Child Mortality and Maternal, Neonatal and Child Health in Iraq in the Last Two Decades: Trends and a Way Toward the SDG Targets for Child Survival

2021 ◽  
Author(s):  
SM Moazzem Hossain ◽  
Victoria B. Chou ◽  
Shaimaa Ibrahim ◽  
Riyadh Alhilfi ◽  
Faris Lami ◽  
...  
Author(s):  
Tarun Bala

<div><p><em>Reducing maternal and child mortality is the most important goal of the National Rural Health Mission. Indian government has worked towards its commitment to achieve the Millennium Development Goals.  Huge investments are being made by Government of India to achieve these goals. A well framed roadmap is being developed for accelerating child survival and improving maternal health and 16 indicators is selected for this purpose. The improvement in these indicators shows the way towards the achievement of MDGs.  India has made considerable progress over the last few years since NRHM in the area of maternal and child health, which was further accelerated after introduction of RMNCHA+ () strategy which appropriately directs the states to focus their efforts on the most vulnerable and disadvantaged sections of the society in the country. Main focus is healthy mothers and child. It also emphasizes on the need to reinforce efforts in those poor performing districts that have already been identified as the high focus districts. ‘Continuum care’ is required to have equal focus on various life stages.  Improvement in these indicators provide an understanding the importance of ‘continuum of care’ to ensure equal focus on various life stages. Some low performing districts had shown an improvement over period of time in its RMNCHA+ indicators.</em></p></div>


2020 ◽  
Vol 11 (7) ◽  
pp. 1006-1014
Author(s):  
Ajit Kumar Jaiswal

Maternal and child health programmes plays a key role in reducing infant and child mortality in any population. The Government of India started maternal and child health care services in the first five year plan (1951-56). This study uses data from the fourth round of the National Family Health Survey (NFHS, 2015-16). We are interested to examine the effect of child delivery at a healthcare facility, on child survival. We are followed by Mosley and Chen’s framework (1884), according to the framework, several socioeconomic determinants are grouped into some categories, namely, maternal, environmental contamination, nutrient deficiency, and personal illness control. Consequently, we reduced the number of independent variables to women’s age at birth and education, birth order, low child birth weight, household wealth, and healthcare.


2020 ◽  
Vol 5 (1) ◽  
pp. e002214 ◽  
Author(s):  
Nadia Akseer ◽  
James Wright ◽  
Hana Tasic ◽  
Karl Everett ◽  
Elaine Scudder ◽  
...  

IntroductionConflict adversely impacts health and health systems, yet its effect on health inequalities, particularly for women and children, has not been systematically studied. We examined wealth, education and urban/rural residence inequalities for child mortality and essential reproductive, maternal, newborn and child health interventions between conflict and non-conflict low-income and middle-income countries (LMICs).MethodsWe carried out a time-series multicountry ecological study using data for 137 LMICs between 1990 and 2017, as defined by the 2019 World Bank classification. The data set covers approximately 3.8 million surveyed mothers (15–49 years) and 1.1 million children under 5 years including newborns (<1 month), young children (1–59 months) and school-aged children and adolescents (5–14 years). Outcomes include annual maternal and child mortality rates and coverage (%) of family planning services, 1+antenatal care visit, skilled attendant at birth (SBA), exclusive breast feeding (0–5 months), early initiation of breast feeding (within 1 hour), neonatal protection against tetanus, newborn postnatal care within 2 days, 3 doses of diphtheria, pertussis and tetanus vaccine, measles vaccination, and careseeking for pneumonia and diarrhoea.ResultsConflict countries had consistently higher maternal and child mortality rates than non-conflict countries since 1990 and these gaps persist despite rates continually declining for both groups. Access to essential reproductive and maternal health services for poorer, less educated and rural-based families was several folds worse in conflict versus non-conflict countries.ConclusionsInequalities in coverage of reproductive/maternal health and child vaccine interventions are significantly worse in conflict-affected countries. Efforts to protect maternal and child health interventions in conflict settings should target the most disadvantaged families including the poorest, least educated and those living in rural areas.


