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Women have a greater lifetime risk of dying in pregnancy-related causes in the USA than in 40 other countries. For women of colour the risks are especially high. Despite the huge sums of money spent on the health care system, women continue to face a range of obstacles in obtaining the services they need. This report shows the human cost of these systemic failures and highlights the steps that are urgently needed to move towards a health care system that respects, protects and fulfils the human right to health without discrimination.
This stunning sequel to Brigitte Jordan’s landmark Birth in Four Cultures brings together the work of fifteen reproductive anthropologists to address core cultural values and knowledge systems as revealed in contemporary birth practices in Brazil, Greece, Japan, Mexico, the Netherlands, New Zealand, Tanzania, and the United States. Six ethnographic chapters form the heart of the book, three of which are set up as dyads that compare two countries; each demonstrates the power of anthropology’s cross-cultural comparative method. An additional chapter with ethnographic vignettes gives readers a feel for what fieldwork is really like on the ground. The eminently readable, theoretically rich chapters are enhanced by absorbing stories, photos, quotes, thought questions, and film suggestions that nudge the reader toward eureka flashes of understanding and render the book suitable for undergraduate and graduate audiences alike.
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.
In 2015, building on the advances of the Millennium Development Goals, the United Nations adopted Sustainable Development Goals that include an explicit commitment to achieve universal health coverage by 2030. However, enormous gaps remain between what is achievable in human health and where global health stands today, and progress has been both incomplete and unevenly distributed. In order to meet this goal, a deliberate and comprehensive effort is needed to improve the quality of health care services globally. Crossing the Global Quality Chasm: Improving Health Care Worldwide focuses on one particular shortfall in health care affecting global populations: defects in the quality of care. This study reviews the available evidence on the quality of care worldwide and makes recommendations to improve health care quality globally while expanding access to preventive and therapeutic services, with a focus in low-resource areas. Crossing the Global Quality Chasm emphasizes the organization and delivery of safe and effective care at the patient/provider interface. This study explores issues of access to services and commodities, effectiveness, safety, efficiency, and equity. Focusing on front line service delivery that can directly impact health outcomes for individuals and populations, this book will be an essential guide for key stakeholders, governments, donors, health systems, and others involved in health care.
Describes how nursing professionals can mitigate the maternal health crisis through advocacy and improved practice. This graduate-level nursing text and professional clinical reference is the first to comprehensively address the escalating crisis in U.S. maternal health—our country experiences the highest maternal mortality among developed nations—and provides strategies and roadmaps for improved outcomes. It challenges the current approach to ameliorating the maternal crisis, which embeds maternal care into “child health” and ”women’s health,” and characterizes maternal health as a distinct, contemporary epidemiological crisis in America. At its heart, the book calls for the application of nursing knowledge and skill in advocating for and changing practices. The text examines the social determinants responsible for the crisis, including structural and systemic economic and political forces, declining accessibility to maternal care, and lack of a national effort to improve maternal health. With a strong public focus, the book engages readers through narratives and interactive critical thinking exercises in analyzing the problem and related structural and systemic barriers. It offers guidelines for advocacy and improved practice while fostering creative thinking by which readers can imagine their own solutions. Specific issues addressed include the current status of health care delivery, the public health safety net, practice-policy initiatives, specific sociocultural factors contributing to enhanced risk, myths and impugning attitudes about childbearing women, the life-long impact of maternal health neglect, and the contribution of nursing to advocacy, prevention, and improved practice. Key Features: Synthesizes key data on the maternal health crisis in America focusing on nursing leadership and contributions Underscores the need for a collaborative public health nursing perspective in addressing the maternal health crisis Examines social determinants responsible for the crisis Presents exercises and narratives for advocacy and improved practice Spotlights maternal health as a specific entity Includes learning objectives, expert opinions, key questions to guide critical thinking, brief summary, and references in each chapter
The delivery of high quality and equitable care for both mothers and newborns is complex and requires efforts across many sectors. The United States spends more on childbirth than any other country in the world, yet outcomes are worse than other high-resource countries, and even worse for Black and Native American women. There are a variety of factors that influence childbirth, including social determinants such as income, educational levels, access to care, financing, transportation, structural racism and geographic variability in birth settings. It is important to reevaluate the United States' approach to maternal and newborn care through the lens of these factors across multiple disciplines. Birth Settings in America: Outcomes, Quality, Access, and Choice reviews and evaluates maternal and newborn care in the United States, the epidemiology of social and clinical risks in pregnancy and childbirth, birth settings research, and access to and choice of birth settings.
Born in the USA examines issues including midwifery and the safety of out-of-hospital birth, how the process of becoming a doctor can adversely affect both practitioners and their patients, and why there has been a rise in the use of risky but doctor-friendly interventions, including the use of Cytotec, a drug that has not been approved by the FDA for pregnant women. Most importantly, this investigation, supported by many troubling personal stories, explores how women can reclaim the childbirth experience for the betterment of themselves and their children."--Jacket.
The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.