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Reproductive Health Approach To Family Planning, Population Council Jan 1994

Reproductive Health Approach To Family Planning, Population Council

Reproductive Health

This report collects presentations from a panel held on Professional Development Day at the USAID Cooperating Agencies meeting in November 1994. The panel was designed to review key reproductive health elements that relate to family planning, including: reproductive tract and sexually transmitted infections, including AIDS; the prevention and treatment of unsafe abortion; pregnancy, labor, and delivery care; and postpartum care. While there is increasing international consensus that family planning should be broadened to include reproductive health care, it is far from clear as to how this should be done, and which elements should be incorporated. This panel explored some of …

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Factors That Contribute To The Varying Performance Of Bspos And Bhws In The Delivery Of Family Planning Services In Iloilo City, Fely David, Fely Chin Jan 1994

Factors That Contribute To The Varying Performance Of Bspos And Bhws In The Delivery Of Family Planning Services In Iloilo City, Fely David, Fely Chin

Reproductive Health

In 1992, the Population Council established the Family Planning Operations Research and Training (FPORT) Program in the Philippines. It brought together program managers and regional researchers to identify problem areas that might benefit from operations research. From Western Visayas (Region VI), the City Population Office (CPO) of Iloilo City in collaboration with the Social Science Research Institute of the Central Philippine University, identified a problem concerning the poor performance of volunteer family planning (FP) workers and undertook to study it. The study focused on the Barangay Service Point Officers (BSPOs) who assist in the delivery of FP services under the …

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Planning Services In Iloilo City: A Diagnostic Study Of The Implementation Of The Department Of Health Training Courses For Family Planning Providers In Region Ii And Cordillera Administrative Region, Steven Rood, Marcelo Raquepo, Mary Ann Ladia Jan 1994

Planning Services In Iloilo City: A Diagnostic Study Of The Implementation Of The Department Of Health Training Courses For Family Planning Providers In Region Ii And Cordillera Administrative Region, Steven Rood, Marcelo Raquepo, Mary Ann Ladia

Reproductive Health

This research project is one of several being undertaken in the Philippines under the Family Planning Operations Research and Training (FPORT) Program of the Department of Health (DOH) and the Population Council. The general aim of FPORT is to train researchers to provide information to family planning (FP) practitioners that will be of value in the operation of FP programs. It was decided that researchers in northern Luzon would focus on FP trainings undertaken by the Department of Health. Several meetings among researchers and health personnel were held to shape research questions that would be of use to the DOH …

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Factors Affecting The Family Planning Program Drop-Out Rate In Bukidnon, Philippines, Lita Sealza Jan 1994

Factors Affecting The Family Planning Program Drop-Out Rate In Bukidnon, Philippines, Lita Sealza

Reproductive Health

This study has involved interviews with a randomly selected sample of 389 family planning (FP) acceptors from 20 barangays in Bukidnon province, Philippines. Respondents were currently married women who had either continued to use family planning (FP) since their initial acceptance (current users) or who had stopped using FP altogether (dropouts). Findings from the present study are expected to shed light on several aspects of the dropout problem, namely: How extensive is this problem and how accurate are the DOH records in this regard? How do FP acceptors view their local FP clinic and the services offered? What reasons are …

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Family Planning Studies In The Philippines: A Review And Synthesis, Virginia Miralao Jan 1994

Family Planning Studies In The Philippines: A Review And Synthesis, Virginia Miralao

Reproductive Health

This report, which summarizes the major study findings on population and family planning (FP) trends in the Philippines, was prepared for the Research Unit of the Family Planning Services (FPS) of the Department of Health (DOH). It was used by the FPS in its National Consultative Planning Workshop in early 1994 to formulate plans for the Philippine Family Planning Program for 1994–1995. Workshop participants included DOH Regional Family Planning Coordinators, representatives of local government offices engaged in population and health activities, and local NGOs and women's groups. The report alerted participants to population and FP issues and trends that could …

