Linked Life Data

2205429

Source:http://linkedlifedata.com/resource/pubmed/id/2205429

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
1990-10-19
pubmed:abstractText
The problem of antenatal care in developing countries may be considered from two aspects: (a) areas where antenatal facilities are absent or are inadequate, and (b) areas where antenatal facilities are adequate but for some reasons are not adequately utilized. The solution to the first part of the problem would appear to be simple. The governments concerned should provide the required facilities. This obviously is not an easy task in many areas of the world, especially with the present profound economic depression in many developing countries. The people just have to use the facilities available to their best advantage, or do without the facilities. The second part of the problem presents more difficulties. Where antenatal facilities are available, inadequate utilization has been shown to be due to a number of factors: 1. The facilities are too distant or too expensive. It has been shown how the Nigerian authorities dealt with this problem in the Ibarapa district. However, it is a very expensive solution and few governments will be able to afford this. 2. Illiteracy or ignorance. The obvious solution to this difficulty is to educate the masses and a few governments have already embarked on these commendable programmes. Unfortunately, this procedure is expensive, may take a long time and, as already pointed out, even literate women may not use the antenatal services. 3. Traditional and cultural beliefs and prejudices. It has already been shown that this factor is a very important one in the population in developing countries, even among literate patients. The saying that 'old habits die hard' is probably apt here. Probably, with time, education and closer contact with the developed world, these prejudices will disappear. From the above observations, it would appear that an inexpensive short-term solution to the two parts of the problem mentioned above is for governments to train and use the TBAs who are already 'in our midst' and who already enjoy the confidence of the masses. The authorities, however, have to be very careful in integrating the TBAs into the health system. It has to be done very judiciously and tactfully, otherwise antagonism and unhealthy rivalry will be created between the TBAs and other members of the health team. They must be made to realize that they are a part of the health team.
pubmed:keyword
http://linkedlifedata.com/resource/pubmed/keyword/Africa, http://linkedlifedata.com/resource/pubmed/keyword/Africa South Of The Sahara, http://linkedlifedata.com/resource/pubmed/keyword/Attitude, http://linkedlifedata.com/resource/pubmed/keyword/Behavior, http://linkedlifedata.com/resource/pubmed/keyword/Beliefs, http://linkedlifedata.com/resource/pubmed/keyword/Biology, http://linkedlifedata.com/resource/pubmed/keyword/CULTURE, http://linkedlifedata.com/resource/pubmed/keyword/Cultural Background, http://linkedlifedata.com/resource/pubmed/keyword/Delivery Of Health Care, http://linkedlifedata.com/resource/pubmed/keyword/Demographic Factors, http://linkedlifedata.com/resource/pubmed/keyword/Developing Countries, http://linkedlifedata.com/resource/pubmed/keyword/Diseases, http://linkedlifedata.com/resource/pubmed/keyword/Economic Factors, http://linkedlifedata.com/resource/pubmed/keyword/Educational Status, http://linkedlifedata.com/resource/pubmed/keyword/English Speaking Africa, http://linkedlifedata.com/resource/pubmed/keyword/Examinations And Diagnoses, http://linkedlifedata.com/resource/pubmed/keyword/Female Role, http://linkedlifedata.com/resource/pubmed/keyword/Health, http://linkedlifedata.com/resource/pubmed/keyword/Health Services, http://linkedlifedata.com/resource/pubmed/keyword/Hematological Effects, http://linkedlifedata.com/resource/pubmed/keyword/Hemic System, http://linkedlifedata.com/resource/pubmed/keyword/IRON, http://linkedlifedata.com/resource/pubmed/keyword/Illiterates, http://linkedlifedata.com/resource/pubmed/keyword/Ingredients And Chemicals, http://linkedlifedata.com/resource/pubmed/keyword/Inorganic Chemicals, http://linkedlifedata.com/resource/pubmed/keyword/MALARIA, http://linkedlifedata.com/resource/pubmed/keyword/MALNUTRITION, http://linkedlifedata.com/resource/pubmed/keyword/METALS, http://linkedlifedata.com/resource/pubmed/keyword/Maternal Health, http://linkedlifedata.com/resource/pubmed/keyword/Maternal Health Services, http://linkedlifedata.com/resource/pubmed/keyword/Maternal-child Health Services, http://linkedlifedata.com/resource/pubmed/keyword/NIGERIA, http://linkedlifedata.com/resource/pubmed/keyword/NUTRITION DISORDERS, http://linkedlifedata.com/resource/pubmed/keyword/PARASITIC DISEASES, http://linkedlifedata.com/resource/pubmed/keyword/PRENATAL CARE, http://linkedlifedata.com/resource/pubmed/keyword/Physical Examinations And Diagnoses, http://linkedlifedata.com/resource/pubmed/keyword/Physiology, http://linkedlifedata.com/resource/pubmed/keyword/Population, http://linkedlifedata.com/resource/pubmed/keyword/Population Characteristics, http://linkedlifedata.com/resource/pubmed/keyword/Primary Health Care, http://linkedlifedata.com/resource/pubmed/keyword/Psychological Factors, http://linkedlifedata.com/resource/pubmed/keyword/Rural Population, http://linkedlifedata.com/resource/pubmed/keyword/Social Behavior, http://linkedlifedata.com/resource/pubmed/keyword/Socioeconomic Factors, http://linkedlifedata.com/resource/pubmed/keyword/Socioeconomic Status, http://linkedlifedata.com/resource/pubmed/keyword/Urban Population, http://linkedlifedata.com/resource/pubmed/keyword/VITAMINS, http://linkedlifedata.com/resource/pubmed/keyword/Western Africa
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
0950-3552
pubmed:author
pubmed:issnType
Print
pubmed:volume
4
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
169-86
pubmed:dateRevised
2007-11-15
pubmed:otherAbstract
PIP: Prenatal care, the most important factor determining the outcome of pregnancy, is limiting in developing countries either because of no or inadequate facilities or underutilization. WHO estimated that only 29-36% of African, 20-61% of Asian and 69-89% of South American births have maternity care. Existing services and underutilized because of illiteracy, the most important factor, cultural practices, religious practices, and the subordinate status of women. Care in developing countries is exemplified by describing prenatal care in urban University College Hospital, Ibadan, Nigeria, in a rural town of 30,000 in Western Nigeria and in the Ibarapa District in 1989, and care by TBAs. Routine care provided in the rural clinics included Talqvist hemoglobin count, history to determine Sickling, iron, folic acid and antimalarials if available, and referral to the weekly consultant clinic if the woman is under 5 ft in height, primigravid and 36 weeks gestation, uncertain of dates, has discrepancy in fundal height for dates, is ill or has history suggestive of abnormal pregnancy. Pregnant women usually used the clinic for antenatal care, but only 45% delivered in maternities. The review ends with brief discussions of management of malaria, anemia, hemoglobinopathy, malnutrition and teenage pregnancy. Anemia, common to all, is managed by transfusion of packed cells with administration of a loop diuretic to prevent hear failure.
pubmed:meshHeading
pubmed:year
1990
pubmed:articleTitle
Antenatal care in developing countries.
pubmed:publicationType
Journal Article, Review