scholarly journals Fistula Prevention Awareness

2018 ◽  
Vol 13 (2) ◽  
Author(s):  
Sajjad Ahmed Siddiqui
Keyword(s):  
Genital Tract ◽  
Maternal Morbidity ◽  
Local Community ◽  
Maternal Mortality Ratio ◽  
District Level ◽  
Women Health ◽  
Depth Analysis ◽  
Donor Agencies ◽  
Fistula Prevention ◽  
Tract Fistula

Aim: Genital tract fistula is a known tragedy in Pakistan. We know the causes of this tragedy and we also know the methods to eradicate this curse from the community. Despite the initiative from UNFPA, Islamic Development Bank and other concerned stake holders the government of Pakistan has failed to address the issue and an organized system is not developed to reduced maternal death rate and maternal morbidity in Pakistan. It’s a common practice to exploit the sad situation of victims of fistula and run ghost campaigns to eradicate genital tract fistula from the community. Methods:In depth analysis on intersections of social inequities in health, polices in Pakistan. The review carried out on the available literature / reports around the theme of women health & rights responsiveness in health systems.  This analysis also includes the role and support of the donor agencies working on maternal health in Pakistan.  Results: An overall unfairness prevailing in the healthcare system which is affecting women health resulting a very high maternal mortality ratio (MMR) maternal morbidity like fistula.  The health policy is a highly complex phenomenon needs a multi-disciplinary approach to develop public policy that aims to explain the interaction between institutions, interests and ideas in the policy process. Health policies must reflect the specific steps to address the issue of gender based discrimination. Conclusion: The politics of fistula is serving people to become rich in vested interest group, its providing platform to governments to make their image in front of donor countries. It’s also providing opportunity to people working in donor agencies to get involve in corruption at the cost of poor patients of fistula. Prevention of fistula is ultimate goal to get rid of this morbidity need department of health for provision of basic health facilities specially availability of SBA BUT there is no such policy intervention to produce competent midwives local community level. The existing fistula cases are not treated at district level due to lack of skill of local gynecologists to repair the fistula at district level.  

Impacts of electronic monitoring on the community life: blessing or disguise?

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Katarína Vitálišová ◽  
Kamila Borseková ◽  
Anna Vanˇová ◽  
Samuel Koróny
Keyword(s):  
Local Community ◽  
Electronic Monitoring ◽  
Slovak Republic ◽  
Secondary Data ◽  
Primary Data ◽  
Original Research ◽  
Community Life ◽  
Content Type ◽  
Depth Analysis ◽  
The Usa

Purpose The purpose of this paper is to identify and evaluate critically the impacts associated with the implementation of electronic monitoring (EM) of accused and convicted persons on society based on the foreign experience and compare these findings with the original research results on EM in the Slovak Republic. Design/methodology/approach This paper elaborates the secondary data of previous researches in Scotland, Sweden and Florida in the USA. Secondary research is based on in-depth analysis of articles, reports and studies searched via database of Google, Scopus and Science Direct. Based on the studies processed by a causal and qualitative analysis, the authors identify the benefits and risks of EM influencing community life in Europe and the USA. The additional sources of secondary data are the Statistical Yearbook of Ministry of Justice of Slovak Republic, the content of the original law (including relevant amendments) that introduced EM into the Slovak criminal justice system and data on the application of EM in Slovakia provided by the Ministry of Justice. Subsequently, this paper presents the original research findings about the EM implementation in the Slovak Republic. The primary data were conducted via interviews with the representatives of Ministry of Justice, and through the national survey of opinions of judges, probation and mediation officers. The authors used the descriptive statistics and the statistical deduction methods. Findings The key finding of the paper is that there is a very narrow border between EM as blessing and disguise for community involved. Setting proper measures to protect the community, targeted communication and support with attendance of professionals (e.g. mediator and psychologist) for community members might help to avoid possible risks and support the benefits related with EM implementation, namely, social and economic inclusion of offenders, maintaining family and community tights, reducing recidivism or protection of sensitive sites. Practical implications To support the acceptation of EM by local community, the authors recommend to perceive sensitively community involvement and consider potential risks related with EM implementation; to suggest the proper measures to protect the community; and to develop better or targeted communication oriented towards increasing awareness or establishment supporting groups with attendance of professionals (e.g. mediator and psychologist) that might help to avoid possible risks and support the benefits related with EM implementation. Originality/value This paper compares experience with EM based on the secondary data of previous researches in Scotland, Sweden and Florida in the USA. Subsequently, it presents the unique data about the implementation of EM in the Slovak Republic. The topic of EM is still vastly underrated in the literature, and there is a lack of empirical data, so this paper as a combination of case studies and original research could be very helpful in the efficient implementation of EM and setting the proper measures.