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A Diagnostic Study Of The Implementation Of Department Of Health Volunteer Workers Program, Marlina Lacuesta, Segundina Sarangani, Napoleon Amoyen Jan 1994

A Diagnostic Study Of The Implementation Of Department Of Health Volunteer Workers Program, Marlina Lacuesta, Segundina Sarangani, Napoleon Amoyen

Reproductive Health

This report presents findings from a 1993 survey of 200 Barangay Health Workers (BHWs) from two Davao provinces and two Lanao Provinces in the Philippines. Premised on the belief that the BHWs are important in improving the delivery of health and family planning (FP) services in the countryside, the study examined the factors that affect the performance of these health workers. The study is basically descriptive in nature, with the view to diagnosing problems in the implementation and functioning of the program and suggesting appropriate solutions. The survey method was utilized as a main data collection tool. Beside the survey …

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National Research Utilization Conference, September 1994, Family Planning Operations Reserach And Training (Fport) Program Jan 1994

National Research Utilization Conference, September 1994, Family Planning Operations Reserach And Training (Fport) Program

Reproductive Health

The National Research Utilization Conference, held in Manila September 20, 1994, was the third conference convened by the Population Council's Family Planning Operations Research and Training (FPORT) Program in collaboration with the Department of Health. The FPORT program is being conducted under the Population Council's Asia and Near East Operations Research and Technical Assistance Project. This conference is the culmination of activities that started in October 1992 with a workshop on Introduction to Operations Research in Family Planning. The conference disseminated the results of five OR studies, discussed and evaluated policy and program implications, contributed to the legitimation of OR …

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Provider Training And Long-Term Client Outcomes: The Csi Experience, Social Planning, Analysis & Administration Consultants (Spaac) Jan 1994

Provider Training And Long-Term Client Outcomes: The Csi Experience, Social Planning, Analysis & Administration Consultants (Spaac)

Reproductive Health

The present study examined the impact of the Clinical Services Improvement (CSI) Project's provider training program on clients' long-term satisfaction and method use. A sample of 154 clients who received a family planning (FP) method in one of 30 CSI clinics were followed up over a period of 19 months through a series of home interviews. The interviews monitored clients' use of the FP method received at the clinic as well as their satisfaction with that method and the services at CSI. Results of the present study show that provider training on counseling and interpersonal communication has a positive impact …

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The Development Of Microbicides: A New Method Of Hiv Prevention For Women, Christopher J. Elias, Lori L. Heise Jan 1993

The Development Of Microbicides: A New Method Of Hiv Prevention For Women, Christopher J. Elias, Lori L. Heise

HIV and AIDS

A critical review of current epidemiological trends and social science research demonstrates that there is an urgent need for expanding the range of female-controlled HIV prevention methods. Existing efforts to control the spread of HIV infection primarily through the encouragement of a reduction in the number of sexual partners, widespread condom promotion, and the control of other sexually transmitted infections are inadequate for many of the world's women. Underlying gender power inequities severely limit the ability of many women to protect themselves from HIV infection, especially in the absence of a prevention technology they can use, when necessary, without their …

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Community-Based Aids Prevention And Care In Africa: Workshop Report, Andrea Eschen Jan 1993

Community-Based Aids Prevention And Care In Africa: Workshop Report, Andrea Eschen

HIV and AIDS

Representatives from community-based AIDS prevention and care programs in five sub-Saharan African countries spoke about their programs’ strengths, shortcomings, and hopes for the future at a meeting organized by the Population Council that took place on June 5, 1993, in Berlin just prior to the IXth International Conference on AIDS. Participants’ experiences and insights demonstrated the ingenuity and imagination that communities have generated to prevent the spread of HIV and AIDS and how they have taken action where government activities have fallen short. The workshop brought representatives of these programs together with staff of governmental and nongovernmental organizations, funding institutions, …

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Gente Joven/Young People: A Dialogue On Sexuality With Adolescents In Mexico, Magaly Marques, John M. Paxman, Judith Bruce Jan 1993

