Low utilization of maternal and child care services in rural areas has constrained Pakistan from meeting targets of Millennium Development Goals (MDGs) 4 and 5. This study explores community barriers in accessing Maternal and Child Health (MCH) services in ten remote rural districts of Pakistan. It further presents how the barriers differ across a range of MCH services, and also whether the pre...

This study evaluated parents' experience with University of Massachusetts (UMass) Child Psychiatry Access Project (MCPAP), a consultation service to primary care providers (PCP), aimed at improving access to child psychiatry. Parent satisfaction questionnaire was sent to families referred to UMass MCPAP by their PCP, asking about their concerns leading to the referral, the satisfaction from the...

This research brief describes the developmental risks present in a cohort of children coming into contact with the child welfare system between 1999 and 2000, as well as the services the children receive to address these risks. The findings are drawn from the National Survey of Child and Adolescent Well-being (NSCAW), a unique study that provides detailed information about the well-being and ex...

CONTEXT Since the 1990s, Mongolia has undergone a rapid social and economic transition with migration to the urban areas of the national capital Ulaanbaatar. The main reasons for the migration are social sector decline in rural areas and the potential for employment opportunities in urban areas. There are also new internal patterns of migration in rural and remote areas relating to recent devel...

Several readers wrote to us to express their concern about the image the BMJ chose to accompany this Analysis article by Ingrid Wolfe and colleagues (BMJ 2011;342:d1277, doi:10. 1136/bmj.d1277) in the print issue of 23 April (page 903). It showed a metered dose inhaler being administered to an infant without use of a spacer. According to the British Guideline on the Management of Asthma, for ch...

It is indeed a great honour delivering the presidential address here at the " 56th " annual conference of our esteemed society in the city of palaces, Mysore. I am grateful to the honorable members of the IPS who have reposed their faith in me and provided me an opportunity to work for the highest office for a year. I feel overwhelmed whenever I think about the day when I joined psychiatry as m...

with a 12-month timetable, it faced a vast array of challenges. A global financial crisis was gaining momentum, leading many to think that there was no chance of getting political support for raising additional funds for the United Nations Millennium Development Goals (MDGs) for low-income countries. Other challenges included differing views on how to define and handle international investments...

BACKGROUND Although exposure to direct forms of childhood maltreatment is among the most widely studied risk factors for nonsuicidal self-injury (NSSI), research on NSSI has largely overlooked the role of exposure to indirect forms of child maltreatment (i.e., witnessing domestic violence). To address this gap in the literature, the present study examined associations among both direct and indi...

BACKGROUND Maternal and child healthcare services are very important for the health outcomes of the mother and that of the child and in ensuring that both maternal and child deaths are prevented. Studying these services is necessary in developing countries where infrastructure (which is meant to deal with these health services) is minimal or lacking. The objective of the study is to examine the...