Abstract:
BACKGROUND:An estimated 276 Pakistani women die for every 100,000 live births; with eclampsia accounting for about 10 % of these deaths. Community health workers contribute to the existing health system in Pakistan under the banner of the Lady Health Worker (LHW) Programme and are responsible to provide a comprehensive package of antenatal services. However, there is a need to increase focus on early identification and prompt diagnosis of pre-eclampsia in community settings, since women with mild pre-eclampsia often present without symptoms. This study aims to explore the potential for task-sharing to LHWs for the community-level management of pre-eclampsia and eclampsia in Pakistan. METHODS:A qualitative exploratory study was undertaken February-July 2012 in two districts, Hyderabad and Matiari, in the southern province of Sindh, Pakistan. Altogether 33 focus group discussions (FGDs) were conducted and the LHW curriculum and training materials were also reviewed. The data was audio-recorded, then transcribed verbatim for thematic analysis using QSR NVivo-version10. RESULTS:Findings from the review of the LHW curriculum and training program describe that in the existing community delivery system, LHWs are responsible for identification of pregnant women, screening women for danger signs and referrals for antenatal care. They are the first point of contact for women in pregnancy and provide nutritional counselling along with distribution of iron and folic acid supplements. Findings from FGDs suggest that LHWs do not carry a blood pressure device or antihypertensive medications; they refer to the nearest public facility in the event of a pregnancy complication. Currently, they provide tetanus toxoid in pregnancy. The health advice provided by lady health workers is highly valued and accepted by pregnant women and their families. Many Supervisors of LHWs recognized the need for increased training regarding pre-eclampsia and eclampsia, with a focus on identifying women at high risk. The entire budget of the existing lady health worker Programme is provided by the Government of Pakistan, indicating a strong support by policy makers and the government for the tasks undertaken by these providers. CONCLUSION:There is a potential for training and task-sharing to LHWs for providing comprehensive antenatal care; specifically for the identification and management of pre-eclampsia in Pakistan. However, the implementation needs to be combined with appropriate training, equipment availability and supervision. TRIAL REGISTRATION:ClinicalTrial.gov, NCT01911494.
journal_name
Reprod Healthjournal_title
Reproductive healthauthors
Salam RA,Qureshi RN,Sheikh S,Khowaja AR,Sawchuck D,Vidler M,von Dadelszen P,Zaidi S,Bhutta Z,CLIP working group.doi
10.1186/s12978-016-0214-0subject
Has Abstractpub_date
2016-09-30 00:00:00pages
107issue
Suppl 2issn
1742-4755pii
10.1186/s12978-016-0214-0journal_volume
13pub_type
杂志文章abstract:BACKGROUND:Swedish national guidelines for pregnancy dating were published in 2010. Follow-up is needed to assess adherence and to identify whether any clinical topics are not covered in the guidelines. METHODS:All units in Sweden that performed ultrasound-based pregnancy dating were asked to complete a web-based ques...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0760-3
更新日期:2019-07-04 00:00:00
abstract:BACKGROUND:While Female Genital Cutting (FGM/C) is a deeply entrenched cultural practice, there is now mounting evidence for a gradual decline in prevalence in a number of geographical areas in Africa and following migration to non-practicing countries. Consequently, there is now a growing number of women with FGM/C wh...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-017-0309-2
更新日期:2017-04-05 00:00:00
abstract:BACKGROUND:Pakistan has one of the highest maternal mortality ratios worldwide at 276/100,000 live births and only 51% percent of women receive four or more ANC visits. This means that there are missed opportunities for almost half of the women who were not able to seek the recommended antenatal visits. In Thatta distr...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-020-00956-1
更新日期:2020-07-06 00:00:00
abstract:BACKGROUND:Disrespectful and abusive treatment during childbirth is a violation of women's right to dignified, respectful healthcare throughout pregnancy and childbirth. Although reports point out that marginalized groups in society such as single mothers are particularly vulnerable to abusive and disrespectful care, t...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-017-0290-9
更新日期:2017-03-04 00:00:00
abstract:BACKGROUND:Preterm birth is the main cause of morbidity and mortality during the perinatal period. Classical risk factors are held responsible for only 1/3 of preterm births and no current intervention has produced an appreciable reduction of this event. It is necessary to explore new hypotheses and mechanisms of causa...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-11-79
更新日期:2014-11-19 00:00:00
abstract:BACKGROUND:As per the World Health Organization, the nutritional status of women of reproductive age is important, as effects of undernutrition are propagated to future generations. More than one-third of Indian women in the reproductive age group are in a state of chronic nutritional deficiency during the preconceptio...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-018-0535-2
更新日期:2018-06-22 00:00:00
abstract:BACKGROUND:In 2001, the WHO Antenatal Care Trial (WHOACT) concluded that an antenatal care package of evidence-based screening, therapeutic interventions and education across four antenatal visits for low-risk women was not inferior to standard antenatal care and may reduce cost. However, an updated Cochrane review in ...
