Abstract：
:Although the majority of births in Mexico are attended by skilled birth attendants, maternal mortality remains moderately high, raising questions about the quality of training and delivery care. We conducted an exhaustive review of the curricula of three representative schools for the education and clinical preparation of three types of birth attendant - obstetric nurses, professional midwives and general physicians - National Autonomous University of Mexico (UNAM) School of Obstetric Nursing; CASA Professional Midwifery School; and UNAM School of Medicine, Iztacala Campus. All curricular materials were measured against the 214 indicators of knowledge and ability in the International Confederation of Midwives (ICM) skilled attendant training guidelines. The CASA curriculum covered 83% of the competencies, 93% of basic knowledge and 86% of basic abilities, compared with 54%, 59% and 64% for UNAM Obstetric Nursing School and 43%, 60% and 36% for UNAM School of Medicine, respectively. Neither the Obstetric Nursing School nor the School of Medicine documented the quantity or types of clinical experience required for graduation. General physicians attend the most births in Mexico, yet based on our analysis, professional midwives had the most complete education and training as measured against the ICM competencies. We recommend that professional midwives and obstetric nurses should be formally integrated into the public health system to attend deliveries.
journal_name
Reprod Health Mattersjournal_title
Reproductive health mattersauthors
Cragin L,DeMaria LM,Campero L,Walker DMdoi
10.1016/S0968-8080(07)30332-7subject
Has Abstractpub_date
2007-11-01 00:00:00pages
50-60issue
30eissn
0968-8080issn
1460-9576pii
S0968-8080(07)30332-7journal_volume
15pub_type
杂志文章abstract：:Although the female condom has been introduced into over 90 countries since 1997, it has only been accepted in sexual and reproductive health programmes as a mainstream method in a few. This paper describes introductory strategies developed by Ministries of Health and non-governmental organisations in Brazil, Ghana, Z...
journal_title：Reproductive health matters
pub_type： 杂志文章,评审
doi：10.1016/s0968-8080(03)02178-5
更新日期：2003-05-01 00:00:00
abstract：:Even a few decades ago, it was considered normal and even desirable in Latin America for young women to become pregnant before they were 20--provided they were married; while young men were expected to become sexually active as soon as they entered adolescence, without much concern about potential risks or with whom t...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/s0968-8080(01)90018-7
更新日期：2001-05-01 00:00:00
abstract：:Menopausal symptoms can be grim, and the desire to replace the hormonal "deficit" with exogenous hormones remains strong. Since the 1950s, hormone replacement therapy has been used increasingly, while evidence on the risks of unwanted side effects has accumulated. What have we learned over these decades? Firstly, curr...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/s0968-8080(04)24144-1
更新日期：2004-11-01 00:00:00
abstract：:We aimed to describe the prevalence of intimate partner violence (IPV) during pregnancy across 19 countries, and examine trends across age groups and UN regions. We conducted a secondary analysis of data from the Demographic and Health Surveys (20 surveys from 15 countries) and the International Violence Against Women...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/S0968-8080(10)36533-5
更新日期：2010-11-01 00:00:00
abstract：:In Kenya in 1999, an estimated 6.9% of women nationally said they had exchanged sex for money, gifts or favours in the previous year. In 2000 and 2001, in collaboration with sex workers who had formed a network of self-help groups, we conducted an exploratory survey among 475 sex workers in four rural towns and three ...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/s0968-8080(04)23125-1
更新日期：2004-05-01 00:00:00
abstract：:At the mid-point of the Programme of Action of the 1994 International Conference on Population and Development, we reviewed the situation in the UK in key areas. In recent years, greater attention has been paid to sexual health at a national policy level, including strategies on teenage pregnancy and sexual health, bu...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/s0968-8080(05)25182-0
更新日期：2005-05-01 00:00:00
abstract：:Although it is well known that refugees engage in sex work as a form of livelihood, stigma and silence around this issue persist within humanitarian circles. As a result, these refugees' sexual and reproductive health and rights, and related vulnerabilities, remain overlooked. Their protection and health needs, which ...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1080/09688080.2017.1405674
更新日期：2017-11-01 00:00:00
