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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.
This study examines in detail the problems of mother and child health on an international scale, with particular emphasis on tropical and developing countries.
The need to improve maternal and child health care may be the most important global health need of the remaining years of the twentieth century. It is central to the World Health Organization's (WHO) goal of Health for All by the Year 2000. The vast majority of births occur in developing countries, where maternity care is often rudimentary. The rates of maternal and infant morbidity and death for these countries are extremely high but much of the morbidity and death is preventable, even with the limited resources available for health care in many parts of the world. The resources devoted to maternal and child care should be greatly expanded, but even the most hopeful projections will leave a wide gap between human needs and available services. WHO estimates that two billion deliveries in the remaining two decades of this century will not be attended by a trained person. At a minimum, it is probable that two million of these women will die in childbirth. There were approximately 130 million births in the world in 1980.
Our current era of globalization, war, and socioeconomic unrest has revealed public health as a worldwide concern and a major frontier for social justice with maternal and child health at its epicenter. Yet, there has been a relative scarcity of training resources specifically dedicated to this crucial area. "Maternal and Child Health: Global Challenges, Programs, and Policies" addresses this gap in current knowledge by analyzing the range of socioeconomic and environmental factors, health care disparities, politics, policies, and cultural practices that impact the health and safety of mothers, as well as the well-being and optimum development of their children. Individual sections focus on unequal distribution of the world’s resources, politics and power, specific disease concerns, programs, policies and emerging concerns with a focus on what is currently being done, and what needs to be done to improve the health status of women, children, and adolescents. The book’s contributors are some of the world’s most respected experts, carefully selected to represent different global geographic regions and diverse professional disciplines related to maternal and child health from both academic and field practice perspectives. Among the topics in this authoritative volume: The impact of war, globalization, gender inequity, and harmful traditional practices (e.g., female genital mutilation). Specific health concerns, including tuberculosis, malaria, HIV, and malnutrition. Child and adolescent health issues, from abuse and neglect to children in difficult circumstances. Pregnancy-related issues: safety, abortion and post-abortion care, teen pregnancy, and more. Strategies for planning, developing, and maintaining maternal and child health systems in developing countries. The status of global initiatives, such as Integrated Management of Childhood Illnesses and the Millennium Development Goals. The status of evidence-based maternal and child health in the developing world. With such a wealth of information on both practical and conceptual levels, "Maternal and Child Health: Global Challenges, Programs, and Policies" is as relevant to students and researchers in the field as it is to policy makers and those working for global health and development organizations. It also makes an excellent stand-alone text for courses in global health in general and global maternal and child health in particular.
As women's labor force participation has risen around the globe, scholarly and policy discourse on the ramifications of this employment growth has intensified. This book explores the links between maternal employment and child health using an international perspective that is grounded in economic theory and rigorous empirical methods. Women's labor-market activity affects child health largely because their paid work raises household income, which strengthens families' abilities to finance healthcare needs and nutritious food; however, time away from children could counteract some of the benefits of higher socioeconomic status that spring from maternal employment. New evidence based on data from nine South and Southeast Asian countries illuminates the potential tradeoff between the benefits and challenges families contend with in the face of women's labor-market activity. This book provides new, original evidence on links between maternal employment and children's health using data associated with three indicators of children's nutritional status: birth size, stunting, and wasting. Results support the implementation and enforcement of policy interventions that bolster women's advancement in the labor market and reduce undernutrition among children. Scholars, students, policymakers and all those with an interest in nutritional science, gender, economics of the family, or development economies will find the methodology and original results expounded here both useful and informative.
After an overview of women's health, including issues such as poverty, family planning programmes, and urbanization, this comprehensive volume features over 70 essays by doctors, health-care practitioners and policy-makers writing on sexual and reproductive health; maternal and child health and adolescent health. Bibliography; tables; graphs.