[Articles] Moving beyond essential interventions for reduction of maternal mortality (the WHO Multicountry Survey on Maternal and Newborn Health): a cross-sectional study
High coverage of essential interventions did not imply reduced maternal mortality in the health-care facilities we studied. If substantial reductions in maternal mortality are to be achieved, universal coverage of life-saving interventions need to be matched with comprehensive emergency care and overall improvements in the quality of maternal health care. The MSI could be used to assess the performance of health facilities providing care to women with complications related to pregnancy.
[Articles] Trends in contraceptive need and use in developing countries in 2003, 2008, and 2012: an analysis of national surveys
Achievement of the desired number and healthy timing of births has important benefits for women, families, and societies. To meet the unmet need for modern contraception, countries need to increase resources, improve access to contraceptive services and supplies, and provide high-quality services and large-scale public education interventions to reduce social barriers. Our findings confirm a substantial and unfinished agenda towards meeting of couples' reproductive needs.
[Articles] Effect of HIV infection on pregnancy-related mortality in sub-Saharan Africa: secondary analyses of pooled community-based data from the network for Analysing Longitudinal Population-based HIV/AIDS data on Africa (ALPHA)
HIV-infected pregnant or post-partum women had around eight times higher mortality than did their HIV-uninfected counterparts. On the basis of this estimate, we predict that roughly 24% of deaths in pregnant or post-partum women are attributable to HIV in sub-Saharan Africa, suggesting that safe motherhood programmes should pay special attention to the needs of HIV-infected pregnant or post-partum women.
[Articles] Reproductive health priorities: evidence from a resource tracking analysis of official development assistance in 2009 and 2010
Donors are prioritising reproductive health, and the slight increase in funding in 2009–10 is welcome, especially in the present economic climate. The large share of such funding for activities related to HIV infection in women of reproductive age affects the amount of ODA received by priority countries. It should thus be distinguished from resources directed to other reproductive health activities, such as family planning, which has been the focus of recent worldwide advocacy efforts. Tracking of donor aid to reproductive health should continue to allow investigation of the allocation of resources across reproductive health activities, and to encourage donor accountability in targeting aid flows to those most in need.
“Gender is probably the most restricting force in American life”Gloria Steinem (American journalist, social activist and feminist), 2008
In June, 2012, a 25-year-old woman presented to our clinic with a 3-month history of excruciating lower back pain radiating to both legs and lower limb weakness. She had been healthy until March, 2012, when she experienced recurrent episodes of right sciatic nerve pain, with increasing frequency and night predominance. These episodes of pain were associated with right ankle instability, leading to an ankle sprain. The patient described intense dysaesthesias in both legs but stated she had no fever, weight loss, headaches, or stiffness.
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