on overall cause of death for women of reproductive age in Bangladesh. The death cases were assessed by verbal autopsy - using WHO process - and the cause of deaths were classified following ICD 10. The particular deaths due to cancer or neoplasm were separated from the main datasets and then it was looked by demographic information of the respondents. Results: The comparison between the national datasets reveals that, in 2010, 21% Bangladeshi women of reproductive age (15-49 years) were dying due to cancer, meaning 1 in 5 Bangladeshi women from reproductive age is dying due to cancer. However, in 2016 the proportion of death due to cancer raised up to 24% women of reproductive age (15-49 years), meaning 1 in 4 Bangladeshi women from reproductive age is dying due to cancer. Age segregated data shows that, only within this 6 years of timespan, more women from younger age (40-45 vs 50-55 years) are dying out of cancer. Conclusion: The findings of this comparison between the 2 national survey shows that, deaths due to cancer among women of reproductive age in Bangladesh is on the rise. Though Bangladesh has developed a National Cancer Control Strategy and Action Plan with the aim of delivering a universal, quality-based and timely service, the initiative are still boutique. A comprehensive preventive approach through tobacco control, health promotion and vaccination program, in addition to, early detection needs to be established with effective referral chain.

scholarly journals Determinants of rural-urban differences in health care provider visits among women of reproductive age in the United States

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0240700
Author(s):  
Hyunjung Lee ◽  
Ashley H. Hirai ◽  
Ching-Ching Claire Lin ◽  
John E. Snyder
Keyword(s):  
Health Care ◽  
Women’S Health ◽  
Women's Health ◽  
Health Care Providers ◽  
Rural Women ◽  
Reproductive Age ◽  
County Level ◽  
Care Providers ◽  
Provider Type ◽  
Women Of Reproductive Age

Background Rural health disparities and access gaps may contribute to higher maternal and infant morbidity and mortality. Understanding and addressing access barriers for specialty women’s health services is important in mitigating risks for adverse childbirth events. The objective of this study was to investigate rural-urban differences in health care access for women of reproductive age by examining differences in past-year provider visit rates by provider type, and quantifying the contributing factors to these findings. Methods and findings Using a nationally-representative sample of reproductive age women (n = 37,026) from the Medical Expenditure Panel Survey (2010–2015) linked to the Area Health Resource File, rural-urban differences in past-year office visit rates with health care providers were examined. Blinder-Oaxaca decomposition analysis quantified the portion of disparities explained by individual- and county-level sociodemographic and provider supply characteristics. Overall, there were no rural-urban differences in past-year visits with women’s health providers collectively (65.0% vs 62.4%), however differences were observed by provider type. Rural women had lower past-year obstetrician-gynecologist (OB-GYN) visit rates than urban women (23.3% vs. 26.6%), and higher visit rates with family medicine physicians (24.3% vs. 20.9%) and nurse practitioners/physician assistants (NPs/PAs) (24.6% vs. 16.1%). Lower OB-GYN availability in rural versus urban counties (6.1 vs. 13.7 providers/100,000 population) explained most of the rural disadvantage in OB-GYN visit rates (83.8%), and much of the higher family physician (80.9%) and NP/PA (50.1%) visit rates. Other individual- and county-level characteristics had smaller effects on rural-urban differences. Conclusion Although there were no overall rural-urban differences in past-year visit rates, the lower OB-GYN availability in rural areas appears to affect the types of health care providers seen by women. Whether rural women are receiving adequate specialized women’s health care services, while seeing a different cadre of providers, warrants further investigation and has particular relevance for women experiencing high-risk pregnancies and deliveries.

scholarly journals Using Community Informants to Estimate Maternal Mortality in a Rural District in Pakistan: A Feasibility Study

2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Ali Mohammad Mir ◽  
Mohammad Saleem Shaikh ◽  
Siti Nurul Qomariyah ◽  
Gul Rashida ◽  
Mumraiz Khan ◽  
...  
Keyword(s):  
Maternal Mortality ◽  
Large Scale ◽  
Health Workers ◽  
Rural District ◽  
Reproductive Age ◽  
Religious Leaders ◽  
Women Of Reproductive Age ◽  
Community Based ◽  
Capture Recapture ◽  
Elected Representatives

Background.We aimed to assess the feasibility of using community-based informants’ networks to identify maternal deaths that were followed up through verbal autopsies (MADE-IN MADE-FOR technique) to estimate maternal mortality in a rural district in Pakistan.Methods. We used 4 community networks to identify deaths in women of reproductive age in the past 2 years in Chakwal district, Pakistan. The deaths recorded by the informants were followed up through verbal autopsies.Results. In total 1,143 Lady Health Workers (government employees who provide primary health care), 1577 religious leaders, 20 female lady councilors (elected representatives), and 130 nikah registrars (persons who register marriages) identified 2001 deaths in women of reproductive age. 1424 deaths were followed up with verbal autopsies conducted with the relatives of the deceased. 169 pregnancy-related deaths were identified from all reported deaths. Through the capture-recapture technique probability of capturing pregnancy-related deaths by LHWs was 0.73 and for religious leaders 0.49. Maternal mortality in Chakwal district was estimated at 309 per 100,000 live births.Conclusion. It is feasible and economical to use community informants to identify recent deaths in women of reproductive age and, if followed up through verbal autopsies, obviate the need for conducting large scale surveys.