Gente Joven/Young People: A Dialogue On Sexuality With Adolescents In Mexico, Magaly Marques, John M. Paxman, Judith Bruce

Poverty, Gender, and Youth

This issue of Quality/Calidad/Qualité describes the experience of one adolescent sexuality program, Gente Joven in Mexico. Gente Joven began by acknowledging reality: that the problems related to teenage sexuality will not go away simply by denying their existence. Along the way Gente Joven learned, and is continuing to learn, many lessons about how to build a successful program for adolescents. Here they share their experiences and the Afterword explores in greater depth one particular issue that Gente Joven has identified as its next major challenge: re-examining their work with young people from a gender perspective.

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Findings From Two Decades Of Family Planning Research, John A. Ross, Elizabeth Frankenberg Jan 1993

Findings From Two Decades Of Family Planning Research, John A. Ross, Elizabeth Frankenberg

Poverty, Gender, and Youth

This book presents a selection of empirical conclusions, or findings, from the body of family planning research that has accumulated over the last two decades. Twelve topics of current interest are reviewed, as a sequel to three similar publications issued in 1971, 1972, and 1974. A findings document compresses what has been learned into straightforward declarative statements, giving summary evidence to support each statement. In cases where a conclusion is well founded, with extensive supporting evidence, only illustrative or summary references are needed. In other cases, citations are required for individual studies. Generalizations that are unsupported or too ambiguous to …

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Family Planning And Population: A Compendium Of International Statistics, John A. Ross, W. Parker Mauldin, Vincent C. Miller Jan 1993

Family Planning And Population: A Compendium Of International Statistics, John A. Ross, W. Parker Mauldin, Vincent C. Miller

Poverty, Gender, and Youth

This volume provides statistics on all large-scale family planning (FP) programs in the developing world, together with selected demographic and socioeconomic statistics. Time trends are given for some indicators, and data are arranged for comparative analysis across countries. Where available, time trends go back to the mid-1980s. This volume’s predecessor, published in 1992, should be consulted for earlier demographic and socioeconomic data, and for tables on maternal and child health indicators that are not repeated here. The data on FP programs come from a series of three questionnaires sent since 1987 to 100 developing countries, which have generally been kept …

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Fertility, Family Size, And Structure: Consequences For Families And Children, Cynthia B. Lloyd Jan 1993

Fertility, Family Size, And Structure: Consequences For Families And Children, Cynthia B. Lloyd

Poverty, Gender, and Youth

In 1989 the Population Council began a research project on the consequences of high fertility at the family level and its implications for the next generation. Since its inception, the project has been supported by Swedish SIDA and has involved the collaboration of researchers from selected developing countries. In countries where there has been limited research on this topic, such as India, Mali, Nigeria, Pakistan, and Senegal, the Population Council provided funding for new studies or for analysis of existing data with the potential for producing insights on this topic. In instances where relevant research was already underway, the Council …

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Wasteland Development And The Empowerment Of Women: The Sarthi Experience, Madhu Sarin Jan 1993

Wasteland Development And The Empowerment Of Women: The Sarthi Experience, Madhu Sarin

Poverty, Gender, and Youth

This issue of SEEDS describes an innovative approach to rehabilitation of wastelands developed by Social Action for Rural and Tribal Inhabitants of India (SARTHI), a nongovernmental organization based in the Panchmahals District of Gujarat State in Western India. By assisting rural women to organize themselves around the rehabilitation of patches of degraded common land, SARTHI has been able to help them not only meet their needs for biomass in a more efficient and ecologically sound manner, but also to empower them to start asserting themselves in dealing with a broader range of problems. As primary gatherers and users of biomass, …

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Rethinking Postpartum Health Care, Martha Brady, Beverly Winikoff Jan 1993

