A Needs Assessment of Health Issues Related to Maternal Mortality Rates in Afghanistan
Autor: | Ali Naim, Robin G. Sawyer, Robert Feldman |
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Rok vydání: | 2015 |
Předmět: |
Adult
Health (social science) Population Developing country Pilot Projects Transportation Risk Assessment Health Services Accessibility Education Interviews as Topic Nursing Pregnancy Environmental health Health care medicine Humans education Health Services Needs and Demand education.field_of_study business.industry Mortality rate Afghanistan Public Health Environmental and Occupational Health General Medicine medicine.disease Maternal Mortality Socioeconomic Factors Scale (social sciences) Needs assessment Female Maternal death business |
Zdroj: | International Quarterly of Community Health Education. 35:259-269 |
ISSN: | 1541-3519 0272-684X |
DOI: | 10.1177/0272684x15575319 |
Popis: | Maternal death rates in Afghanistan were among the highest in the world during the reign of the Taliban. Although these figures have improved, current rates are still alarming. The aim of this pilot study was to develop a needs assessment of the major health issues related to the high maternal mortality rates in Afghanistan. In-depth interviews were conducted with managerial midwives, clinical midwives, and mothers. Results of the interviews indicate that the improvement in the maternal mortality rate may be attributed to the increase in the involvement of midwives in the birthing process. However, barriers to decreasing maternal mortality still exist. These include transportation, access to care, and sociocultural factors such as the influence of the husband and mother-in-law in preventing access to midwives. Therefore, any programs to decrease maternal mortality need to address infrastructure issues (making health care more accessible) and sociocultural factors (including husbands and mother-in-laws in maternal health education). However, it should be noted that these findings are based on a small pilot study to help develop a larger scale need assessment. |
Databáze: | OpenAIRE |
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