The Untold Story: How the Health Care Systems in Developing Countries Contribute to Maternal Mortality

2020 ◽  
pp. 173-190
Author(s):  
T. K. Sundari
Keyword(s):  
Health Care ◽  
Developing Countries ◽  
Maternal Mortality ◽  
Health Care Systems ◽  
Care Systems

The Untold Story: How the Health Care Systems in Developing Countries Contribute to Maternal Mortality

1992 ◽  
Vol 22 (3) ◽  
pp. 513-528 ◽  
Author(s):  
T. K. Sundari
Keyword(s):  
Health Care ◽  
Developing Countries ◽  
Health Services ◽  
Maternal Mortality ◽  
Health Care Systems ◽  
Health Services Delivery ◽  
Services Delivery ◽  
Life Saving ◽  
Referral Hospitals ◽  
Care Systems

This article attempts to put together evidence from maternal mortality studies in developing countries of how an inadequate health care system characterized by misplaced priorities contributes to high maternal mortality rates. Inaccessibility of essential health information to the women most affected, and the physical as well as economic and sociocultural distance separating health services from the vast majority of women, are only part of the problem. Even when the woman reaches a health facility, there are a number of obstacles to her receiving adequate and appropriate care. These are a result of failures in the health services delivery system: the lack of minimal life-saving equipment at the first referral level; the lack of equipment, personnel, and know-how even in referral hospitals; and worst of all, faulty patient management. Prevention of maternal deaths requires fundamental changes not only in resource allocation, but in the very structures of health services delivery. These will have to be fought for as part of a wider struggle for equity and social justice.

scholarly journals A Simplified Technique for Drainage of Chronic Calcified Pleural Empyema

2017 ◽  
Vol 65 (07) ◽  
pp. 586-588 ◽  
Author(s):  
Hama Younssa ◽  
James Didier ◽  
Magagi Ibrahim ◽  
Adamou Harissou ◽  
Ousseini Adakal ◽  
...  
Keyword(s):  
Health Care ◽  
Developing Countries ◽  
Early Diagnosis ◽  
Pulmonary Resection ◽  
Health Care Systems ◽  
Pleural Empyema ◽  
Complete Resection ◽  
Organizational System ◽  
Care Systems ◽  
Principles Of Treatment

AbstractChronic pleural pocket has well-known diagnosis and treatment principles since first described by Hippocrates 2,400 years ago. However, its treatment remains constant even though its causes, severity during management, and terrain vary considerably. In well-structured health care systems, posttuberculous empyema has become rare; its well-codified medical treatment relies on early diagnosis and adapted antibiotherapy, punctures/drainage, and appropriate intrapleural antifibrinolytics. In developing countries, a poor health organizational system increases the incidence of pleural pocket, which can progress until surgery is indicated. In such a context, the general principles of treatment include pleural decortication along with pulmonary resection. This technique remains difficult, risky, and, sometimes, impossible due to the chronicity of the lesion. In patients debilitated by several months of septic evolution, a simplified thoracostomy technique permits complete resection of the pocket.

scholarly journals Sustainable Health Care Systems

2007 ◽  
Vol 16 (01) ◽  
pp. 19-21
Author(s):  
C. Lovis ◽  
Keyword(s):  
Health Care ◽  
Developing Countries ◽  
Information Technologies ◽  
Health Care Systems ◽  
Current Trends ◽  
Growing Domain ◽  
Challenges And Opportunities ◽  
Care Systems ◽  
Sustainable Health ◽  
Original Approach

SummaryTo summarize major current trends and research in the field of sustainable health care systems.Synopsis of the articles selected for the IMIA Yearbook 2007.Four excellent articles, four nations and four international peer-reviewed journals representing some important aspects of the research in this field have been selected for the IMIA Yearbook 2007. The first paper focuses on health care spending and use of information technologies in OECD countries; the second paper presents an original model and framework to describe and evaluate the risks and safety of e-health systems; the third paper, a two-part paper, reviews several models to support lifetime personal health records and proposes some original approach to this problem. Finally, the last paper presents the evaluation of feasibility, potential, problems and risks of an Internet-based telemedicine network in developing countries of Africa and challenges and opportunities that IT can bring to developing countries.Sustainability in health care and information technologies is a young but fast growing domain. This new section of the yearbook is promised to a rich future as illustrated in the variety and the importance of the challenges addressed by this 2007 selection.

scholarly journals Pregnancy management in coronavirus disease – Challenges in developing countries

2021 ◽  
Vol 2 ◽  
pp. 18
Author(s):  
Narendra Malhotra ◽  
Ruchika Garg ◽  
Saroj Singh ◽  
Prabhat Agrawal ◽  
Jaideep Malhotra ◽  
...  
Keyword(s):  
Health Care ◽  
Developing Countries ◽  
Severe Acute Respiratory Syndrome ◽  
Health Care Systems ◽  
Hubei Province ◽  
The World ◽  
Care Systems ◽  
The Usa

Coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus (SARS-CoV) infection, first identified in December 2019 in Wuhan, a city in the Hubei Province of China. The infection has spread in more than 150 countries and is a pandemic. Governments across the world have adopted rigorous measures to reduce both the spread by lockdown and cancelling most visas. It has detrimental effects on health-care systems and on the whole economy of world including the USA.

scholarly journals Maternal deaths in developing countries: A preventable tragedy

2009 ◽  
Vol 15 (2) ◽  
Author(s):  
Gunnar Kvåle ◽  
Bjørg Evjen Olsen ◽  
Sven Gudmund Hinderaker ◽  
Magnar Ulstein ◽  
Per Bergsjø
Keyword(s):  
Public Health ◽  
Health Care ◽  
Maternal Mortality ◽  
Low Income ◽  
Health Care Systems ◽  
Health Problems ◽  
Low Income Countries ◽  
Public Health Importance ◽  
Maternal Deaths ◽  
Care Systems

The neglected tragedy of persistent high maternal mortality in the low-income countries is described. One of the millennium development goals states that the current number of maternal deaths of around 500,000 per year should be reduced by three quarters by 2015. Since the major causes and avenues for prevention are known, this may seem an achievable goal. It is concluded, however, that unless all stakeholders globally and within individual countries will demonstrate a real commitment to translate policy statements into actions, it is unlikely that the goal will be reached. A substantial increase in the resources for reproductive health care services is needed, and the human resource crises in the health care systems must be urgently addressed. Epidemiologists have an important role to play by designing randomized controlled trials for estimating the effect of different health care systems interventions aimed at reducing maternal mortality and other major health problems in low resource settings. The public health importance of such trials may be greater than the potential benefit of randomized trials for investigating effects of new vaccines and drugs. Within the field of perinatal epidemiology the disparity in public health importance of research conducted in the rich versus the poor world is glaring. Time is overdue for perinatal epidemiologists to turn their attention to the areas of the world where the maternal and perinatal health problems are overwhelming.

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