scholarly journals Provision of Critical Maternity Care during the Coronavirus Disease 2019 (COVID-19) Pandemic in the Islamic Republic of Iran

2020 ◽  
Vol 23 (8) ◽  
pp. 557-560
Author(s):  
Nasrin Changizi ◽  
Alireza Raeisi ◽  
Hamed Barekati ◽  
Abbas Habibolahi ◽  
Haniye Sadat Sajadi ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Maternity Care ◽  
Risk Groups ◽  
Health Care Facilities ◽  
Local Health ◽  
The Sustainable Development ◽  
Team Working ◽  
Local Health Care ◽  
Islamic Republic Of Iran ◽  
Development Goals

Reducing maternal mortality is one of the Sustainable Development Goals. Although there is no vigorous evidence that pregnant women are in the high-risk groups in response to coronavirus disease 2019 (COVID-19), it is crucial to respond to the pandemic through providing required action plans for confirmed or suspected pregnant women cases while maintaining routine functions. Iran’s response and preparedness measures to COVID-19 aimed to meet the essential needs required to protect pregnant women and their families. Establishing a national maternal health network, relying on mechanisms for timely reporting, monitoring, and following-up, preparing guidelines and protocols required for COVID-19 management in pregnant women though a multidisciplinary team working approach, and embedding the precautions of reducing transmission in maternity care were the main measures taken to cope with COVID-19 in pregnancy. Iran’s experience in providing maternity care during the COVID-19 can guide other countries affected by COVID-19. However, it should be adapted to local health-care facilities, as well as in response to any further updates on COVID-19.

scholarly journals MATERNITY CARE SERVICES

2016 ◽  
Vol 23 (06) ◽  
pp. 721-726
Author(s):  
Sadaf Faiz ◽  
Zahira Batool ◽  
Sana Ejaz ◽  
Abid Rashid
Keyword(s):  
Health Care ◽  
Pregnant Women ◽  
Rural Women ◽  
Rural Areas ◽  
Maternity Care ◽  
Health Care Facilities ◽  
Health Facilities ◽  
Family Type ◽  
Bivariate Analysis ◽  
Care Services

Introduction: Maternal health care refers to high quality health care providedto a pregnant woman during pregnancy, delivery and postnatal period. The maternal mortalityratio is quite high in the rural areas of Pakistan. Rural society is highly associated with itstraditions and cultural values. There are some cultural and social barriers for women. Theyare being considered negligible part of the population and are facing a number of hardshipsin availing health facilities. Objective: The aim of the study was to find out the socioeconomic,cultural and demographic factors affecting the access of rural women to maternity care services.Study Design: A cross-sectional study was conducted in the rural areas of District Faisalabad.Quantitative research method was used to get meaningful, detailed information. Material andMethods: A sample of 205 pregnant women aged 18-38 was taken, purposively to explore theresearch objectives through pre-designed interviewing schedule with open and closed endedquestions. Results: Univariate and bivariate analysis reveal the factors associated with theutilization of maternity care services such as education of the respondents and their husbands,family type, household income, age at marriage, attitudes towards health care facilities werefound to be associated with the utilization of maternity care service. Conclusion: The studyreveals that a number of reproductive problems occurred among pregnant women in the ruralareas of Pakistan due to the limited health facilities, socio-demographic and cultural barricadeswhich restricted them to utilize maternity care services

scholarly journals Pregnant women’s and healthcare professionals’ preferences in decision-making process for prenatal screening: world experience

2019 ◽  
pp. 3-10
Author(s):  
Е.Е. Заяева ◽  
Е.Е. Баранова ◽  
Л.А. Жученко ◽  
Л.Ю. Иванова ◽  
В.Л. Ижевская
Keyword(s):  
Pregnant Women ◽  
Healthcare Professionals ◽  
Prenatal Screening ◽  
Chromosomal Abnormalities ◽  
Risk Groups ◽  
Routine Practice ◽  
Sociological Research ◽  
Local Health ◽  
Local Health Policy ◽  
Prenatal Test