2019 ◽  
Vol 24 (3) ◽  
pp. 165
Author(s):  
Inang Winarso ◽  
Ressa Ria Lestari

<p>Mother and child health as a key indicator of community welfare is measured by the Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR). But why have efforts to reduce MMR and IMR not yet reached the target? This research answers this question by using an approach of cultural values in mother and child health. The focus of this research is on the human life cycle starting from marriage, pregnancy, birth and death in Situbondo Regency, East Java and Ngada Regency, NTT. Research has found four cultural elements that predominantly influence health beliefs, family and community decisions in dealing with maternal and infant health problems. These cultural elements are the religious system, the kinship system, the knowledge system and the livelihood system. These four systems can increase or decrease the risk of maternal and infant mortality. The government must consider the cultural values of the community in making health policies. First, strengthen factors that reduce the risk of maternal and child mortality. Second, reduce the factors that increase the risk of maternal and child mortality.</p>


2021 ◽  
Vol 17 (01) ◽  
Author(s):  
Hijab Agha ◽  

Child mortality in an important indicator of shortcomings in health provisions to the most vulnerable segments of the society i.e., children under five. In this highly connected world, the trends in child mortality need exploration within the context of institutional change and global connectivity. This study explores the effect of globalization on child health in Asia and Latin America. These two regions over the last three decades have undergone waves of liberalization as well as an inconsistent drive towards democratization with very different outcomes in terms of child mortality, making for apt comparison in the context of this study. The study also examines how the level of democracy changes the relationship between globalization and child health in the two regions for the time-period 1970 to 2016 using System GMM estimation technique. The results indicate that economic globalization improves child health in Asia while social and political globalization show different results for infant and child mortality. In Latin America political globalization was found to be most effective in reducing infant mortality, while all dimensions of globalization were found to be either insignificant or increasing under-five mortality. That said, the interactions between dimensions of globalization and democracy were found to be consistently significant and mortality reducing. This result signifies the existence of complementarity between democracy and globalization in improving child health outcomes.


2020 ◽  
Author(s):  
Anu Rammohan ◽  
Srinivas Goli ◽  
Shashi Kala Saroj ◽  
Abdul Jaleel CP

Abstract Background Poor Maternal and Child Health (MCH) outcomes pose challenges to India’s ability to attain Goal-3 of the Sustainable Development Goals (SDGs). The government of India strengthened the existing network of Frontline Health Workers (FHWs), under its National Rural Health Mission in 2005 and subsequent National Urban Health Mission in 2013 as a strategy to mitigate the shortage of skilled health workers and to provide affordable healthcare services. However, there is a lack of robust national-level empirical analysis on the role of maternal engagement with FHWs in influencing the level of maternal and child health care utilisation and child health outcomes in India. Methods Using data from the nationally representative Indian National Family Health Survey (NFHS) 2015-16, this paper aims to investigate the intensity of engagement of FHWs with married women of child-bearing age (15-49 years), its influence on utilisation of maternal and child healthcare services, and child health outcomes. Our empirical analyses use multivariate regression analyses, focusing on five maternal and child health indicators: antenatal care visits (ANC) (4 or >4 times), institutional delivery, full-immunisation of children, postnatal care (PNC) (within 2 days of delivery), and child survival. Results Our analysis finds that maternal engagement with FHWs is statistically significant and a positive predictor of maternal and child health care utilisation, and child survival. Further, the level of engagement with FHWs is particularly important for women from economically poor households. Our robustness checks across sub-samples of women who delivered only in public health institutions and those from rural areas provides an additional confidence in our main results. Conclusions From a policy perspective, our findings highlight that strengthening the network of FHWs in the areas where they are in shortage which can help in further improving the utilisation of maternal and child healthcare services, and health outcomes.


Author(s):  
Jesse Hession Grayman

In 2007, the Indonesian government introduced Generasi, a community-driven development program to address village priorities such as reducing poverty, maternal mortality, and child mortality. When describing Generasi’s biggest challenges, program facilitators on the eastern Indonesian island of Flores used a geographic vocabulary of fields (medan, lapangan) and topography (topografi) that evokes the demands of supervising Generasi’s implementation across dozens of mountain villages with poor infrastructure. But their geographic language also extends metaphorically to the enduring problems of scale and governance. I analyze these discourses of topography and field in relation to the changing therapeutic landscape of maternal and child health services in the Manggarai highlands of western Flores, then follow Generasi’s scalar scaffolding from the meetings and clinics in villages, to the technocratic policy work in Jakarta, and to the academic spaces of Auckland and Cambridge.


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