Rethinking Postpartum Health Care, Martha Brady, Beverly Winikoff

Reproductive Health

These proceedings come from papers and discussions as part of the Population Council invitational seminar entited "Rethinking Postpartum Health Care," in 1992. The seminar on postpartum reproductive health was the fifth in a series of seminars convened by the Population Council as part of its Robert H. Ebert Program on Critical Issues in Reproductive Health and Population. The program focuses on four topics: 1) improving and devising new approaches to postpartum care; 2) improving the quality of care in family planning and reproductive health services; 3) managing unwanted pregnancy and preventing the consequences of unsafe abortion; and 4) bringing attention …

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Employment-Based Family Planning Services, Placide Tapsoba, Ian Askew, J. Tunde Taylor Thomas, Sering Falu Njie, Momodou Jasseh Jan 1993

Employment-Based Family Planning Services, Placide Tapsoba, Ian Askew, J. Tunde Taylor Thomas, Sering Falu Njie, Momodou Jasseh

Reproductive Health

Although The Gambia Family Planning Association (GFPA) has always been interested in promoting contraceptive use in the Greater Banjul Area (GBA), insufficient funds and the need to prioritize program expansion in rural areas hindered this. The GFPA operates two clinics in GBA, open to few workers. The government has three Family Planning and Maternal and Child Health clinics in Banjul, also used by few workers. Factory managers, trade union leaders, and the GFPA believe that a well-organized family planning (FP) education and service delivery program could benefit employees and employers. This operations research study tested the feasibility of a work-based …

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The 1992 Indonesia Norplant® Use-Dynamics Diagnostic Study, Dinan S. Bratakoesoema, Abdul Rodjak, Sulaiman Sastrawinata, Faisal R. Djamal, Hafni Bachtiar, Dr. Masrul, Nadra B. Azwar Jan 1993

The 1992 Indonesia Norplant® Use-Dynamics Diagnostic Study, Dinan S. Bratakoesoema, Abdul Rodjak, Sulaiman Sastrawinata, Faisal R. Djamal, Hafni Bachtiar, Dr. Masrul, Nadra B. Azwar

Reproductive Health

Although the Indonesian Norplant® program is unique in terms of scale and pace of expansion, it also characterizes many of the operational problems that other developing countries are likely to confront as they expand their Norplant programs. Many of the concerns—such as screening and counseling, use-effectiveness, removal on demand, and tracking and notification systems for five-year removal—can only be answered through research on the Indonesian program. As this report states, operations research on issues related to Norplant within the Indonesian program will be of direct relevance to the growing number of Norplant programs in other developing countries. While the Indonesian …

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The Intelligibility Of Japanese Speakers Of English To Native Speakers Of English, Manabu Aoki Jan 1993

The Intelligibility Of Japanese Speakers Of English To Native Speakers Of English, Manabu Aoki

All Master's Theses

This research was conducted to identify the most important English speech sounds which determine non-native English speakers' intelligibility to native speakers of English. The researcher focused on variation of pronunciation by Japanese English speakers of differing levels of proficiency and examined the correlation between their pronunciation and intelligibility to native speakers. The results provided some keys to intelligible English speech and some implications for developing comprehensible speech in teaching English as a second language or English as a foreign language.

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The Copper T 380 Intrauterine Device: A Summary Of Scientific Data, Irving Sivin, Forrest Greenslade, Frederick H. Schmidt, Sandra N. Waldman Jan 1992

The Copper T 380 Intrauterine Device: A Summary Of Scientific Data, Irving Sivin, Forrest Greenslade, Frederick H. Schmidt, Sandra N. Waldman

Clinical Research

Intrauterine devices are the most widely used of all reversible contraceptive methods worldwide. Modern IUDs are among the most effective and long-acting methods of family planning and are acceptable options for many women. This monograph presents highlights of the clinical performance of the Copper T 380 over eight years, including the latest data on effectiveness, expulsions, and continuation rates. It incorporates data from Population Council and World Health Organization studies, and work by scientists at Family Health International and in several countries. Clinical studies of the three models of the Copper T 380 have provided substantial evidence of the safety, …

