1.Family Planning and Maternal and Child Health.
Yonsei Medical Journal 1970;11(1):67-76
No abstract available.
Abortion, Induced
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Child Welfare*
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Family Planning*
;
Female
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Human
;
Infant, Newborn
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Korea
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Male
;
Maternal Age
;
Maternal Mortality
;
Maternal Welfare*
;
Pregnancy
2.Determinants of maternal care utilization among young Muslim women in India
Saradiya Mukherjee ; Rakesh Chandra
International Journal of Public Health Research 2014;4(2):480-493
Indian Muslims, compared to their counterparts from other religions, lag behind on several yardsticks related to socioeconomic progress and the same is true with maternal health care utilization. Due to low age at marriage among Muslims, a majority of births is ascribed to young (15-24 years) mothers, which pose serious concerns on the maternal health care of Young Married Muslim women (YMMW). A thorough search of past literatures on Muslim women’s maternal health care reveals that the research on the determinants of maternal health care utilization among Muslim women is almost absent. Retrieving data from the National Family Health Survey -3 (2005-06) this study attempts to assess the level of utilization and factors effecting three key maternal health indicators [Full Antenatal Care (ANC), safe delivery and Postnatal Care (PNC)] among YMMW (15-24 years) in India. Bi-variate analysis and chi-square test was applied and variables which were found to be significant were further included in binary logistic regression. The findings of the study reveal abysmally low levels of utilization for all three indicators of maternal health care i.e. full ANC, safe delivery and PNC. Multivariate analysis reveals that no mass media exposure, lower autonomy, education, poor economic background, higher birth order and unintended pregnancy are some of the reasons behind low maternal health care utilization. The study suggests educating Muslim girls, promoting family planning use, involving media and collaboration between religious leader and health care system could be some important policy level interventions to address the unmet need of maternity services among YMMW. Existing government policies and programs should integrate YMMW who are poor and belong to backward states with poor demographic indicators.
Women
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Islam
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Adolescent
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Young Adult
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Maternal Welfare
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India
3.Current situation of maternal and child health care, reproductive health and HIV/AIDS prevention in Chi Lang and Huu Lung districts, Lang Son province
Journal of Preventive Medicine 2007;17(2):69-74
Background: Lang Son is a north mountianous province in Vietnam with population 727.081. It\u2019s residents belong to 8 ethnic minorities. Because their living conditions and education level is still low, they have limited access to new techniques to improve their living conditions, especially their health. In addtion, some districts in the province have to confront drug evil and HIV/AIDS epidemic. Objective: To define the current situation of maternal and child health care, reproductive health, HIV/AIDS and sexual transmissiondiseases prevention and offer interventional measures. Subjects and method: A cross-sectional, retrospective study was conducted in health workers and patients at the 4 commune health stations in Huu Lung and Chi Lang district on October/2004.Results and Conclusion: Termination of water and sanitation cause some diseases of mothers and children. Knowledge of people about pregnancy care as well as maternal and child health care are limited (32.2/12.6% pregnancy at labors in both districts has not been supported by trained attendance. In whole province, 32.6% children under 5 year older have malnutrition). Knowledge and practice of people on safe sex are limited so they might expose to HIV/AIDS, unwanted pregnancy and sexual transmission diseases.
Child Welfare/ psychology
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Maternal Welfare/ psychology
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Reproductive Medicine/ manpower
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methods
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HIV
4.Maternal health care and family planning program at Soc Son district, Ha Noi
Journal of Medical Research 2003;0(2):32-35
Child health care and family planning service in Soc Son has been implementing very well. Even though there are different kind of contraceptives have been introduced, number of IUD users account for 69% of total couples using at least one contraceptive method account for 74.3%. Acces to the above mentiones health care services was convinient and meet the needs when require.
Delivery of Health Care
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Maternal Health Services
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Maternal Welfare
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Family Planning Services
5.An Experiment in the Interrelation and Coordination of Family Planning, Maternal and Chi1d Health.
Yonsei Medical Journal 1966;7(1):86-92
No abstract available.
Adult
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Asian Continental Ancestry Group
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Child
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*Child Welfare
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*Family Planning Services
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Female
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Human
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Korea
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*Maternal Welfare
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*Public Health
6.Raising children in Singapore: a paediatrician's perspective.
