Maternal and neonatal health: universal access is imperativeBMJ 2005; 331 doi: https://doi.org/10.1136/bmj.331.7525.0-a (Published 10 November 2005) Cite this as: BMJ 2005;331:0-a
All rapid responses
This article about maternal and neonatal deaths highlights the the
failure of curent health care practices in developing countries in
attaining millenium goals.As a project each stratgy seems effective(Care
and GADRICHOLI projects in india) ,but on a larger scale they almost fail
to show desired results. It is not only finances only, but education of
couples about maternal and child health which is lacking mostly.
It is a felt need of young children, specially girls to be to be told
about danger signs in pregnancy, newBorn and infants, when to seek medical
help,advantages of breast milk etc. While even educated parents choose a
place of delivery, a particular doctor, some may want child to be
delivered on a particular day, when it comes to maternal
problems(leaking,antepartum hemorrhage,swollen feet or anemia) medical
care is delayed. For neonate, a similar ignorance is noted in young mothers
for feeding and danger signs in newborn as well as immunisation schedules.
Also advice of elders is taken as god's word who had their children
decades ago with meagre facilities and baby is often delivered at home by
untrained person and if a problem comes is rushed to nearest health
facility. A few
reasons for home delivery are eye opener in urban area are:-1, fear of
caesarean birth by layman ,2.elders prefer home delveries and couples can
not go against their wishes and 3.due to distance and cost a home help is
often not available from relatives .4.antenatal care in govt setting takes
a toll on wages as it may take half to full day.
I feel health , nutrition and family planning knowledge should be
imparted to 1)youth--both boys abd girls starting at middle level, by
school teachers and in higher classes, 2)all health facilities, 3)advertising media: news paper,radio, tv,cinema slides by celebreties
and social functions. Also family planning advice should be a top priority
by all health personnel at all level , and not be a statistics only for
the govt's part. In most developing countries it is the man who is
deciding factor in the family, education of males is a must in this regard.
To save mothers, newborn and infants should be a people's movement and
demand in underpreviliged countries by involving polticians, social
workers, health workers, all united together in this task and not limited
to five star meetings by elites for them to take credit Of meetings.
Competing interests: No competing interests