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This book provides cutting edge information on safe motherhood in a global context. The chapters focus on research, program development and implementation, and policy dealing with various aspects of pregnancy, labor and delivery. Safe motherhood is a critical issue since healthy, safe motherhood is the prerequisite for a healthy, productive society. Writing about the situation in their countries, the authors are from Eastern Europe, America, Asia and Africa and are academic scholars and health practitioners. The book is multidisciplinary with scholars from sociology, gender studies, economics, social policy, social geography, population management and political science. Topics include lactation policy and misunderstandings of lactations in African countries and in the United States; postnatal stress disorder that is either understudied or not considered as a problem in many developing countries; potential causes of a decline of maternal health in democratizing states; the effect of geographical environment on reproductive health; and revelation of mysteries of consequences of pre-birth pain in the early life of children. Case studies provide examples of successful model programs. Solutions offered are based on utilizing available resources and technology in ways that maximize education and training of local health professionals and family members. This book was published as a special issue of Marriage and Family Review.
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.
Improving maternal health and reducing child mortality are among the eight UN Millennium Development Goals. This publication contains guidance on maternity protection in the workplace, focusing on measures that can be taken to establish a decent workplace and to identify workplace risks. The starting point is the Maternity Protection Convention (No. 183), adopted by the International Labour Conference in 2000 and its accompanying Recommendation (No. 191). The guide is intended for general use as a reference tool for employers, workers, trade union leaders, occupation health and safety advisors, labour inspectors and others involved in workplace health and maternity protection.
This textbook is the first authoritative, in-depth publication about global midwifery and the contribution of skilled professional midwives to the provision of high quality maternity care, reductions in maternal and newborn mortality and morbidity. It demonstrates actions that are contributing to the achievement of the 2030 Sustainable Development Goals through partnership with women and their families, enabling them to ‘survive, thrive and transform’. The textbook explores how the world is becoming more connected through globalisation, advances in technology and innovation and yet more inequitable as women and children are disproportionately affected by issues such as poverty, environmental vulnerability, hunger, conflict, violence, and discrimination. It considers how midwives contribute to maternal and newborn health, leading to greater equity and empowerment and, ultimately, strengthening health systems. The ‘three pillars’ of midwifery are discussed: regulation, education and professional midwives’ associations. The importance of evidence-based care is explored along with diff erent models of midwifery and the challenges of developing professional leadership. This textbook also considers women’s human rights to sexual and reproductive health and respectful maternity care, stressing the importance of cultural sensitivity and contextually appropriate approaches. Midwives and other professionals will benefi t from this reliable resource that indicates direction and provides information about the principles and practice of professional midwifery. This text also provides universities, organisations, and individuals with a highly relevant resource to better equip them for international midwifery practice. It finally offers policy makers a reliable source of evidence-based information for consideration in various evolving national and international situations.
These essays examine the global impact of infertility as a major reproductive health issue, one that has profoundly affected the lives of countless women and men. The contributors address a range of topics including how the deeply gendered nature of infertility sets the blame on women's shoulders.
In Managing Motherhood, Managing Risk, Denise Roth Allen persuasively argues that development interventions in the Third World often have unintended and unacknowledged consequences. Based on twenty-two months of fieldwork in the Shinyanga Region of west central Tanzania, this rich and engaging ethnography of women's fertility-related experiences highlights the processes by which a set of seemingly well-intentioned international maternal health policy recommendations go awry when implemented at the local level. An exploration of how threats to maternal health have been defined and addressed at the global, national, and local levels, Managing Motherhood, Managing Risk presents two contrasting, and oftentimes competing, definitions of risk: those that form the basis of international recommendations and national maternal health policies and those that do not. The effect that these contrasting definitions of risk have on women's fertility-related experiences at the local level are explored throughout the book. This study employs an innovative approach to the analysis of maternal health risk, one that situates rural Tanzanian women's fertility-related experiences within a broader historical and sociocultural context. Beginning with an examination of how maternal health risk was defined and addressed during the early years of British colonial rule in Tanganyika and moving to a discussion of an internationally conceived maternal health initiative that was launched on the world stage in the late 1980s, the author explores the similarities in the language used and solutions proposed by health development experts over time. This set of "official" maternal health risks is then compared to an alternative set of risks that emerge when attention is focused on women's experiences of pregnancy and childbirth at the local level. Although some of these latter risks are often spoken about as deriving from spiritual or supernatural causes, the case studies presented throughout the second half of the book reveal that the concept of risk in the context of pregnancy and childbirth is much more complex, involving the interplay of spiritual, physical, and economic aspects of everyday life.
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.
At a UN General Assembly Special Session in 1999, governments recognised unsafe abortion as a major public health concern, and pledged their commitment to reduce the need for abortion through expanded and improved family planning services, as well as ensure abortion services should be safe and accessible. This technical and policy guidance provides a comprehensive overview of the many actions that can be taken in health systems to ensure that women have access to good quality abortion services as allowed by law.
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.
Effective Approaches to Global Health Issues is a comprehensive, interdisciplinary book that explores diverse topics in global health. It serves as a valuable resource for understanding the complexities and challenges associated with global health from various perspectives. The book delves into historical contexts, health indicators, cultural influences, behavioral factors, communicable and non-communicable diseases, malnutrition, nutritional deficiencies, obesity, environmental health, population issues, women's and children's health, mental well-being, global health systems, and emerging issues in the field. It goes beyond a mere recitation of topics and provides an engaging narrative that examines the interconnectedness of global health issues. This is an essential reference for students, researchers, and professionals involved in public health, international development, and related disciplines. By providing a comprehensive understanding of global health issues and potential solutions, this book equips readers with the knowledge and tools to address the complex challenges of global health in their respective fields. Presents interdisciplinary perspectives on global health problems and solutions Highlights the epidemiological, historical, political, sociological, behavioral, cultural, and medical dimensions Provides readers with a roadmap to address issues and problems confronting both developed and developing nations