MCH workshop-Baluchistan : maternal and child health guidelines / United Nations Higher Commissioner for Refugees (UNHCR).

2015 ◽  
Vol 3 ◽  
Author(s):  
Elizabeth Casto

As the United Nations Millennium Development Goals initiative comes to a close, it is important to examine what has been effective in combating disparities in developing nations. In this paper I explore the impact midwives have on improving maternal and child health in Bangladesh by focusing on how the United Nations Millennium Development Goals initiative has helped to change societal views on women and birth as midwives become more integrated into improving maternal and child health. It is a quantitative and qualitative approach analyzing the statistics of implementing midwives as these impact cost-effectiveness and change in mortality rates in addition to social changes that have occurred in the culture towards maternal and child health. The paper further analyzes programs implemented by countries such as India and Sri Lanka comparatively. Data have been collected from published United Nations and governmental reports, media, and research articles. The paper concludes that the implementation of midwives has provided a cost-effective method of reducing maternal and child health in Bangladesh, and will be increasingly efficient as governmental programs continue to improve various aspects and laws of the country. It is important to analyze what is working in order to further improve maternal and child health on both a regional and global level. The use of midwives can provide a fundamental framework in communities that can aid in reducing health disparities as well as all improve all facets of reproductive wellness, providing the support needed at all stages to improve maternal and child health.


2020 ◽  
Vol 24 (3) ◽  
pp. 170-180
Author(s):  
Jeong Min Lee ◽  
Chae Young Kim ◽  
Sung-Hoon Chung ◽  
Yong-Sung Choi ◽  
Chong-Woo Bae

Purpose: This study aimed to investigate the extent of the difference in health status between South Korea (SK) and North Korea (NK) by comparing indicators relevant to maternal and child health.Methods: The maternal and child health status of SK and NK considering population, birth, and mortality was reviewed using 2 Korean statistics, United Nations Children’s Fund, and United Nations databases from 1950 to 2017.Results: The annual number of total live births in SK had decreased from 1,006,600 in 1970 to 326,900 in 2018, and that in NK had declined from 530,000 in 1970 to 360,000 in 2015. The percentage of children among the total population was higher in NK than in SK, and the decrease in the percentage of children in SK is remarkable, which is related to a low fertility rate in the last few decades. However, the mortality rates related to children were higher in NK than in SK. In 2017, neonatal mortality rates (per 1,000 live births) in SK and NK were 1.5 and 9.0, respectively. The fertile female population of SK and NK in 2015 was 50.2% and 52.0%, respectively, and SK and NK’s aging index (%) in 2017 was 107.3 and 46.1, respectively.Conclusion: This study shows the different population distributions and maternal and child health statuses between SK and NK, which may have a negative impact on social integration after reunification. Therefore, it is important to understand the indicators of maternal and child health to become the powerbase of efficient healthcare system integration by minimizing the impact at the beginning of the reunification.


2005 ◽  
Author(s):  
Harold Alan Pincus ◽  
Stephen B. Thomas ◽  
Donna J. Keyser ◽  
Nicholas Castle ◽  
Jacob W. Dembosky ◽  
...  

2019 ◽  
Vol 16 (1) ◽  
pp. 4-14 ◽  
Author(s):  
Rhian L Cramer ◽  
Helen L McLachlan ◽  
Touran Shafiei ◽  
Lisa H Amir ◽  
Meabh Cullinane ◽  
...  

Despite high rates of breastfeeding initiation in Australia, there is a significant drop in breastfeeding rates in the early postpartum period, and Australian government breastfeeding targets are not being met. The Supporting breastfeeding In Local Communities (SILC) trial was a three-arm cluster randomised trial implemented in 10 Victorian local government areas (LGAs). It aimed to determine whether early home-based breastfeeding support by a maternal and child health nurse (MCH nurse) with or without access to a community-based breastfeeding drop-in centre increased the proportion of infants receiving ‘any’ breast milk at four months. Focus groups, a written questionnaire and semi-structured interviews were undertaken to explore the interventions from the perspective of the SILC-MCH nurses (n=13) and coordinators (n=6), who established and implemented the interventions. Inductive thematic analysis was used to identify themes, then findings further examined using Diffusion of Innovations Theory as a framework. SILC-MCH nurses and coordinators reported high levels of satisfaction, valuing the opportunity to improve breastfeeding in our community; and having focused breastfeeding time with women in their own homes. They felt the SILC interventions offered benefits to women, nurses and the MCH service. Implementing new interventions into existing, complex community health services presented unforeseen challenges, which were different in each LGA and were in part due to the complexity of the individual LGAs and not the interventions themselves. These findings will help inform the planning and development of future programs aimed at improving breastfeeding and other interventions in MCH.


Author(s):  
Sydne J Newberry ◽  
Mei Chung ◽  
Marika Booth ◽  
Margaret A Maglione ◽  
Alice M Tang ◽  
...  

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