Abstract:
:The attainment of the fifth Millennium Development Goal requires adequate national reserves of skilled birth attendants. Nurses, midwives, and their equivalents form the frontline of the formal health system are a critical element of global efforts to reduce ill-health and poverty in the poorest areas of the world. Planning and policies supporting these cadres of workers must be placed high on the development agenda and championed by key international and national players. This article first sets forth an argument for the equity and efficiency of nurses, midwives, and their equivalents as the cadre largely responsible for maternal health. Second, it traces the root causes of neglect of this critical cadre, including a vacuum in political will in the context of poverty, lack of protections for frontline workers, the historical political position of the field of midwifery, lack of a pipeline of secondary school graduates, and gender inequity. Investment in the largely female cadre that cares for the majority of the world's poorer women has simply not been a high enough priority. Five key policy recommendations include harnessing political will and adequate metrics, protection of frontline workers' safety and livelihoods, ensuring an adequate pipeline with a focus on girls' education, donor support for training and professional organizations, and a rapid scale-up of a robust cadre of delivery care professionals. Finally, a call for unified international support of rapid scale-up of cadres of delivery care workers is put forth.
journal_name
Croat Med Jjournal_title
Croatian medical journalauthors
Wirth Mdoi
10.3325/cmj.2008.3.318subject
Has Abstractpub_date
2008-06-01 00:00:00pages
318-33issue
3eissn
0353-9504issn
1332-8166journal_volume
49pub_type
杂志文章abstract:AIM:To select appropriate preprocessing methods for different substrates by comparing the effects of four different preprocessing methods on touch DNA samples and to determine the effect of various storage times on the results of touch DNA sample analysis. METHOD:Hand touch DNA samples were used to investigate the det...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:10.3325/cmj.2017.58.4
更新日期:2017-02-28 00:00:00
abstract::To examine ways of ensuring access to health services within the framework of primary health care (PHC), since the goal of PHC to make universal health care available to all people has become increasingly neglected amid emerging themes of globalization, trade, and foreign policy. From a public health point of view, we...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:10.3325/2010.51.181
更新日期:2010-06-01 00:00:00
abstract:AIM:To compare primary and secondary wound reconstruction as a treatment method for Gustilo type III open tibial fractures. METHODS:Thirty-five consecutive patients with a Gustilo type III open tibial shaft fracture were treated and followed up for 3 years. The patients were divided into two groups depending on the tr...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2003-12-01 00:00:00
abstract:AIM:To evaluate the existing evidence on relative efficacy and tolerability of topical mono-compound intraocular pressure (IOP)-lowering drugs in treatment of primary open angle glaucoma (POAG) and ocular hypertension (OHT). METHODS:In this systematic review of systematic reviews/meta-analyses of randomized controlled...
journal_title:Croatian medical journal
pub_type: 杂志文章,评审
doi:10.3325/cmj.2014.55.468
更新日期:2014-10-01 00:00:00
abstract::This article presents the basic facts about education, health care system, and academic medicine in Finland. The issue of the academic medicine in the world is discussed and Finnish models compared with those of the rest of the world. Possible solutions for the recovery of academic medicine, education, and research ar...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2004-06-01 00:00:00
abstract::Polish physicians-philosophers tried to find a compromise between medicine as a science and medicine as a healing art. They stated that clinical practice should be transformed into science, bearing in mind that there would be no medicine without the existence of the sick. A perfect physician is a good and wise person ...
