Impact of Utilization of Reproductive Health Services on Child Survival in Nepal
Author | : Matrika Chapagain |
Publisher | : |
Total Pages | : 142 |
Release | : 1999 |
Genre | : |
ISBN | : 9789746629683 |
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Author | : Matrika Chapagain |
Publisher | : |
Total Pages | : 142 |
Release | : 1999 |
Genre | : |
ISBN | : 9789746629683 |
Author | : Robert Black |
Publisher | : World Bank Publications |
Total Pages | : 419 |
Release | : 2016-04-11 |
Genre | : Medical |
ISBN | : 1464803684 |
The evaluation of reproductive, maternal, newborn, and child health (RMNCH) by the Disease Control Priorities, Third Edition (DCP3) focuses on maternal conditions, childhood illness, and malnutrition. Specifically, the chapters address acute illness and undernutrition in children, principally under age 5. It also covers maternal mortality, morbidity, stillbirth, and influences to pregnancy and pre-pregnancy. Volume 3 focuses on developments since the publication of DCP2 and will also include the transition to older childhood, in particular, the overlap and commonality with the child development volume. The DCP3 evaluation of these conditions produced three key findings: 1. There is significant difficulty in measuring the burden of key conditions such as unintended pregnancy, unsafe abortion, nonsexually transmitted infections, infertility, and violence against women. 2. Investments in the continuum of care can have significant returns for improved and equitable access, health, poverty, and health systems. 3. There is a large difference in how RMNCH conditions affect different income groups; investments in RMNCH can lessen the disparity in terms of both health and financial risk.
Author | : Brian Chin |
Publisher | : |
Total Pages | : 0 |
Release | : 2007 |
Genre | : |
ISBN | : |
Rationale: High child mortality and morbidity in developing countries are highly associated with limited access to and poor quality of health care. Utilization of health services for children plays an important role towards achieving the Millennium Development Goal in the reduction of child mortality. In Nepal, several studies reveal disparities in child health outcomes across socio-economic levels and regions of the country. Health inequalities found in the relationship between socio-demographic determinants and the utilization of child health services has not been under rigorous examination. Objectives: The primary goal of the study is to examine empirical evidence of the socio-demographic determinants of child health services utilization, such as geographical access, household income, and mother's age and education level. Methodology: Using 1996 and 2001 Nepal Demographic and Health Survey (NDHS) data, both cross-sectional and fixed-effects logit models are used to analyze the effect of the determinants health services utilization for children suffering from diarrhea and/or respiratory illness. Results: Results show inequalities in child health utilization by sex of the child, maternal education, and across household income quintiles. Overall, health use increased over time and income; however, a smaller increase is observed for the top two income quintiles. Male health service utilization improved over time across all income groups; female health use also improved with the exception of the top quintile. Conclusions: In order to improve child survival, it is important to understand the determinants of healthcare use so that appropriate policies can be developed to maximize health services utilization. This study undertakes such an analysis to understand determinants of health services utilization for children in Nepal. This study demonstrates that sex of the child, household income, mother's education, partner's employment, and distance to health provider play a role in determining health services utilization for children under-5 years in Nepal. An important health equity implication of the association is the design of health policies and programs that reach children most at risk by increasing coverage to ensure including or targeting programs towards them. The analysis highlights the usefulness of the NDHS 1996 and 2001 data as tools to conduct health services research, and in developing policies to address health inequalities and improve access to underutilized health services.
Author | : Ambarish Kumar Rai |
Publisher | : LAP Lambert Academic Publishing |
Total Pages | : 116 |
Release | : 2014-04-25 |
Genre | : |
ISBN | : 9783659533914 |
In the adolescent, pregnancy and childbirth are the leading causes of maternal death due to the early childbearing in developing countries. Adolescents in Nepal have been hit hard by problems occurring during this period and the situation is mostly because many had lack of adequate knowledge & understanding of the reproductive process. Access to health services in Nepal is also limited due to remote mountainous areas, poor infrastructure, lack of sufficient and qualified health personnel, and socio-cultural. The book made an effort to identify most prominent variables of adolescent (15-19 yrs.) that played the significant role for poor performance in utilization of MCH services over the country, and also tried to analyse how the role of variables changed over time as they become more aware, more educated and more exposed towards their own reproductive rights. Since the death rate in this age group is relatively low the adolescents are considered to be healthy, however, it is a misleading measure of adolescent health. This is the foremost reason to study about the health seeking behaviour of this age group and their behaviour approach regarding health seeking.
Author | : Working Group on the Health Consequences of Contraceptive Use and Controlled Fertility |
Publisher | : |
Total Pages | : 0 |
Release | : 1989 |
Genre | : |
ISBN | : |
Se estudian las consecuencias sanitarias de los diferentes patrones reproductivos en la salud de la mujer y de los niños. Tambien se evaluan el riesgo y los beneficios de los diferentes metodos anticonceptivos, aunque algunos de los datos en los que se basa son de paises desarrollados, el nucleo central del informe son los paises en desarrollo.
