ABSTRACT
This paper presents the findings of a 1999 survey of 19 countries of the World Health Organization Eastern Mediterranean Region on the family planning services and programmes in the Region. Data were collected using a questionnaire which explored the following areas: the presence of population or family planning policies and family planning activities, the family planning services available, promotional and educational activities on family planning, quality assurance, family planning data collection, analysis and dissemination, and the use of such information. The results indicate that 13 of the countries have national policies on population and family planning but even in those that do not, family planning services are widely available. The scope of the services provided varied. There is still a need to implement or strengthen family planning programmes in the Region, a need which is recognized by the countries themselves.
Subject(s)
Family Planning Services/organization & administration , Data Collection , Health Care Surveys , Health Knowledge, Attitudes, Practice , Health Policy , Health Status Indicators , Health Surveys , Humans , Information Services , Maternal Mortality , Maternal Welfare , Mediterranean Region/epidemiology , Needs Assessment , Quality Assurance, Health Care/organization & administration , Sex Education/organization & administration , Surveys and Questionnaires , World Health OrganizationABSTRACT
This paper presents the findings of a 1999 survey of 19 countries of the World Health Organization Eastern Mediterranean Region on maternal mortality surveillance systems and death review activities in the Region. Data were collected by questionnaire completed by ministry of health personnel. The findings show that 13 countries require official reporting of deaths of women of reproductive age. Most of the countries conduct maternal death reviews although only 8 have surveillance systems. Other areas investigated were the sources of information on maternal deaths, types of data collected, how the data are analysed and how such data are used. There is a need to strengthen information systems on maternal mortality in the Region in order to guide decision-makers in the planning and evaluation of maternal health programmes.
Subject(s)
Cause of Death , Information Services/organization & administration , Information Systems/organization & administration , Maternal Mortality , Maternal Welfare , Peer Review, Health Care , Population Surveillance , Data Collection/methods , Data Collection/standards , Data Interpretation, Statistical , Female , Health Planning , Humans , Incidence , Maternal Health Services/standards , Mediterranean Region/epidemiology , Needs Assessment , Peer Review, Health Care/methods , Peer Review, Health Care/standards , Population Surveillance/methods , Pregnancy , Prevalence , Surveys and QuestionnairesABSTRACT
This paper presents the findings of a 1999 survey of 19 countries of the World Health Organization Eastern Mediterranean Region on maternal mortality surveillance systems and death review activities in the Region. Data were collected by questionnaire completed by ministry of health personnel. The findings show that 13 countries require official reporting of deaths of women of reproductive age. Most of the countries conduct maternal death reviews although only 8 have surveillance systems. Other areas investigated were the sources of information on maternal deaths, types of data collected, how the data are analysed and how such data are used. There is a need to strengthen information systems on maternal mortality in the Region in order to guide decision-makers in the planning and evaluation of maternal health programmes
Subject(s)
Cause of Death , Data Collection , Data Interpretation, Statistical , Health Planning , Information Services , Maternal Health Services , Maternal Welfare , Population Surveillance , Pregnancy , Maternal MortalityABSTRACT
This paper presents the findings of a 1999 survey of 19 countries of the World Health Organization Eastern Mediterranean Region on the family planning services and programmes in the Region. Data were collected using a questionnaire which explored the following areas: the presence of population or family planning policies and family planning activities, the family planning services available, promotional and educational activities on family planning, quality assurance, family planning data collection, analysis and dissemination, and the use of such information. The results indicate that 13 of the countries have national policies on population and family planning but even in those that do not, family planning services are widely available. The scope of the services provided varied. There is still a need to implement or strengthen family planning programmes in the Region, a need which is recognized by the countries themselves
Subject(s)
Data Collection , Health Knowledge, Attitudes, Practice , Health Policy , Health Surveys , Information Services , Maternal Mortality , Maternal Welfare , Quality Assurance, Health Care , Surveys and Questionnaires , Sex Education , World Health Organization , Family Planning ServicesABSTRACT
OBJECTIVE: To study trends and examine risk factors for pregnancy-related mortality due to hemorrhage. METHODS: We analyzed pregnancy-related deaths from 1979-1992 from the National Pregnancy Mortality Surveillance System of the Centers for Disease Control and Prevention. Live-birth data used to calculate mortality ratios were obtained from published vital statistics. Deaths due to ectopic pregnancies were excluded. RESULTS: There were 763 pregnancy-related deaths from hemorrhage associated with intrauterine pregnancies, a ratio of 1.4 deaths per 100,000 live births. The pregnancy-related mortality ratio was higher for black women and those of other races than white women. The risk of pregnancy-related mortality increased with age. Abruptio placentae was the overall leading cause of pregnancy-related death due to hemorrhage. Leading causes of death differed by race, age group, and pregnancy outcome. CONCLUSION: Hemorrhage is the leading cause of pregnancy-related death in the United States. Black women have three times the risk of death of white women. In-depth investigations are needed to ascertain the risk factors associated with those deaths.