journal_title:Reproductive health
pub_type: 杂志文章,随机对照试验
doi:10.1186/1742-4755-10-19
更新日期:2013-04-12 00:00:00
abstract::Abortion is legally restricted in most of Latin America where 95% of the 4.4 million abortions performed annually are unsafe. Medical abortion (MA) refers to the use of a drug or a combination of drugs to terminate pregnancy. Mifepristone followed by misoprostol is the most effective and recommended regime. In setting...
journal_title:Reproductive health
pub_type: 杂志文章,评审
doi:10.1186/1742-4755-9-34
更新日期:2012-12-22 00:00:00
abstract:BACKGROUND:After the 1968 United Nations International Conference on Human Rights, access to family planning services became a human right. Such a service is of central importance to women's empowerment and is empirically needed to provide adequate healthcare. For registered refugees and asylum seekers in Germany compl...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-020-00962-3
更新日期:2020-07-29 00:00:00
abstract:BACKGROUND:The increased incidence of sexually transmitted infections (STIs) in Brazil represents a significant public health issue. This issue has raised awareness among health authorities regarding the quality of condoms. In Brazil, male condoms need to be certified. The certification process evaluates in detail the ...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-016-0254-5
更新日期:2016-12-07 00:00:00
abstract:BACKGROUND:Ultrasound during antenatal care (ANC) is proposed as a strategy for increasing hospital deliveries for complicated pregnancies and improving maternal, fetal, and neonatal outcomes. The First Look study was a cluster-randomized trial conducted in the Democratic Republic of Congo, Guatemala, Kenya, Pakistan a...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-018-0647-8
更新日期:2018-12-12 00:00:00
abstract:BACKGROUND:Healthcare providers have a responsibility to provide pain management support to women during labor. Labor pain management in low and middle income countries primarily relies on non-pharmacological methods, as there is little access to pharmacologic pain management. This study aimed to determine the utilizat...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-020-01043-1
更新日期:2020-11-23 00:00:00
abstract:BACKGROUND:There have been few studies to examine antenatal predictors of incident postnatal depression, particularly in low- and middle-income countries (LMICs). The aim of this study was to investigate antenatal predictors of incident and persistent maternal depression in a rural Ethiopian community in order to infor...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0690-0
更新日期:2019-03-04 00:00:00
abstract::Following publication of the original article [1], we have been notified that another author should be added to the team of authors. The Name and affiliation details are below. ...
journal_title:Reproductive health
pub_type: 杂志文章,已发布勘误
doi:10.1186/s12978-019-0812-8
更新日期:2019-10-30 00:00:00
abstract:BACKGROUND:Abortion has been legal in Nepal since 2002 and the country has made striking progress in rolling out induced abortion services. It led to well-known changes in reproductive behavior, however knowledge about legislation and abortion experience by female youth has been least investigated. This paper is an att...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-016-0166-4
更新日期:2016-04-27 00:00:00
abstract:BACKGROUND:The decreased reproductive capacity of men is an important factor contributing to infertility. Accumulating evidence has shown that Electromagnetic radiation potentially has negative effects on human health. However, whether radio frequency electromagnetic radiation (RF-EMR) affects the human reproductive sy...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-015-0062-3
更新日期:2015-08-04 00:00:00
abstract:BACKGROUND:In Senegal, unintended pregnancy has become a growing concern in public health circles. It has often been described through the press as a sensational subject with emphasis on the multiple infanticide cases as a main consequence, especially among young unmarried girls. Less scientific evidence is known on th...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-10-59
更新日期:2013-11-19 00:00:00
abstract:BACKGROUND:Turkey hosts the world's largest community of Syrians displaced by the conflict. The Minimum Initial Service Package (MISP) is a coordinated set of priority reproductive health services. There is not any scoping review assessing the RH situation of Syrian refugees in Turkey within the framework of the MISP o...