abstract：:Pregnant women routinely undergo prenatal screening in Australia and this has become a common experience of motherhood. When prenatal screening or prenatal testing results in diagnosis of a serious fetal abnormality, women are presented with a decision to continue or terminate their pregnancy. Few recent studies have ...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/j.rhm.2016.04.003
更新日期：2016-05-01 00:00:00
abstract：:The Irish Protection of Life During Pregnancy Act seeks to clarify the legal ground for abortion in cases of risk to life, and to create procedures to regulate women's access to services under it. This article explores the new law as the outcome of an international human rights litigation strategy premised on state du...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/S0968-8080(14)44798-0
更新日期：2014-11-01 00:00:00
abstract：:Since 1995, sector-wide approaches (SWAps) to health development have significantly influenced health aid to developing countries. SWAps offer guidelines for new partnerships with international donors led by government, new relationships between donors and shared financing, development and implementation of agreed pac...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/s0968-8080(02)00082-4
更新日期：2002-11-01 00:00:00
abstract：:The female condom has received surprisingly little serious attention since its introduction in 1984. Given the numbers of women with HIV globally, international support for women's reproductive and sexual health and rights and the empowerment of women, and, not least, due to the demand expressed by users, one would ha...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/S0968-8080(10)35499-1
更新日期：2010-05-01 00:00:00
abstract：:Health sector reformers, particularly the economists among them, are prone to reject calls for more financial support for reproductive health as "special pleading" even when the argument is made that reproductive health is a basic human right. Reproductive health is not alone in this. Up to now, however, the idea that...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/s0968-8080(02)00079-4
更新日期：2002-11-01 00:00:00
abstract：:How rurality relates to women's abortion decision-making in the United States remains largely unexplored in existing literature. The present study relies on qualitative methods to analyze rural women's experiences related to pregnancy decision-making and pathways to abortion services in Central Appalachia. This analys...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1080/09688080.2018.1513270
更新日期：2018-12-01 00:00:00
abstract：:Argentina has recognized women's right to not be subjected to obstetric violence, the violence exercised by health personnel on the body and reproductive processes of pregnant women, as expressed through dehumanizing treatment, medicalization abuse, and the conversion of natural processes of reproduction into patholog...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/j.rhm.2016.05.001
更新日期：2016-05-01 00:00:00
abstract：:Understanding the flow of resources at the country level to reproductive health is essential for effective financing of this key component of health. This paper gives a comprehensive picture of the allocation of resources for reproductive health in Kenya and the challenges faced in the resource-tracking process. Data ...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/S0968-8080(13)42738-6
更新日期：2013-11-01 00:00:00
abstract：:Although unsafe abortion continues to be a leading cause of maternal mortality in many countries in Asia, the right to safe abortion remains highly stigmatized across the region. The Asia Safe Abortion Partnership, a regional network advocating for safe abortion, produced an animated short film entitled From Unwanted ...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/j.rhm.2015.06.013
更新日期：2015-05-01 00:00:00
abstract：:On 25 July 2001 the Polish Federation for Women and Family Planning organised a Tribunal on Abortion Rights in Warsaw, to publicize the negative consequences of the criminalization of abortion in Poland. A panel of Polish and foreign experts heard the testimonials of seven Polish women's experiences under the 1993 "An...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/s0968-8080(02)00023-x
更新日期：2002-05-01 00:00:00
abstract：:Structural and social inequalities, a harsh political economy and neglect on the part of the state have made married adolescent girls an extremely vulnerable group in the urban slum environment in Bangladesh. The importance placed on newly married girls' fertility results in high fertility rates and low rates of contr...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/S0968-8080(06)27221-5
更新日期：2006-05-01 00:00:00
abstract：:This paper examines different dimensions of sexual health as related to the measurement of sexual health indicators and the proposed changes in the International Classification of Diseases to address issues related to sexuality and sexual health with an aim of informing health policy-making and programming. The lack o...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/j.rhm.2015.11.008
