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Disease Control Priorities, Third Edition (Volume 2)
The evaluation of reproductive, maternal, newborn, and child health (RMNCH) by the Disease Control Priorities, Third Edition (DCP3) focuses on maternal conditions, childhood illness, and malnutrition. Specifically, the chapters address acute illness and undernutrition in children, principally under age 5. It also covers maternal mortality, morbidity, stillbirth, and influences to pregnancy and pre-pregnancy. Volume 3 focuses on developments since the publication of DCP2 and will also include the transition to older childhood, in particular, the overlap and commonality with the child development volume. The DCP3 evaluation of these conditions produced three key findings: 1. There is significant difficulty in measuring the burden of key conditions such as unintended pregnancy, unsafe abortion, nonsexually transmitted infections, infertility, and violence against women. 2. Investments in the continuum of care can have significant returns for improved and equitable access, health, poverty, and health systems. 3. There is a large difference in how RMNCH conditions affect different income groups; investments in RMNCH can lessen the disparity in terms of both health and financial risk.
Mother and Child Health
This study examines in detail the problems of mother and child health on an international scale, with particular emphasis on tropical and developing countries.
Preventing Low Birthweight
Despite recent declines in infant mortality, the rates of low birthweight deliveries in the United States continue to be high. Part I of this volume defines the significance of the problems, presents current data on risk factors and etiology, and reviews recent state and national trends in the incidence of low birthweight among various groups. Part II describes the preventive approaches found most desirable and considers their costs. Research needs are discussed throughout the volume.
Managing Complications in Pregnancy and Childbirth
The emphasis of the manual is on rapid assessment and decision making. The clinical action steps are based on clinical assessment with limited reliance on laboratory or other tests and most are possible in a variety of clinical settings.
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A Growth Chart for International Use in Maternal and Child Health Care
The measurement and interpretation of growth in childhood is the most widespread assessment instrument for individual and community health and nutrition status. Current use of growth charts were assessed on an international basis in 1972. Chart requirements were defined; a prototype chart was developed, tested, and evaluated for international use. The resulting growth chart is a simple, inexpensive, and easy-to-use means of monitoring child health and nutrition in local health services. Basic health data is organized and presented for use in 1) assessing current health status; 2) projecting growth trends; 3) defining levels of care. The visual character of the chart provides the health worker with a useful, educational instrument to understand growth and development and the consequences of inadequate diet and infectious diseases. It allows greater maternal responsibilities for child care. The guide to the use of growth charts presents a model chart which can be easily adapted to lacal needs.