Author | : Sameh El-Saharty |
Publisher | : World Bank Publications |
Total Pages | : 205 |
Release | : 2016-11-29 |
Genre | : Business & Economics |
ISBN | : 146480964X |
South Asia Region (SAR) has decreased maternal mortality ratio (MMR) by 65 percent between 1990 and 2013, which was the greatest progress among all world regions. Such achievement implores the question, What made SAR stand out against what is predicted by standard socioeconomic outcomes? Improving Maternal and Reproductive Health in South Asia: Drivers and Enablers identifies the interventions and factors that contributed to reducing MMR and improving maternal and reproductive health (MRH) outcomes in SAR. In this study, the analytical framework assumes that improving MRH outcomes is influenced by a multitude of forces from within and outside the health system and considers factors at the household and community levels, as well as interventions in other sectors and factors in the enabling environment. The analysis is based on a structured literature review of the interventions in SAR countries, relevant international experience, and review of the best available evidence from systematic reviews. The focus of the analysis is mainly on assessing the effectiveness of interventions. The findings from this study indicate that the most effective interventions that prevent maternal mortality are those that address the intra-partum stage - the point where most maternal deaths occur - and include improving skilled birth attendance coverage, increasing institutional delivery rates, and scaling up access to emergency obstetric care. There is also adequate evidence that investing in family planning to increase contraceptive use also played a key role during the inter-partum phase by preventing unwanted pregnancies and thus averting the risk of maternal mortality in SAR countries. Outside the programmatic interventions, the levels of household income, women’s education, and completion of secondary education of girls were also strongly correlated with improved MRH outcomes. Also, there is strong evidence that health financing schemes - both demand and supply side - and conditional cash transfer programs were effective in increasing the uptake of MRH services. The study points out to many other interventions with different degrees of effectiveness. The study also identified four major reasons for why SAR achieved this progress in MMR reduction. The best practices and evidence of what works synthesized in this study provide an important way forward for low- and middle-income countries toward achieving the health-related Sustainable Development Goals.
Author | : |
Publisher | : |
Total Pages | : 170 |
Release | : 2005 |
Genre | : Reproductive health |
ISBN | : |
Proceedings of the Policy Dialogue on Reproductive Health and Rights, held at Kathmandu on 11th July 2003.
Author | : Institute of Medicine |
Publisher | : National Academies Press |
Total Pages | : 270 |
Release | : 2003-10-27 |
Genre | : Medical |
ISBN | : 0309166837 |
Each year more than 4 million children are born with birth defects. This book highlights the unprecedented opportunity to improve the lives of children and families in developing countries by preventing some birth defects and reducing the consequences of others. A number of developing countries with more comprehensive health care systems are making significant progress in the prevention and care of birth defects. In many other developing countries, however, policymakers have limited knowledge of the negative impact of birth defects and are largely unaware of the affordable and effective interventions available to reduce the impact of certain conditions. Reducing Birth Defects: Meeting the Challenge in the Developing World includes descriptions of successful programs and presents a plan of action to address critical gaps in the understanding, prevention, and treatment of birth defects in developing countries. This study also recommends capacity building, priority research, and institutional and global efforts to reduce the incidence and impact of birth defects in developing countries.
Author | : UNICEF. |
Publisher | : UNICEF |
Total Pages | : 168 |
Release | : 2008 |
Genre | : Business & Economics |
ISBN | : 9280643185 |
Having a child remains one of the biggest health risks for women worldwide. Fifteen hundred women die every day while giving birth. That's a half a million mothers every year. UNICEF's flagship publication, The State of the World's Children 2009, addresses maternal mortality, one of the most intractable problems for development work.The difference in pregnancy risk between women in developing countries and their peers in the industrialised world is often termed the greatest health divide in the world. A woman in Niger has a one in seven chance of dying during the course of her lifetime from complications during pregnancy or delivery. That's in stark contrast to the risk for mothers in America, where it's one in 4,800 or in Ireland, where it's just one in 48,000. Addressing that gap is a multidisciplinary challenge, requiring an emphasis on education, human resources, community involvement and social equality. At a minimum, women must be guaranteed antenatal care, skilled birth attendants and emergency obstetrics, and postpartum care. These essential interventions will only be guaranteed within the context of improved education and the abolition of discrimination.
Author | : Donald A. P. Bundy |
Publisher | : World Bank Publications |
Total Pages | : 977 |
Release | : 2017-11-20 |
Genre | : Medical |
ISBN | : 1464804397 |
More children born today will survive to adulthood than at any time in history. It is now time to emphasize health and development in middle childhood and adolescence--developmental phases that are critical to health in adulthood and the next generation. Child and Adolescent Health and Development explores the benefits that accrue from sustained and targeted interventions across the first two decades of life. The volume outlines the investment case for effective, costed, and scalable interventions for low-resource settings, emphasizing the cross-sectoral role of education. This evidence base can guide policy makers in prioritizing actions to promote survival, health, cognition, and physical growth throughout childhood and adolescence.