Women's health issues : official publication of the Jacobs Institute of Women's Health
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Womens Health Issues · Jan 2011
ReviewRelevance of gender-sensitive policies and general health indicators to compare the status of South Asian women's health.
despite goals for gender equity in South Asia, the relationship between gender-sensitive policies and the empowerment of women is complex and requires an analysis of how policies align with a broad set of social, cultural, political, and economic indicators that relate to women's health. ⋯ in many cases, the presence of gender-sensitive policies did not reflect the realization of gender equity over a wide range of indicators. Although the economic, political, social, and cultural climates of the five countries may differ, the integration of women's needs into the formulation, implementation, and monitoring of policies is a universal necessity to achieve positive outcomes.
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Womens Health Issues · Jan 2011
Lessons for women's health from the Massachusetts reform: affordability, transitions, and choice.
Three years into Massachusetts' health insurance reform, we are beginning to see what that experience portends for women nationally in the wake of legislation similar to the Massachusetts model. Although the Massachusetts reform has been successful in terms of reducing the number of uninsured men and women, interviews with Massachusetts women reveal significant problems that remain to be addressed. ⋯ None of the women had insurance at the time; thus, health care reform represents a significant improvement in their access to care. However, as these snapshots indicate, major challenges remain in terms of affordability, continuity of coverage, and systemic complexities in choosing plans.
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Womens Health Issues · May 2010
A study of women prisoners' use of co-payments for health care: issues of access.
We sought to analyze women prisoners' use of co-payments for health care; how co-payments affect their access to health care; and how they view the impact of co-payments on their health. ⋯ Co-payments place an unfair burden on prisoners who are poor, limit access to health care, and contribute to needless suffering and potentially to preventable deaths.
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Womens Health Issues · Jan 2010
Maternal mortality ratio and predictors of maternal deaths in selected desert districts in rajasthan a community-based survey and case control study.
Reduction in maternal and child mortality has been a top priority in India, especially in light of the commitment on the part of the national government to the reach the Millennium Development Goals. Despite massive program efforts and availability of technology needed to avert maternal deaths, the maternal mortality ratio (MMR) in India continues to be high. Population-based estimates of MMR are lacking, and reliable evidence of role of socioeconomic determinants and program-related factors that mediate medical causes is not available. The present study was conducted to develop population-based estimates of MMR, and to evaluate the primary causes of maternal deaths and factors associated with excess risk of maternal mortality. ⋯ MMR was estimated to be 519 (95% confidence interval [CI], 477-561). Hemorrhage was the chief cause (31%) of maternal deaths; the other causes were obstructed labor, severe anemia, puerperal sepsis, and abortion. Young age at child birth (odds ratio [OR], 2.6; 95% CI, 1.9-3.2) and poverty (OR, 2.5; 95% CI, 1.6-3.4) were independently associated with increased risk of maternal death. Presence of complications during antenatal period was an important predictor of maternal death (OR, 7.8; 95% CI, 6.8-8.8). Childbirth at home (OR, 4.4; 95% CI, 3.3-5.5) was associated with increased risk of maternal death. The study provides clear evidence for renewed program efforts and strategies for reducing complications and maternal deaths.