A functional referral system for addressing maternal and child health issues requires coordinated efforts by stakeholders community. Using Rural Health Program (RHP) Thatta as platform provided an academic institution, district community of Mirpur Sakro taluka were engaged to strengthen the emergency emergencies through active engagement. Through combined consultation, plan was developed. Commu...

background : a detailed study of hidden and hard to reach populations in order to identify their characteristics is essential because they endanger the health of the society by their dangerous behaviors. however, sampling in these populations through conventional sampling methods is impossible due to reasons such as being hidden and lacking a precise frame. methods: in this article, applicable ...

In order to improve perinatal outcomes, national guidelines proposed by the National Committee for Mother and Child Health, were promulgated by the Ministry of Health in 1990. A Child and Maternal Hospital Healthecare Referral Network was created. This document advised for some innovating and frontal aspects: 1. Maternities with less than 1500 deliveries per year should be closed; 2. Hospitals ...

OBJECTIVE To evaluate the feasibility of remote presence for improving the health of residents in a remote northern Inuit community. STUDY DESIGN A pilot study assessed patient's, nurse's and physician's satisfaction with and the use of the remote presence technology aiding delivery of health care to a remote community. A preliminary cost analysis of this technology was also performed. METH...

BACKGROUND Obstetric hemorrhage is the leading cause of maternal mortality. Using a cluster randomized design, we investigated whether application of the Non-pneumatic Anti-Shock Garment (NASG) before transport to referral hospitals (RHs) from primary health care centers (PHCs) decreased adverse outcomes among women with hypovolemic shock. We hypothesized the NASG group would have a 50% reducti...

OBJECTIVE To examine the relationship between hospital and emergency department (ED) occupancy, as indicators of hospital overcrowding, and mortality after emergency admission. DESIGN Retrospective analysis of 62 495 probabilistically linked emergency hospital admissions and death records. SETTING Three tertiary metropolitan hospitals between July 2000 and June 2003. PARTICIPANTS All pati...

BACKGROUND The availability of quality data to inform policy is essential to reduce maternal deaths. To characterize maternal deaths in settings without complete vital registration systems, we designed and assessed the inter-rater reliability of a tool to systematically extract data and characterize the events that precede a nationally representative sample of maternal deaths in India. METHOD...