Annals of the Academy of Medicine, Singapore 2009;38(2):158-162
Child
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Child Welfare
;
trends
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Delivery of Health Care
;
trends
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Humans
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Maternal Welfare
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trends
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Pediatrics
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methods
;
trends
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Physician's Role
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Singapore
7.The National Family Planning Program as a Strategic Platform for the Improvement of Maternal and Child Health in Kore.
Jae Mo YANG ; Chung Tae KIM ; Mo Im KIM
Yonsei Medical Journal 1966;7(1):76-85
The health conditions under which the mothers and children of Korea live are not adequate. We realize that the needs in the field of MCH a re enormous, but that it is unrealistic and unwise to use the entire health budget of 4.9 million dollars to build maternity and pediatric hospitals. There must be an extensive program to reduce the number of births as well as the number of deaths if the living standrds in Korea are to improve. The success of Korea's health program is closely related to the general economic development. Without a reduction in the number of births it seems impossible that a successful economic development program can be planned, or executed. In the first five years of the program the group successfully reached by the family planning program was largely the receptive, motivated women in the older child bearing age group. A strategic platform for the success of the next five year plan would be to concentrate on the younger less motivated mothers; to educate them to better family spacing and child care. Inclusion of family planning in a comprehensive, total maternal and child care program seems a rational and effective approach. Therefore a successful national family planning program would seem to be a sound basic platform on which to base maternal and child health work as well as the economic development program in Korea. We need not repeat here the merits of family planning in Korea. A1ready the national program has accomplished much towards improving the health of Korea's mothers and children. It is hoped that in the coming decade the family planning program will go beyond the immediate aim of curbing the explosive population growth and adopt as its long-term objective promotion of total maternal and chi1d health. This objective can only be achieved by good organization, careful planning, competent staff and an adequate budget. A comprehensive maternal and child health program should include better care of children, responsible parenthood, marriage guidance, maternity care, and sterility correction all leading to better mental and physical health.
Adult
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Asian Continental Ancestry Group
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Child
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*Child Welfare
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Child, Preschool
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*Family Planning Services
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Female
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Human
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Infant
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Korea
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*Maternal Welfare
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*Public Health
8.An Approach to Promote the Rural Health Care.
Yonsei Medical Journal 1974;15(2):58-73
A survey for finding out rural health care was done in Ichon-Gun, Kyonggi-Do during October, 1973. Of the 29,132 inhabitants, 974 persons were interviewed for the basic household survey, maternal and child health, family planning and medical care for illness. The survey included 201 households of total of 4,121. In addition to the survey, an evaluation was done of a two-year old rural health nursing service provided by the Korean Rural Medical Service (KRMS). KRMS was organized with Korean nurses who returned from West Germany and sponsored by the Bread for the World. Following results were obtained: 1. Population structure showed that the age group between 20-30 years old represented 9.4% of all males and 8.5% of all females. 84.6% of interviewees were farmers and 43.5% of the householders were primary school graduates. 2. More than 55% of all the houses had straw-roofing and water supply was dependent upon pumpwells (42.4%). 88% of the latrines were traditional and of insanitary construction. 3. Average marriage age for female respondents was 21.2 years, and average number of pregnancies was 4.9. About 12% of the housewives experienced natural abortions, and 8% were pregnant at the time of the survey. 4. More than 90% of total deliveries were cared for at home and only 8.5% of those received prenatal and post-partum care. Of those wives having home deliveries, 85% wanted to have them at home, and 9% would have preferred hospital delivery. 5. In the month preceding the survey, 72.5% of 947 interviewees had been sick 29.9% from respiratory illness, 12.5% with indigestion, 8.5% with headache and dizziness. Mostly, these patients got treatment through drugstores (20.8%), health subcenters (12.5 %), clinks or hospitals (9.7%). The average patient spent about 1,760 won ($ 4.40) for each illness. Patients missed medical treatment because of economic reasons (6.2%), and carelessness for health and illness (15.9%). 6. Seventy eight percent of total interviewees acknowledged recognition of the activities of Korean Rural Medical Service and 20.5% of the total householders received their health service through medical care (53.5%), immunization (34.5%), and health education (24%). More than half (51.5%) of clients who received health services commented that KRMS work was satisfactory, and 1.5% complained of it being unkind or insufficient. About 10% of total households desired a more closely located health subcenter.
