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Related Concept Videos

Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Infertility in Females01:28

Infertility in Females

Female infertility is defined as the inability to conceive after a year of regular, unprotected intercourse and affects about 10–15% of couples worldwide. The primary cause of female infertility is ovulatory disorders, which hinder the release of eggs. These disorders can be classified as hypothalamic amenorrhea, polycystic ovarian syndrome (PCOS), premature ovarian failure, and hyperprolactinemic anovulation disorders.
Endometriosis, a condition characterized by abnormal growth of endometrial...
Fetal Circulation01:14

Fetal Circulation

Fetal circulation is a unique system that facilitates the exchange of gases, nutrients, and waste products between the developing fetus and the mother. This intricate process takes place through a special organ called the placenta.
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
Development of the Oral Microbiota01:28

Development of the Oral Microbiota

The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...
Introduction To Health Care Delivery System01:18

Introduction To Health Care Delivery System

The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
Primary Healthcare Services01:30

Primary Healthcare Services

Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...

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A Point-of-Care Method with Integrated Decision Support Tool to Estimate Anemia at Population Level
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A Point-of-Care Method with Integrated Decision Support Tool to Estimate Anemia at Population Level

Published on: January 19, 2024

Addressing the sluggish progress in reducing maternal mortality in India.

Rajesh Kumar Rai1, Theodore Herzl Tulchinsky2

  • 1Braun School of Public Health and Community Medicine, Hebrew University-Hadassah, Jerusalem, Israel rajesh.iips28@gmail.com.

Asia-Pacific Journal of Public Health
|February 7, 2012
PubMed
Summary

India

Keywords:
IndiaMillennium Development Goalsmaternal mortalityprimary caresample registration system

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Area of Science:

  • Public Health
  • Maternal Health
  • Health Policy

Background:

  • India's progress towards the Fifth Millennium Development Goal (MDG5) for maternal mortality reduction by 2015 is lagging.
  • Previous national policies (2000, 2002) failed to significantly reduce the maternal mortality ratio (MMR).
  • The National Rural Health Mission (NRHM) was launched in 2005 to address these challenges.

Purpose of the Study:

  • To analyze the achievements and persistent challenges in India's maternal health progress.
  • To identify critical areas for improving maternal health outcomes.
  • To inform strategies for achieving the MDG target.

Main Methods:

  • Commentary based on analysis of existing data and policy evaluations.
  • Review of progress and identified hurdles in maternal health.
  • Assessment of the impact of national health initiatives.

Main Results:

  • Despite some advancements, the MDG5 target for MMR reduction remains largely unattainable.
  • The NRHM has shown some progress but faces significant implementation hurdles.
  • Maternal nutrition, health education, and emergency obstetric care require greater focus.

Conclusions:

  • Prioritizing maternal nutrition, health education, and emergency obstetric care is crucial.
  • Increased resources for adolescents, the poor, and rural women are vital.
  • Strategic shifts are necessary to enhance maternal health and meet the MDG target.