Многие страны внедряют неинвазивное пренатальное тестирование (НИПТ) в систему общественного здравоохранения в качестве контингентного скрининга для беременных, что позволяет повысить эффективность выявления хромосомных аномалий (ХА) у плода и снизить количество необоснованных инвазивных процедур. Анализ литературных источников показал, что большинство врачей и беременных из групп высокого и промежуточного рисков готовы воспользоваться НИПТ в качестве дополнительного скрининга в связи с его безопасностью, высокой чувствительностью и возможностью раннего получения результатов. Однако обнаружены различия в выборе метода раннего пренатального скрининга ХА между странами, которые зависели от этнических, социо-демографических и религиозных характеристик опрошенных, а также от особенностей политики местного здравоохранения, связанных с необходимостью частичной или полной оплаты пренатального теста и доступностью прерывания беременности. Сделан вывод, что для каждой страны необходимы свои руководства, разработанные с учетом социального контекста, а вопрос о внедрении НИПТ в рутинную практику должен решаться по результатам социологических исследований в больших группах беременных и врачей страны. Many countries are introducing a non-invasive prenatal test, NIPT, into the public health system as a contingent screening for pregnant women, which improves the detection of chromosomal abnormalities of the fetus and reduces the number of unwarranted invasive procedures. Analysis of the literature showed that the majority of doctors and pregnant women from the high and intermediate risk groups are ready to use NIPT as an additional screening due to its safety, high sensitivity and the possibility of early reception of results. However, there were found differences between countries in choosing the method of prenatal screening for chromosomal abnormalities of the fetus, which depend on the ethnic, sociodemographic and religious characteristics of the respondents, as well as on the peculiarities of the local health policy related to the need for partial or full payment of the prenatal test and the availability of abortion. It was concluded that each country needs its own guidelines, developed with taking into account the social context, and the issue of introducing NIPT into routine practice should be decided by the results of sociological research among large groups of pregnant women and healthcare professionals in the country.

scholarly journals Health Care Workers’ Perspectives of the Influences of Disrespectful Maternity Care in Rural Kenya

2020 ◽  
Vol 17 (21) ◽  
pp. 8218
Author(s):  
Adelaide Lusambili ◽  
Stefania Wisofschi ◽  
Constance Shumba ◽  
Jerim Obure ◽  
Kennedy Mulama ◽  
...  
Keyword(s):  
Health Care ◽  
Pregnant Women ◽  
Health Care Workers ◽  
Maternity Care ◽  
Large Body ◽  
Health Care Facilities ◽  
Service Users ◽  
Care Workers ◽  
Holistic Understanding ◽  
Care Facilities

While disrespectful treatment of pregnant women attending health care facilities occurs globally, it is more prevalent in low-resource countries. In Kenya, a large body of research studied disrespectful maternity care (DMC) from the perspective of the service users. This paper examines the perspective of health care workers (HCWs) on factors that influence DMC experienced by pregnant women at health care facilities in rural Kisii and Kilifi counties in Kenya. We conducted 24 in-depth interviews with health care workers (HCWs) in these two sites. Data were analyzed deductively and inductively using NVIVO 12. Findings from HCWs reflective narratives identified four areas connected to the delivery of disrespectful care, including poor infrastructure, understaffing, service users’ sociocultural beliefs, and health care workers’ attitudes toward marginalized women. Investments are needed to address health system influences on DMC, including poor health infrastructure and understaffing. Additionally, it is important to reduce cultural barriers through training on HCWs’ interpersonal communication skills. Further, strategies are needed to affect positive behavior changes among HCWs directed at addressing the stigma and discrimination of pregnant women due to socioeconomic standing. To develop evidence-informed strategies to address DMC, a holistic understanding of the factors associated with pregnant women’s poor experiences of facility-based maternity care is needed. This may best be achieved through an intersectional approach to address DMC by identifying systemic, cultural, and socioeconomic inequities, as well as the structural and policy features that contribute and determine peoples’ behaviors and choices.

scholarly journals Family Intervention in The Problem of Maternal Death: A Case Study of Pregnant Women in Mbojo, Bima, West Nusa Tenggara

2018 ◽  
Vol 30 (3) ◽  
pp. 263
Author(s):  
Atik Triratnawati ◽  
Anis Izdiha
Keyword(s):  
Mortality Rate ◽  
Maternal Health ◽  
Pregnant Women ◽  
Family Intervention ◽  
Group Discussions ◽  
Maternal Deaths ◽  
The Sustainable Development ◽  
The Family ◽  
Development Goals

In 2015, the maternal mortality rate in Bima was recorded as 3 cases per 1,000 births, equivalent to 300 maternal deaths per 100,000 births. Although this number is low, it is much higher than the zero mortality rate set by the Sustainable Development Goals. This study discusses the family and community aspects of the maternal health framework, reading the gendered symbolic violence that affect maternal health in Jatibaru Village, Asakota, Bima, West Nusa Tenggara. Data was collected using an ethnographic approach, with techniques including Focus Group Discussions, participatory observation, interviews, and document study. The existence of gender inequities in the family can cause problems when women attempt to access healthcare. Furthermore, families and communities exert control over pregnant women, directing their behavior and attempts to access healthcare according to local customs and traditions. As such attitudes and behaviors are part of the digestive process of knowledge and experience, women often accept and do what is recommended by their families and communities. This social reality of maternal health thus becomes part of gender inequality in society. 

scholarly journals Adaptation of the best European practices in administering local health care institutions

