The status of perinatal care in selected coutries in South East Asia.
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Biomedical subjects
Publications and source records attributed to H M Wallace.
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This paper describes the 13-year experience of one school of public health in preparing physicians for the field of maternal and child health. Some 256 (87.7 percent) of the 292 graduates have remained in community health work. Of the 292 graduates, 106 (36.3 percent) are engaged in some teaching responsibilities.
This paper describes the services for the care of handicapped children and young people in the United Kingdom and Sweden--two countries which have a system of a national health service and national health insurance. The author discusses the implications for the United States, which is now moving towards a national health insurance scheme. The future of existing programmes, the need for a national plan, and the choice of priorities are considered.
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A study was made of live birth rates, infant, neonatal, and postneonatal death rates, late fetal death ratios, and perinatal death ratios for Sweden and the United States for selected years, 1950-1973. Sweden has lower live birth rates, infant, neonatal, and postneonatal death rates, as well as lower perinatal death ratios. Data available on low-birth-weight live births for selected years, 1959-1970, for both countries indicated that rates in the United States were almost twice those in Sweden. Implications of these findings for the United States are discussed in light of the quantity, quality, and delivery of health care services, as well as of other factors in Sweden.
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The California Project of the Inter-American Investigation of Mortality in Childhood was carried out in San Francisco and three surrounding counties in 1969 and 1970. The study found infant death rates of 18.5 per 1,000 live births in San Francisco and 17.2 per 1,000 live births in the three counties. Mortality in the neonatal period (the first 28 days of life) accounted for two-thirds of these deaths. Low birth-weitht played a key role in neonatal mortality, one that was particularly marked during the first day of life. Overall, the study found that 77.7 per cent of the neonatal fatalities and 85.6 percent of those dying in the first day of life weighed 2,500 grams or less at birth. Mortality was also very high among infants of mothers under 20 and over 34 years of age., the risks being especially great in the case of young mothers. Moreover, the vast majority of babies that were born to young mothers and died the first day had very low birth-weights. It is therefore concluded that young mothers ran a relatively high risk of having low birth weight babies prone to dying in the first day of life. This demonstrates a clear need for special measures capable of reducing the health risk faced by both young mothers and their children. Besides providing a more detailed explanation of these points, the authors recommend various specific measures that should be taken and present data obtained by the California Project on other aspects of mortality among infants and preschool children 1-4 years of age
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This paper summarizes pertinent data on national health expenditures for children and youth. In fiscal year 1972, the average expenditure per child per year for health care from all sources in the United States was $147 for children and youth under 19 years of age, an amount 15% above that for the children and youth projects ($128 per child per year). The extent of coverage of children and youth, even those in high-priority groups, is still very restricted. Some implications are suggested for future planning for the use of existing funds currently available for the health care of children and youth.
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