journal_title:Croatian medical journal
pub_type: 历史文章,杂志文章
doi:
更新日期:1999-03-01 00:00:00
abstract:AIM:To provide a screening tool to reduce time and sample consumption when attempting mitochondrial DNA (mtDNA) haplogroup typing. METHODS:A single base primer extension assay was developed to enable typing, in a single reaction, of twelve mtDNA haplogroup specific polymorphisms. For validation purposes a total of 147...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2007-08-01 00:00:00
abstract:AIM:To define predictive factors for frequent attenders among preschool children in primary health care and investigate the association between socioeconomic factors and medical factors, as well as the reasons for child's appointment in the physician's office. METHODS:This retrospective study was conducted in 7 primar...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:10.3325/cmj.2007.6.852
更新日期:2007-12-01 00:00:00
abstract::Corporate medical practice, a market economy, and a consumer culture are transforming health care. The service relationships of doctors with patients are now commodities. The doctor, directed by disease management protocols (to improve outcomes, reduce costs, and standardize care), is, in effect, providing programmed ...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2000-06-01 00:00:00
abstract::There may be valuable research going on in the developing and financially less-privileged countries, but it usually does not reach international visibility, in spite of a large number of scientific journals in these countries. Such journals are not only invisible but, by perpetuating a vicious circle of inadequacy, ma...
journal_title:Croatian medical journal
pub_type: 评论,社论
doi:
更新日期:2001-04-01 00:00:00
abstract:AIM:To evaluate the administration of antipyretics to children with upper respiratory tract infections (URTI) by their parents or guardians without consultation with physicians, and compare epidemiological and clinical characteristics of patients who received antipyretics and of untreated patients. METHODS:A prospecti...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:10.3325/cmj.2011.52.48
更新日期:2011-02-01 00:00:00
abstract::The Revised European-American Classification of Lymphoid Neoplasms (REAL) classification has been validated by a multi-institutional study, and project data showed that it is both reproducible and clinically relevant. The new World Health Organization (WHO) Classification of Neoplastic Diseases of Hematopoietic and Ly...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2002-10-01 00:00:00
abstract:AIM:To investigate the influence of psychological and social factors on health risk behaviors, such as smoking, alcohol and psychoactive drug consumption among adolescents and to determine the prevalence of consuming various psychoactive substances. METHODS:The survey was conducted among adolescents in the Primorsko-g...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2005-02-01 00:00:00
abstract:AIM:To assess the ability to work and employability of individuals taking part in opioid substitution treatment programs (OSTP). METHODS:The study was composed of two surveys. In the first survey, 237 of 480 patients enrolled in OSTP responded to the questionnaire about their employment status, opinion about employmen...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:10.3325/cmj.2008.49.842
更新日期:2008-12-01 00:00:00
abstract:AIM:To assess the usefulness of a DNA-based method for identifying mushroom species for application in forensic laboratory practice. METHODS:Two hundred twenty-one samples of clinical forensic material (dried mushrooms, food remains, stomach contents, feces, etc) were analyzed. ITS2 region of nuclear ribosomal DNA (nr...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:10.3325/cmj.2015.56.32
更新日期:2015-02-01 00:00:00
abstract:AIM:To assess the quality of diabetes care provided by family medicine teams in primary health centers in Bosnia and Herzegovina (BH) through a medical audit, addressing the extent to which clinical practice complied with pre-determined explicit criteria of long-term management. METHOD:Retrospective analysis included ...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:10.3325/cmj.2008.49.757
更新日期:2008-12-01 00:00:00
abstract:AIM:To determine the clinical profile, burden of risk factors, and quality of care among patients hospitalized for an acute myocardial infarction (AMI) with special focus on gender differences. METHODS:The study included 256 AMI patients admitted to the Coronary Care Unit of "Mother Teresa" hospital in Tirana during 2...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:10.3325/cmj.2015.56.542
更新日期:2015-12-01 00:00:00
abstract:AIM:To assess the influence of depression on patients' satisfaction with lumbar discectomy performed by two different surgical techniques. METHODS:A prospective matched-cohort analysis of classical lumbar discectomy following static imaging (n = 45) and microlumbar "key-hole" discectomy after dynamic CT/myelography (n...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2002-12-01 00:00:00