Adolescent
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Adult
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Aged
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Child
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Child, Preschool
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Delivery of Health Care*
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Education
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Female
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Human
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Infant
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Infant, Newborn
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Korea
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Male
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Maternal Welfare
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Middle Age
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Pregnancy
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Rural Health*
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Statistics
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Vaccination
9.Factors influencing the utilization of postpartum visits among rural women in China.
Yuan-xi XIANG ; Ju-yang XIONG ; Miao-miao TIAN ; Fang YUAN ; Zhan-chun FENG
Journal of Huazhong University of Science and Technology (Medical Sciences) 2014;34(6):869-874
Postpartum visits (PPVs) are still underutilized in rural China, and identification of factors that influence PPV use is important in ensuring the utilization of maternal health services and for wellbeing of women. A cross-section study was undertaken to collect related data from 347 rural women interviewed six weeks or more after delivery, and an ANOVA was performed to find whether there were significant differences in the number of PPVs among different rural areas in China. According to Andersen's socio-behavioral model of health service use, factors were divided into equitable and inequitable ones. Chi-squared test, univariate and multiple analyses were used to determine the equity of PPV use by identifying factors that were most strongly associated with the use of a PPV. The results showed that 20.2% of the respondents (n=70) did not receive any PPVs, and 62.5% (n=173) of those who had PPVs (n=277) did not receive standard PPVs (referring to at least 3 visits). There was no significant difference among different rural areas in terms of the number of PPVs (F=1.514, P=0.211). Multiple regression analyses revealed that enabling factors such as compensation for delivery expense [OR (95% CI)=2.825 (1.331, 5.995)], village type [OR (95% CI)=1.802 (1.021, 3.182)] and service quality [OR (95% CI)=1.847 (1.074, 3.176)] were strongly associated with PPV use. Both enabling factors such as home visits [OR (95% CI)=1.855 (1.085, 3.174)], service quality [OR (95% CI)=1.993 (1.155, 3.439)] and need factors such as low birth weight [OR (95% CI)=4.424 (1.482, 13.203)] were significantly associated with standard PPV use. Our results suggested that the equitable access to PPVs has been considerably improved in rural areas in China. The associations between inequitable factors and PPV use warrant further exploration, and policies aimed at improving quality and patterns of service supply are needed in order to ensure a full equitable access to maternal health services.
Adult
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Ambulatory Care
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China
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Female
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Health Services Accessibility
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Humans
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Maternal Welfare
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Postnatal Care
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Postpartum Period
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Quality of Health Care
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Rural Population
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Social Planning
10.The Seoul Healthy First Step Project: Introduction and Expansion, Program Content and Performance, and Future Challenges
Young Ho KHANG ; Sung Hyun CHO ; Kyung Ja JUNE ; Ji Yun LEE ; Yu Mi KIM ; Hong Jun CHO
Journal of the Korean Society of Maternal and Child Health 2018;22(2):63-76
With the motto ‘Equity from the Start for a Healthy Future’, the Seoul Healthy First Step Project (SHFSP) was launched in 2013 in an attempt to support women with young children, to improve the health and development of babies, and eventually to close the gap in child development. The SHFSP contains both universal components (universal risk assessment of mothers and universal home visitation after birth) and selective components (prenatal and postnatal sustained home visits, mothers' groups, and community service linkage), thereby taking a proportionate universality approach. For sustained home visits, the SHFSP introduced the Maternal and Early Childhood Sustained Home-visiting (MECSH) program from Australia, which has been proven to be effective in improving maternal and childhood outcomes. Between 2013~2017, the SHFSP has paid 58,327 visits to roughly 38 thousand families with babies. In 2017, the SHFSP covered 19.6% of families with newborn babies in Seoul. The SHFSP conducted internal satisfaction surveys of universal and sustained visitation service recipients, in which an overwhelming majority of mothers provided positive feedback. A performance assessment conducted in 2016 by an external organization showed that 93% of SHFSP service recipients were satisfied with the home visitations. Considering the popular support for the program from mothers and families in Seoul (the most affluent area in Korea) and the lack of a national home visiting program to promote early childhood health and development, this program should be expanded nationally in the near future.
Australia
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Child
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Child Development
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Female
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Home Health Nursing
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House Calls
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Humans
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Infant
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Infant, Newborn
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Korea
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Maternal-Child Health Services
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Mothers
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Risk Assessment
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Seoul
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Social Welfare