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Family Planning And Child Survival Programs As Assessed In 1991, John A. Ross, W. Parker Mauldin, Steven R. Green, E. Romana Cooke Jan 1992

Family Planning And Child Survival Programs As Assessed In 1991, John A. Ross, W. Parker Mauldin, Steven R. Green, E. Romana Cooke

Poverty, Gender, and Youth

This volume continues a tradition initiated at the Population Council nearly 25 years ago when the first edition of “Population and Family Planning Programs” was issued. That factbook began a series of 12 editions produced through 1993. The data in that series were consolidated and updated in another publication, and the present volume is now issued, based partly upon a 1989 questionnaire inquiry to over 100 developing countries. A range of maternal and child survival data were added to the family planning information. The relationships among fertility behavior, infant and child mortality, and maternal health are closely interwoven; moreover, many …

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By And For Women: Involving Women In The Development Of Reproductive Health Care Materials, Valerie J. Hull, Barbara L. Ibrahim, Nadia Farah, Blanca Figueroa, Margaret Winn Jan 1992

By And For Women: Involving Women In The Development Of Reproductive Health Care Materials, Valerie J. Hull, Barbara L. Ibrahim, Nadia Farah, Blanca Figueroa, Margaret Winn

Poverty, Gender, and Youth

The studies in this issue of Quality/Calidad/Qualité describe three efforts to involve women in the development of reproductive health care materials in different settings in the developing world. In Cairo, a women's health collective produced a comprehensive reference book for women; in Peru, a woman's group, with the extensive involvement of their nonliterate audience, developed a series of illustrated teaching materials; and in the South Pacific, an all-woman production crew produced three motivation and teaching videos developed in response to the expressed needs of Pacific Island women. Despite contrasts in the characteristics of the intended audiences, the development process, and …

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Breaking New Ground: Reaching Out To Women Farmers In Western Zambia, Janice Jiggins, Paul Maimbo, Mary Masona Jan 1992

Breaking New Ground: Reaching Out To Women Farmers In Western Zambia, Janice Jiggins, Paul Maimbo, Mary Masona

Poverty, Gender, and Youth

Over the last few decades, small-scale projects have been developed throughout Africa to help incorporate women farmers into the mainstream of agricultural extension services. This edition of SEEDS presents an interesting example from Zambia's Western Province—the Women's Extension Program, located within the Home Economics Section of the Department of Agriculture. This program is working to change a government agricultural bureaucracy from within by redefining mandates, encouraging attitude change through staff training, broadening village-level opportunities and perceptions, and widening technical and economic research agendas. The program’s experience emphasizes the importance of using a variety of approaches in order to effectively reach …

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Norplant® Use-Dynamics Diagnostic Study, 1991, Heru Kasidi, Peter C. Miller Jan 1992

Norplant® Use-Dynamics Diagnostic Study, 1991, Heru Kasidi, Peter C. Miller

Reproductive Health

After five years of national programmatic use of Norplant® contraceptive implants, in 1992 the National Population and Family Planning Board (BKKBN) plans to implement a follow-up Use-Dynamics Study of implant users in West Java and West Sumatra Provinces, Indonesia. A Diagnostic Study was implemented in 1991 to prepare for that study prior to final approval, and to get some early insights into implant program operations in advance of final results from the main study. This report is a summary of findings from the Diagnostic Study. The Diagnostic Study had two broad objectives: to obtain information to guide development of the …

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Prevention Of Morbidity And Mortality From Induced And Unsafe Abortion In Nigeria, Friday E. Okonofua, Toun Ilumoka Jan 1991

Prevention Of Morbidity And Mortality From Induced And Unsafe Abortion In Nigeria, Friday E. Okonofua, Toun Ilumoka

Reproductive Health

These proceedings are from a seminar organized by the Department of Obstetrics, Gynaecology, and Perinatology, Obafemi Awolowo University, Ile-Ife (Nigeria) in collaboration with the Population Council. The primary purpose of the multidisciplinary seminar was to identify the determinants of the high rate of mortality and morbidity from unsafe abortion in Nigeria. The specific objectives were: 1) to identify measures that could be undertaken on a short- and long-term basis to reduce the rate of abortion-related mortality, and 2) to set an agenda for research into abortion in Nigeria. The seminar consisted of oral presentations on related topics by researchers and …