journal_title:Reproductive health
pub_type: 杂志文章,评审
doi:10.1186/s12978-020-00948-1
更新日期:2020-06-22 00:00:00
abstract:BACKGROUND:The study aims to assess the discordance between self-reported and observed measures of mistreatment of women during childbirth in public health facilities in Uttar Pradesh, India, as well as correlates of these measures and their discordance. METHODS:Cross sectional data were collected through direct obser...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-017-0409-z
更新日期:2017-11-15 00:00:00
abstract:BACKGROUND:In Brazil, high contraceptive prevalence rates coexist with high rates of unintended pregnancies. Contraceptive discontinuation may explain this context, but few studies have focused on highly educated young women in countries with low unmet need for modern contraception. This paper explores frequency and as...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0783-9
更新日期:2019-08-29 00:00:00
abstract:BACKGROUND:Historically, transitioning gender was seen as precluding transgender people from having children in the future. However, there are now increased reproductive options available to transgender people, with such options also available to non-binary people (i.e., people whose gender is not exclusively male or f...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-018-0627-z
更新日期:2018-10-25 00:00:00
abstract:BACKGROUND:Many patients use websites, blogs, or online social communities to gain health knowledge, information about disease symptoms, and disease diagnosis opinions. The purpose of this study is to use the online platform of blogs to explore whether the framing effect of information content, situated learning of inf...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-11-93
更新日期:2014-12-26 00:00:00
abstract:BACKGROUND:Male reproductive health is a relatively new concept, and most men are neglected in reproductive health discussions. Therefore, it appears that there is insufficient information about the male reproductive health. This study aims to design a psychometric instrument for assessing the male reproductive health-...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-020-00966-z
更新日期:2020-08-03 00:00:00
abstract:BACKGROUND:Men in northern Nigeria are considered the leaders and ultimate decision makers, including decisions about health-related behaviours of their wives and children. Yet many men in the region consider pregnancy and childbirth to be in the woman's domain (even if she cannot make related decisions), and may not s...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0761-2
更新日期:2019-07-15 00:00:00
abstract:BACKGROUND:Overweight and obese women are at risk of pregnancy and delivery complications. This study investigates the trend and association between maternal overweight and obesity on caesarean births in Malawi. METHODS:We utilised cross-sectional population-based Demographic Health Surveys (DHSs) data collected from ...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0700-2
更新日期:2019-04-03 00:00:00
abstract:BACKGROUND:Despite a variety of mainly school-driven prevention strategies, the number of adolescent pregnancies in Rwanda is worryingly high and is even expected to increase. The aim of this study is to empower Kirehe secondary school students aged 15-19 years old in sexual and reproductive health (SRH) by developing ...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-020-00986-9
更新日期:2020-09-07 00:00:00
abstract:BACKGROUND:Recent studies have demonstrated that it is common for women to report inconsistent fertility motivations and family planning behaviors. This study examines these inconsistencies among urban Honduran women interviewed at two points in time and presents reasons for inconsistent fertility motivations and contr...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-6-19
更新日期:2009-11-19 00:00:00
abstract::The ICPD agenda of reproductive health was declared as the most comprehensive one, which had actually broadened the spectrum of reproductive health and drove the states to embark upon initiatives to improve reproductive health status of their populations. However, like all other countries, Pakistan also seems to have ...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-5-4
更新日期:2008-09-10 00:00:00
abstract:BACKGROUND:Globally, an estimated 287 000 maternal deaths occurred in 2010 annually as a result of complications of pregnancy and childbirth. Sub-Saharan Africa and Southern Asia were accounted for 85% of the global burden (245 000 maternal deaths) including Ethiopia. Obstetric related complications cannot be reliably ...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-11-55
更新日期:2014-07-20 00:00:00
abstract:OBJECTIVE:Access to comprehensive and culturally appropriate reproductive life planning is essential to women's health. Although many strategies and tools exist, few are designed for longitudinal use or provide visual aids. Our objective is to present the Family Planning Quotient (FPQ) and Reproductive Life Index (RepL...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0787-5
更新日期:2019-08-19 00:00:00