更新日期：2015-11-01 00:00:00
abstract：:Turkey has maintained liberal contraception and abortion policies since the 1980s. In 2012, the government proposed to restrict abortion; a bill limiting abortion was later drafted but never passed into law. Since the proposed restriction, women have reported difficulty accessing abortion services across Turkey. We ai...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/j.rhm.2016.11.002
更新日期：2016-11-01 00:00:00
abstract：:In spite of wide availability of menstrual regulation services, women often resort to a variety of medicines for inducing abortion. The Bangladeshi Government is now supporting attempts to investigate the introduction of medical menstrual regulation in the public sector. This study examined the acceptability of medica...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/S0968-8080(14)43795-9
更新日期：2015-02-01 00:00:00
abstract：:Drug regimens and procedures now exist that will prevent parents from transmitting HIV to infants, and the ethical and legal obligation to promote and protect the reproductive rights of those living with HIV should form part of training for HIV/AIDS care and prevention. This paper reports a study that investigated iss...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/s0968-8080(03)02293-6
更新日期：2003-11-01 00:00:00
abstract：:In the last days of 2011, President of Brazil Dilma Rousseff issued a provisional measure (or draft law) entitled "National Surveillance and Monitoring Registration System for the Prevention of Maternal Mortality" (MP 557), as part of a new maternal health programme. It was supposed to address the pressing issue of ma...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/S0968-8080(12)39616-X
更新日期：2012-06-01 00:00:00
abstract：:In Uganda, lack of resources and skilled staff to improve quality and delivery of maternity services, despite good policies and concerted efforts, have not yielded an increase in utilisation of these services by women or a reduction in the high ratio of maternal deaths. This paper reports a study conducted from Novemb...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/s0968-8080(03)02176-1
更新日期：2003-05-01 00:00:00
abstract：:South Africa's first democratic government passed the Domestic Violence Act (DVA) into law in 1998 as part of local and international commitments to protecting the human rights of women. Although the Act was welcomed as groundbreaking legislation, delays in implementing it led to increasing frustration. This paper des...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/s0968-8080(00)90187-3
更新日期：2000-11-01 00:00:00
abstract：:Viet Nam has high modern contraceptive prevalence (68%), with most services received through the public sector. As the country transitions to middle-income status, Viet Nam's donors have ceased donations of contraceptive supplies, causing a large projected shortfall in the family planning budget. In response, the Mini...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/S0968-8080(10)36529-3
更新日期：2010-11-01 00:00:00
abstract：:Integrated reproductive health services for people living with HIV must address their fertility intentions. For HIV-serodiscordant couples who want to conceive, attempted conception confers a substantial risk of HIV transmission to the uninfected partner. Behavioral and pharmacologic strategies may reduce HIV transmis...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/S0968-8080(12)39639-0
更新日期：2012-12-01 00:00:00
abstract：:Population-Health-Environment (PHE) is an interdisciplinary model of programme design which recognises the complex interconnections between people, their health and their environment. PHE responds holistically to the challenges faced by ecosystems and the communities dependent on them, with thematically distinct but i...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/S0968-8080(14)43766-2
更新日期：2014-05-01 00:00:00
abstract：:This paper explores sexual and reproductive health and rights (SRHR) among young people, identifying intersecting factors that create inequities in access to services, health-seeking behaviour, and ultimately health outcomes. Based on qualitative interviews with young people in the Maldives, it demonstrates how these ...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1080/09688080.2018.1542910
更新日期：2018-11-01 00:00:00
abstract：:Abortion has been available legally in Moldova since 1955, and since then the abortion rate has gradually declined. The quality of abortion care remains low, however, and there is a high level of maternal mortality related to unsafe abortion. The goals of the 2005-2015 National Reproductive Health Strategy are to redu...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/S0968-8080(05)26206-7
更新日期：2005-11-01 00:00:00