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The Bangladesh Women's Health Coalition, Bonnie J. Kay, Adrienne Germain, Maggie Bangser Jan 1991

The Bangladesh Women's Health Coalition, Bonnie J. Kay, Adrienne Germain, Maggie Bangser

Poverty, Gender, and Youth

The Bangladesh Women's Health Coalition (BWHC) represents an important initiative in the movement toward more responsive modes of family planning delivery. In the context of a society where there are strict limits on the social role and physical mobility of most girls and women, BWHC has set itself the ambitious goal of enabling women—no matter what their income or education—to learn how to manage their own reproductive health and the health of their children in a way that enhances their sense of strength and competence. One of the real strengths of BWHC has been its willingness to learn from experience …

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Child Care: Meeting The Needs Of Working Mothers And Their Children, Caroline Arnold, Jorge Mejia, Aster Haregot, Ann Leonard, Cassie Landers Jan 1991

Child Care: Meeting The Needs Of Working Mothers And Their Children, Caroline Arnold, Jorge Mejia, Aster Haregot, Ann Leonard, Cassie Landers

Poverty, Gender, and Youth

This issue of SEEDS, developed in cooperation with the Consultative Group on Early Childhood Care and Development, with support from UNICEF, seeks to bring together the critical elements of women's work and child care, reviewing the issues from three different perspectives: child care as a means of enabling women to work, as a source of employment for women, and as a way of meeting the developmental needs of young children. The report examines three different UNICEF-supported approaches to child care on three different continents—Asia (Nepal), Africa (Ethiopia), and South America (Ecuador)—that have been developed with the needs of working women …

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Handbook For Family Planning Operations Research Design, Andrew A. Fisher, John E. Laing, John E. Stoeckel, John Townsend Jan 1991

Handbook For Family Planning Operations Research Design, Andrew A. Fisher, John E. Laing, John E. Stoeckel, John Townsend

Reproductive Health

The Handbook for Family Planning Operations Research Design, first published in English by the Population Council in 1983, was based on field research studies in Asia. This second edition contains revised and expanded sections. Where appropriate, examples from Latin America and Africa have been added. The introductory section contains a current statement on the process of health and family planning operations research (OR). New chapters have been included on selecting an appropriate intervention to test in an OR study, and on describing the main elements of the study intervention. The chapter on information dissemination has been expanded and a new …

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Maternal Risk, Beverly Winikoff Jan 1991

Maternal Risk, Beverly Winikoff

Reproductive Health

This presentation to the 1991 Berzelius Symposium, Stockholm, Sweden, explores the issue of maternal risk—the probability or chance of dying or being seriously injured in pregnancy—as it is used in maternal health care. This concept of risk has been a useful tool for research and medical and epidemiological education, but its use as a tool for service delivery design has been more problematic. In order to construct a risk system, one has to have reliable data on the relationships between individual characteristics and the outcome being studied—something that is difficult to develop with regard to maternal health. Furthermore the system …

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Limitations Of Maternal Care To Improve Maternal Health, Beverly Winikoff Jan 1991

Limitations Of Maternal Care To Improve Maternal Health, Beverly Winikoff

Reproductive Health

In a presentation at the 1991 Berzelius Symposium in Sweden, a Population Council researcher described the limitations of healthcare systems, specifically during pregnancy, in terms of their effect on maternal health status. These limitations stem from an inability to improve health because of social conditions—poverty and illiteracy, overwork, inequality in sexual relationships—that cannot be solved by medical interventions. Maternal ill health originates before pregnancy and endures beyond it, whereas the window of contact with women during pregnancy is small. Nevertheless, recent evaluations suggest that the impact of prenatal care is in the caring process more than any specific aspect of …

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