Genital tract fistula: a case series from a tertiary centre in South Africa

2017 ◽  
Vol 29 (3) ◽  
pp. 383-389
Author(s):  
Thinagrin Dhasarathun Naidoo ◽  
Jagidesa Moodley ◽  
Saloshni Naidoo
Keyword(s):  
South Africa ◽  
Genital Tract ◽  
Case Series ◽  
Tertiary Centre ◽  
Tract Fistula

scholarly journals Utilization pattern and associated factors of maternal health care services in Haryana, India: a study based on district level household survey data

2018 ◽  
Vol 7 (3) ◽  
pp. 1154 ◽  
Author(s):  
Shinjini Ray ◽  
Pravat Bhandari ◽  
Jang Bahadur Prasad
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Antenatal Care ◽  
Health Care Services ◽  
Institutional Delivery ◽  
Maternal Mortality Ratio ◽  
Maternal Health Care ◽  
District Level ◽  
Care Services ◽  
Maternal Health Care Services

Background: Maternal health was one of the most important millennium development goals (MDGs), India didn’t achieve by the year 2015. Since, India is a multicultural, social and multiregional country, where some of the regions have good social and demographic achievement while some are poor. Haryana is one of them, which has 146 maternal mortality ratio. The level of receiving antenatal care (ANC) in Haryana is quite low as compared to other states of India. Objective of present study was to Understand the extent of use of maternal health care services in Haryana as well as examining the role of antenatal care and other socio-economic factors on the utilization of maternal health services.Methods: Bivariate analysis, chi-square test, and binary logistic regression have been used based on district level household and facility survey-4 data.Results: The utilization of ANC (any and full), institutional delivery and post-delivery treatment seeking varies among women by literacy, age at first marriage, age at women and place of residence. Literate women are two times more likely to access ANC [odds ratio (OR)=1.97 (any ANC), 1.95 (full ANC), p<0.01] and 1.52 times more likely to prefer institutional delivery [OR=1.52, p<0.01].Conclusions: Empowering women through the encouragement of mother’s education should be one of the most fundamental strategies to promote maternal health care services and reduce inequalities.

Introduction

2017 ◽  
Author(s):  
Tobias Berger
Keyword(s):  
Rule Of Law ◽  
Methodological Approach ◽  
State Court ◽  
Translation Research ◽  
The Rule Of Law ◽  
Rural Bangladesh ◽  
Theoretical Account ◽  
Depth Analysis ◽  
International Donor ◽  
Donor Agencies

This chapter introduces the book’s central arguments as well as the theoretical account of norm translation that is developed through the in-depth analysis of contemporary donor-sponsored projects with village courts in rural Bangladesh. It opens with brief ethnographic accounts of a non-state court session and a courtyard meeting through which international donor agencies seek to promote transnational notions of the rule of law in rural Bangladesh. The chapter then outlines the overall argument of the book and its contributions to existing scholarship on the diffusion of norms and ideas as well as to research on non-state justice institutions and the rule of law. Subsequently, the chapter introduces Bangladesh’s recent political history, delineates the methodological approach, and reflects on the challenges of doing translation research. In conclusion, it outlines the overall structure of the book and summarizes the key arguments advanced in its individual chapters.

scholarly journals Applying the Maternal Near Miss Approach for the Evaluation of Quality of Obstetric Care: A Worked Example from a Multicenter Surveillance Study

2014 ◽  
Vol 2014 ◽  
pp. 1-10 ◽  
Author(s):  
Samira Maerrawi Haddad ◽  
Jose Guilherme Cecatti ◽  
Joao Paulo Souza ◽  
Maria Helena Sousa ◽  
Mary Angela Parpinelli ◽  
...  
Keyword(s):  
Health Services ◽  
Maternal Mortality ◽  
Maternal Morbidity ◽  
Maternal Mortality Ratio ◽  
Near Miss ◽  
World Health ◽  
Severe Maternal Morbidity ◽  
Factors Associated ◽  
Mortality Ratio

