Public-private sector co-operation is complicated for midwives wishing to refer to, or receive referrals from, doctors and hospitals. Despite awareness of birth complications and treatment options, poverty and dependence on richer, higher-caste people for cash transfers or loans prevented women from accessing required care. Data from around the world shows that there is great disparity between the maternal mortality of the developing and developed world. Together India, Pakistan and Bangladesh account for 46% of the world's maternal deaths1. Indicators of newborn care that should be the standard of care for facility deliveries, e.
The most notable difference was with the Indian sites, where almost half of all pregnant women were nulliparous. Further, there are wide disparities between provinces and districts in rates of stunting and wasting among children as well as women of reproductive age who have a body mass index below 18. Attempts to explain the failure of Pakistan to improve maternal and newborn health have focused on the situation in-country. Your opinions are important to us. In most cases, high rates of maternal deaths occur in the same countries that have high rates of. It may be caused by infectious agents, malabsorption or due to other causes. For developing regions, where it has been shown that maternal mortality is greater than in developed nations, antenatal care has increased from 65% in 1990 to 83% in 2012.
Rajput woman, 64 years old. Young mothers face higher risks of complications and death during pregnancy than older mothers, especially adolescents aged 15 years or younger. Maternal mortality: National and international perspectives. Postnatal care is substantially worse in the Pakistani site than in the other sites as evidenced by much lower rates of skin-to-skin 2. Acknowledge that the responsibilities of those charged with improving maternal health extend beyond the provision of services to ensuring their equitable uptake as well as to working with other sectors to address the wider determinants of poor maternal health.
Selection of high-risk cases for hospital confinement, early referral and careful use of drugs to control fits can greatly improve our statistics. While successive leaders may have failed the common man, civic society in Pakistan is vibrant and democracy is slowly but steadily taking roots. Unsafe deliveries in unhygienic conditions lead to puerperal sepsis. Invisibility Our findings revealed how gender and low caste converge to make Kammi women invisible and silent—characteristics that are also expected of this group. Global, regional, and national levels and causes of maternal mortality during 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. In Pakistan, this number is 178. Pakistan has long depended upon expensive and time-consuming cross-sectional surveys for assessment of progress and to-date key information on important issues of direct causes of mortality and morbidity are not available at the provincial level.
Careful, discreet, and sensitive strategies are needed to reach them, as discussed in greater detail later. Based on their investigation of these varying country case studies, the researchers conclude that improving maternal health depends on three key factors: 1. Pakistan faces huge challenges in meeting its international obligations and agreed Millennium Development Goal targets for reducing maternal and child mortality. This can be done by developing a set of effective and context-appropriate indicators of poverty and exclusion that go beyond the standard asset-based indicators currently used. However, this alone will not eliminate the demand for safe services. However, while the specifics are likely to differ by province and region, there is evidence that the systematic social and economic marginalization of lower caste women and their families is a persistent feature across Pakistan. Public health, technological and policy approaches are steps that can be taken to drastically reduce the global maternal death burden.
This article is published under license to BioMed Central Ltd. Sepsis is also called blood poisoning, and it can only be cured with the prompt treatment of antibiotics. Strategies for reducing maternal mortality: getting on with what works. Impact of the 2010 Pakistan floods on rural and urban populations at six months. The overall literacy rate in the 15—45 year age group is 49% males 56%, females 43% , with a life expectancy of 66.
According to the Population Council — an international, non-profit, non-governmental organisation — nearly 8. An additional benefit for family planning services was the requirement that most insurance plans cover contraception without cost sharing. Innovations in Rwanda's health system: looking to the future. Afr J Reprod Health 2005;9 3 :27—40. Neonatal Sepsis Presence of bacterial blood stream infection in the setting of fever is known as sepsis.
Conflicts of interest The authors declare no conflicts of interest. Midwives were then encouraged to return home and provide skilled birth services in their communities. Head of gynaecology at Jinnah Postgraduate Medical Centre Dr Shereen Bhutta says lack of supporting infrastructure for skilled birth attendants is another area that requires urgent attention. Areas for intervention have been identified in access to care, public knowledge about signs and symptoms of pregnancy complications, and improving relationships between healthcare professionals and expecting mothers. Maternal mortality in a tertiary care hospital.