由于难产，在阿富汗每年有86500婴儿和17000母亲死亡，数据表明81%的分娩在家进行。
根据2006年，阿富汗健康组织的调查，高达129‰ 的婴幼儿死亡率，191‰是5岁以下的幼儿。…………
In our country (Afghanistan )
86,500 babies and 17,000 mothers’ die in Afghanistan annually due to pregnancy and childbirth complications and 81% deliveries take place at home. Due to Afghanistan health survey (AHS) in 2006, infant mortality rated to 129 per thousand live births, which it is 191 per thousand for under-five children. According to (save the children) 2007 state of the world’s mothers report, the country has one of the highest positions in maternal deaths to live births in the world, with 20,000 women and 370,000 children under five deaths annually. A qualitative research of the AHS highlighted that over of 81 % of deliveries take place at home by an untrained traditional birth attendant (TBA). The research suggested a very little evidence of advance preparatory measures for clean and safe delivery and complication readiness. The all errors of referral process attributed to a number of barriers. High level cost and attending deliveries fees, lack of transportation, night delivery, rough terrain and blockage by snowfall, misconception plus feeling shame or bad on women referral are counted as the constrains.
Overall 82% of maternal deaths are related to direct maternal causes- haemorrhage, sepsis, Pre-Eclampsia and Eclampsia, and unsafe abortion. A vast majority of these deaths are considered preventable.
In addition of poor information on danger signs of antenatal, intra partum, and neonatal periods and at time of referral, postpartum/postnatal care (PNC) by a skilled provider is still a rare occurrence in the country. Concerning to the point “household survey” project of rural expansion of Afghanistan’s community-based health (reach) in 2006 found that only 26 % of villagers’ mothers received PNC in Kabul. While the save children other survey showed that 55% of Kabuli mother and 41% in Mazar-I-Sharif benefited the services. Another survey realized that there is a 2.75 ration of mother mortality between most remote area of Badakhshan and Kabul provinces.
Postpartum hemorrhage and obstructed labor are the primary causes of maternal mortality. In many parts, postnatal care offered by Non Skill health care providers and most women either do not have access to them or mostly do not use the services. Researches suggest that 78% of maternal and newborn life’s can be protected on focusing on the mother and newborn care services
根据2006年，阿富汗健康组织的调查，高达129‰ 的婴幼儿死亡率，191‰是5岁以下的幼儿。…………
In our country (Afghanistan )
86,500 babies and 17,000 mothers’ die in Afghanistan annually due to pregnancy and childbirth complications and 81% deliveries take place at home. Due to Afghanistan health survey (AHS) in 2006, infant mortality rated to 129 per thousand live births, which it is 191 per thousand for under-five children. According to (save the children) 2007 state of the world’s mothers report, the country has one of the highest positions in maternal deaths to live births in the world, with 20,000 women and 370,000 children under five deaths annually. A qualitative research of the AHS highlighted that over of 81 % of deliveries take place at home by an untrained traditional birth attendant (TBA). The research suggested a very little evidence of advance preparatory measures for clean and safe delivery and complication readiness. The all errors of referral process attributed to a number of barriers. High level cost and attending deliveries fees, lack of transportation, night delivery, rough terrain and blockage by snowfall, misconception plus feeling shame or bad on women referral are counted as the constrains.
Overall 82% of maternal deaths are related to direct maternal causes- haemorrhage, sepsis, Pre-Eclampsia and Eclampsia, and unsafe abortion. A vast majority of these deaths are considered preventable.
In addition of poor information on danger signs of antenatal, intra partum, and neonatal periods and at time of referral, postpartum/postnatal care (PNC) by a skilled provider is still a rare occurrence in the country. Concerning to the point “household survey” project of rural expansion of Afghanistan’s community-based health (reach) in 2006 found that only 26 % of villagers’ mothers received PNC in Kabul. While the save children other survey showed that 55% of Kabuli mother and 41% in Mazar-I-Sharif benefited the services. Another survey realized that there is a 2.75 ration of mother mortality between most remote area of Badakhshan and Kabul provinces.
Postpartum hemorrhage and obstructed labor are the primary causes of maternal mortality. In many parts, postnatal care offered by Non Skill health care providers and most women either do not have access to them or mostly do not use the services. Researches suggest that 78% of maternal and newborn life’s can be protected on focusing on the mother and newborn care services
No comments:
Post a Comment