Objective. To assess quality of care of women with severe maternal morbidity and to identify associated factors.Method. This is a national multicenter cross-sectional study performing surveillance for severe maternal morbidity, using the World Health Organization criteria. The expected number of maternal deaths was calculated with the maternal severity index (MSI) based on the severity of complication, and the standardized mortality ratio (SMR) for each center was estimated. Analyses on the adequacy of care were performed.Results. 17 hospitals were classified as providing adequate and 10 as nonadequate care. Besides almost twofold increase in maternal mortality ratio, the main factors associated with nonadequate performance were geographic difficulty in accessing health services (P<0.001), delays related to quality of medical care (P=0.012), absence of blood derivatives (P=0.013), difficulties of communication between health services (P=0.004), and any delay during the whole process (P=0.039).Conclusions. This is an example of how evaluation of the performance of health services is possible, using a benchmarking tool specific to Obstetrics. In this study the MSI was a useful tool for identifying differences in maternal mortality ratios and factors associated with nonadequate performance of care.

Systems thinking and alternative business model for responsible tourist destination

Kybernetes ◽  
2014 ◽  
Vol 43 (3/4) ◽  
pp. 480-496 ◽  
Author(s):  
Marko Peric ◽  
Jelena Djurkin
Keyword(s):  
Business Model ◽  
Local Community ◽  
Stakeholder Management ◽  
Critical Issue ◽  
Social Enterprises ◽  
Socially Responsible ◽  
Community Based ◽  
Tourist Destination ◽  
Content Type ◽  
Depth Analysis

Purpose – Providing a new approach to the destination management oriented on the social responsibility and keeping the interests of local community at the forefront of tourism development. The paper aims to discuss these issues. Design/methodology/approach – Key concepts from systems theory, stakeholder management and social enterprises theories are rethought from the perspective of tourist destination. Main characteristics of the model of community-based organisational structure are identified as well as demands for socially responsible practices and a case study method is used for holistic and in-depth analysis on a real community-based tourism enterprise (CBTE). Findings – The paper proposed innovative socially responsible organisational business model aiming to serve the interests of local community. Interlinking the economic and social objectives in managing the tourist offer on destination level is the critical issue when cooperation of various stakeholders is concerned. Originality/value – The paper provides new insight on organising the tourism offer in the destination by using CBTE model. Findings might give impetus for new lines of research oriented on socially sustainable organisational models for responsible destinations. Recommendations suggested by the paper can be used in designing new destination management organisations oriented on developing community-based tourism practices in socially responsible manner.

scholarly journals Gender inequality, health expenditure and maternal mortality in sub-Saharan Africa: A secondary data analysis

2013 ◽  
Vol 5 (1) ◽  
Author(s):  
Frank Chirowa ◽  
Stephen Atwood ◽  
Marc Van der Putten
Keyword(s):  
Maternal Mortality ◽  
Gender Inequality ◽  
Health Expenditure ◽  
Labour Force ◽  
Maternal Mortality Ratio ◽  
Three Dimensions ◽  
Sub Saharan Africa ◽  
Inequality Index ◽  
Depth Analysis ◽  
Sub Saharan

Background: This article provided an analysis of gender inequality, health expenditure and its relationship to maternal mortality.Objective: The objective of this article was to explore gender inequality and its relationship with health expenditure and maternal mortality in sub-Saharan Africa (SSA). A unique analysis was used to correlate the Gender Inequality Index (GII), Health Expenditure and Maternal Mortality Ratio (MMR). The GII captured inequalities across three dimensions – Reproductive health, Women empowerment and Labour force participation between men and women. The GII is a composite index introduced by the UNDP in 2010 and corrects for the disadavanatges of the other gender indices. Although the GII incorporates MMR in its calculation, it should not be taken as a substitute for, but rather as complementary to, the MMR.Method: An exploratory and descriptive design to a secondary documentary review using quantitative data and qualitative information was used. The article referred to sub-Saharan Africa, but seven countries were purposively selected for an in-depth analysis based on the availability of data. The countries selected were Angola, Botswana, Malawi, Mozambique,South Africa, Zambia and Zimbabwe.Results: Countries with high gender inequality captured by the gender inequality index were associated with high maternal mortality ratios as compared with countries with lower gender inequality, whilst countries that spend less on health were associated with higher maternal deaths than countries that spend more.Conclusion: A potential relationship exists between gender inequality, health expenditure, and maternal mortality. Gender inequalities are systematic and occur at the macro, societal and household levels.

Sign in / Sign up

Export Citation Format

Share Document