scholarly journals The Role of Research in Guiding Treatment for Women’s Health: A Qualitative Study of Traditional Chinese Medicine Acupuncturists

2021 ◽  
Vol 18 (2) ◽  
pp. 834
Author(s):  
Mike Armour ◽  
Debra Betts ◽  
Kate Roberts ◽  
Susanne Armour ◽  
Caroline A. Smith
Keyword(s):  
Clinical Practice ◽  
Women’S Health ◽  
Women's Health ◽  
Clinical Decision ◽  
Health Conditions ◽  
Case Histories ◽  
Research Literacy ◽  
The Right ◽  
Practice Methods

Background: Surveys of acupuncture practitioners worldwide have shown an increase in the use of acupuncture to treat women’s health conditions over the last ten years. Published studies have explored the effectiveness of acupuncture for various conditions such as period pain, fertility, and labor induction. However, it is unclear what role, if any, peer-reviewed research plays in guiding practice. Methods: Acupuncturists with a significant women’s health caseload were interviewed online in three small groups to explore factors that contribute to acupuncturists’ clinical decision made around treatment approaches and research. Results: Eleven practitioners participated in the focus groups. The overarching theme that emerged was one of ‘Not mainstream but a stream.’ This captured two themes relating to acupuncture as a distinct practice: ‘working with what you’ve got’ as well as ‘finding the right lens’, illustrating practitioners’ perception of research needing to be more relevant to clinical practice. Conclusions: Acupuncture practitioners treating women’s health conditions reported a disconnect between their clinical practice and the design of clinical trials, predominantly due to what they perceived as a lack of individualization of treatment. Case histories were popular as a learning tool and could be used to support increasing research literacy.

Giant fibroepithelial vulvar polyp in a pregnant woman

2021 ◽  
Vol 14 (1) ◽  
pp. e236106
Author(s):  
Carolina Smet ◽  
Tatiana Gigante Gomes ◽  
Lurdes Silva ◽  
Júlio Matias
Keyword(s):  
Pregnant Woman ◽  
Elective Caesarean Section ◽  
Reproductive Age ◽  
Benign Lesions ◽  
Third Trimester ◽  
Women Of Reproductive Age ◽  
Spontaneous Bleeding ◽  
The Third ◽  
Fibroepithelial Polyps ◽  
The Right

Fibroepithelial polyps are benign lesions that may appear in the vulvovaginal region. They usually occur in women of reproductive age and tend to grow up to 5 cm, but there are some rare cases in which they grow up to 20 cm. We report a case of a 22-year-old woman in the third trimester of her first pregnancy with spontaneous bleeding from a pedunculated mass measuring 15 cm in the widest diameter on the right side of the vulva. Features of this case are discussed as well as its implications, especially regarding the decision of labour. Due to the big size of the mass and its propensity to bleed, we decided to perform an elective caesarean section as well as its excision.

scholarly journals Determinants of Maternal Mortality Rate in The Kyrgyz Republic Regions

2017 ◽  
Author(s):  
Nurbek Madmarov ◽  
Metin Bayrak
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Women’S Health ◽  
Women's Health ◽  
Fixed Effects ◽  
World Health ◽  
Kyrgyz Republic ◽  
Maternal Mortality Rate ◽  
The World ◽  
Determinants Of Maternal Mortality

Population is an important factor in development of a country. As a constraint, not only the size of the population is important but also its quality in the development process. Women’s health is considered all over the world and the data about this aspect is published by the World Health Organization annually. Among others maternal mortality rate is one of the major problems affecting women’s health and population. Everyday 830 women die due to the problems related to pregnancy and childbirth in the world. While this number is relatively lower in the developed countries, it is higher in the underdeveloped and developing countries. In addition, the maternal mortality rate in the Caucasus and Central Asia ranks in the worst third in the world. In the Kyrgyz Republic, this rate is 82.083333 per 10000 live births which is the worst in the region. Therefore, it is among one of the countries where the maternal mortality should be reduced in the framework of the Millennium Development Goals. In this study, the determinants of maternal mortality rate are analyzed in the Kyrgyz Republic regions during 2000-2015 by using static panel data methods fixed effects and random effects. The findings show that there are significant decreasing effects of GDP, number of assistant physicians, births by skilled staff, improved sanitation facilities, and gender wage equality, there are significant increasing effects of health expenditures, medical facilities, and poverty among women on the maternal mortality.

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