abstract:AIM:To evaluate thyroid function and the presence of antithyroid autoantibodies in patients with sarcoidosis, compared to patients with chronic obstructive pulmonary disease (controls). METHODS:Sera were obtained from 26 patients (19 women and 7 men) with active sarcoidosis, age and sex matched to 26 patients with dia...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:1998-12-01 00:00:00
abstract::Y-chromosomal short tandem repeats (Y-STRs) are useful forensic DNA markers in investigation of sexual assault cases when a mixture of male and female DNA (e.g., in vaginal swabs) is present in a sample, especially when DNA of the male contributor is present only in very small amount compared to the DNA of the female ...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2001-06-01 00:00:00
abstract::Health and health care provision are among the most important and politically sensitive public service areas. Politicians carefully incorporate health care program changes in their political agendas to gain votes. However, knowing health care priorities of the electoral body is not useful only to politicians, but also...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2006-06-01 00:00:00
abstract:AIM:To study the association between genetic variants in myocilin and collagen type I alpha 1 genes and high myopia in an isolated island population. METHODS:A total of 944 examinees from the genetic epidemiology study conducted on the island of Korcula, Croatia, were included in the study. We selected 2 short nucleot...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:10.3325/cmj.2009.50.17
更新日期:2009-02-01 00:00:00
abstract:AIM:To compare the growth patterns of Qatari preschool children aged 0-5 years with the growth reference charts developed by the American National Center for Health Statistics and Centers for Disease Control and Prevention (NCHS/CDC). METHODS:The demographic data of weight, height, and age were collected in a cross-se...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2004-08-01 00:00:00
abstract::Aim .To investigate if there are differences in medical ethics education between different schools of medicine in Spain, specifically between private and public schools and between recently founded schools and older ones. METHOD:The curricula of medical degrees from all Spanish faculties were reviewed for the 2014/20...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:10.3325/cmj.2016.57.493
更新日期:2016-10-31 00:00:00
abstract::Alport syndrome (AS) is a genetically heterogenic, structural disorder of the glomerular basement membrane (GBM) due to the mutation of COL4A3, COL4A4, or COL4A5 genes, which clinically presents as progressive hematuric nephritis with ultrastructural changes of the GBM, high tone sensorineural hearing loss, and ocular...
journal_title:Croatian medical journal
pub_type:
doi:
更新日期:2019-10-31 00:00:00
abstract::The calculation of the heart axis in the frontal plane can be performed with the combination of any two leads. The use of combination of bipolar (I, II, III) and unipolar leads (aVR, aVL and aVF) can produce wrong results. Calculation of the electrical axis from leads I and aVF without correction (sometimes used in EC...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:1999-03-01 00:00:00
abstract:AIM:To determine whether a combination of cell targeting and sequence recognition of nucleic acids can provide specificity for the inhibition of viral gene expression. METHODS:Antisense oligonucleotides complexed to a protein-based DNA carrier system were used to target hepatocytes for the inhibition of human hepatiti...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2001-08-01 00:00:00
abstract:AIM:To determine the level of job satisfaction of nursing professionals in Slovenian hospitals and factors influencing job satisfaction in nursing. METHODS:The study included 4 hospitals selected from the hospital list comprising 26 hospitals in Slovenia. The employees of these hospitals represent 29.8% and 509 employ...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:10.3325/cmj.2012.53.263
更新日期:2012-06-01 00:00:00
abstract::Two closely related boys from the same house hold (Home 1), aged two and three, were affected with fulminant meningococcal sepsis known as Waterhouse-Friderichsen syndrome. Neisseria meningitidis serogorup B was isolated from their blood and cerebrospinal fluid. The two-year-old boy died one day after the onset of the...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:1998-03-01 00:00:00
abstract::The Croatian Pharmaceutical Sector Reform Project was one component of a larger Health Reform Project financed by the World Bank. The Croatian government was concerned that Croatia appeared to spend more money on medicinal drugs than most other countries in the region; that the price of drugs purchased in Croatia was ...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2004-10-01 00:00:00