2021 ◽  
Vol 2 (2) ◽  
pp. 15-22
Author(s):  
Zhanna Oleksich ◽  
Jan Polcyn ◽  
Oleg Shtogrin
Keyword(s):  
Health Care ◽  
Personnel Management ◽  
Health Care Facilities ◽  
Medical Services ◽  
Local Health ◽  
Administration System ◽  
Technological Improvement ◽  
Health Care Institutions ◽  
Care Facilities ◽  
Local Health Care

This study aimed to justify the mechanisms for improving the administration system of local health care facilities based on the best European experience. This study determined the state of health care facilities in Ukraine based on assessing the quality of medical services, rational resources usage, personnel management, and technical and technological improvement. Systematization of scientific sources and approaches to solving investigated issues showed methodological underdevelopment and methodological lack of administration systems of Ukrainian health care facilities at the local level, considering the specifics of medical services. Thus, healthcare institutions need to adapt, develop, and implement the best international practices in administrative technologies. For gaining the research goal, the study was carried out in the following logical sequence: 1) analyzing the current models of health care development processes in the world; 2) determining the features of administration system od the health care institutions; 3) developing recommendations for improving the administration system of local health care facilities in Ukraine. The methodological tool of this research is the systematization of information based on the content analysis of official websites. The research object is the administration system of health care facilities in Ukraine. In the study, the authors present several approaches to organize state administration of health care at the national and regional levels. The authors determined the effective tools for administering health care institutions. The study substantiated the strategic format of developing health care facilities in modern conditions by providing high-quality services, rational resources usage, personnel management, and technical and technological improvement.

Ethnozoological Survey of Animal and Animal Products Used in Traditional Healing Practices in Sokoto State, Nigeria

2015 ◽  
Vol 19 ◽  
pp. 42-50
Author(s):  
MS Abubakar ◽  
HM Emmanuel ◽  
A Kabiru ◽  
YM Abdullahi
Keyword(s):  
Health Care ◽  
Rural Areas ◽  
Folk Medicine ◽  
Health Care Facilities ◽  
Local Health ◽  
Animal Products ◽  
Medicinal Value ◽  
Modern Health Care ◽  
Local Health Care ◽  
Local Health Care System

Nature has provided us with materials that are good sources of medicine. These materials derived from nature have been used by different societies across the world for treatment of various diseases.For example, plants,animalsand minerals substanceshave been extracted and prepared in various forms for treatment of diseases. Researches concerning the use of animals and their derivatives in traditioanal medicine has received very little attention, especially in the Northern Nigeria. Sokoto state is blessed with rich faunal resources yet the number of researches with regards to medicinal animals is very negligible compared to that of plants. With rapid increase in the population of our polygamous society (especially in the rural areas) which often find it difficult to access modern health care facilities, there is the need for complimentary folk medicine that would support local health care system. In the light of the above,animals / animal products used in traditional medicine by the indigenous people of Sokoto have been identified and documented through the use of unstructured questionnaire as the main instruments used for data collection. Six hundred (600) questionnaires were distributed to the surveyed population from different parts of the state. They include: herbalists, hunters, barbers, bone-setters, traditional mid-wives and fishermen. Percentage frequency and percentage fidelity level were used for data analysis. From the survey, twenty two (22) species of animals were found to be of medicinal value. Diseases such as rashes, toothache, nightblindness, mumps, cabuncle epistaxis, yellow fever, eczema, gastrointestinal disorders were found to be curable using these animals or their derivatives.Keywords: Traditionl Healing, Zootherapy, Zootherapeutics, Ethnozoology

scholarly journals A Scoping Review: Social Participation as a Cornerstone of Successful Aging in Place among Rural Older Adults

Geriatrics ◽  
2018 ◽  
Vol 3 (4) ◽  
pp. 75 ◽  
Author(s):  
Lisa Carver ◽  
Rob Beamish ◽  
Susan Phillips ◽  
Michelle Villeneuve
Keyword(s):  
Older Adults ◽  
Rural Communities ◽  
Social Participation ◽  
Scoping Review ◽  
Successful Aging ◽  
Aging In Place ◽  
Health Care Facilities ◽  
Local Health ◽  
Community Activities ◽  
Local Health Care

Despite obstacles, many rural-dwelling older adults report that positive aspects of rural residence, such as attachment to community, social participation, and familiarity, create a sense of belonging that far outweighs the negative. By being part of a community where they are known and they know people, rural elders continue to find meaning, the key to achieving successful aging in this last stage of life. This scoping review explored factors influencing social participation and, through it, successful aging among rural-dwelling older adults. We sought to answer the question: what factors enhance or detract from the ability of rural-dwelling older adults to engage in social participation in rural communities? The scoping review resulted in 19 articles that highlight the importance of supports to enable older people to spend time with others, including their pets, engage in volunteer and community activities, and help maintain their home and care for their pets. Overall, the lack of services, including local health care facilities, was less important than the attachment to place and social capital associated with aging in place.

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