Some issues in Middle Eastern international migration.
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International labor migration from Europe is analyzed based on data from the Egyptian Emigration Survey of 1985. "In all, roughly 2 million Egyptians emigrated, as workers or their dependents, between 1974 and 1985, and 1.5 million were abroad at the time of the survey....Emigrants tend to be unaccompanied males (average age 32 years), probably because of tight controls on dependents and difficult living conditions in the receiving countries. The majority are nevertheless married....Both workers and their dependents are increasingly well educated. Destinations have changed over the decade: Libya and Jordan have declined in importance, following political and economic upheavals respectively, while Kuwait and Saudi Arabia are now taking larger numbers of Egyptian workers. Emigration to Iraq seems to be more modest than sometimes reckoned (500,000), and almost entirely made up of single males." The impact of emigration on Egypt is also considered. (SUMMARY IN ENG AND SPA)
"The study compares two surveys carried out in 1987 and 1990 on two different immigrant groups coming from Morocco and Senegal and working in Lombardy and the Salento area [of Italy]. Economic and employment differences between the two groups are emphasized, taking into consideration not only the two different geographical areas but also the diverse migratory projects of the two communities." (SUMMARY IN ENG AND FRE)
Saudi Arabia is a developing country with a tremendous potential for growth and development. In an attempt to endorse Primary Health Care (PHC) concepts, it abolished all its former dispensaries and maternal and child health centers, and amalgamated their services into health centers that deliver PHC services. This expansion in centers development created a need for evaluation to assess the extent at which the new objectives are being achieved. The purpose of this study was to evaluate the resources available in three large health centers in Saudi Arabia, and determine consumers' satisfaction with the services provided. The study was conducted in the City of Riyadh. Three centers were chosen purposefully and the consumers of the respective centers were interviewed as to their satisfaction with the services provided. The results show that there was a discrepancy between the findings obtained from the centers' resources evaluation and those derived from the satisfaction portion. It is recommended that the Saudi Ministry of Health would upgrade its centers' resources, and that more studies would be conducted in the other centers of the country.
The maternal mortality in the Maternity and Children Hospital, Riyadh, during the years 1978-1980 was 52 per 100 000 births, when the total births were 55 428. This is higher than the rate reported from the hospitals in developed countries but lower than rates reported by the university hospitals of developing countries such as India, Thailand and Nigeria. Haemorrhage, associated disease, pulmonary embolism and infection, in that order, were the main causes of maternal deaths. The main avoidable factor was failure by the patient to seek the medical care. Much could be done in reducing deaths due to haemorrhage by improving blood transfusion facilities in the peripheral hospitals. Adequate health education, especially of rural women and their midwives, is a crucial factor in improving the maternal death rate for the country as a whole.
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Operational research was conducted in Qena Governorate, Upper Egypt, to gather the information needed to design an integrated control programme for intestinal helminths in the area. To this aim, qualitative and quantitative techniques were used on a sample representative of the entire governorate. Mothers were questioned about their knowledge and perception of intestinal helminths, their hygienic habits and health-seeking behaviour. At the same time, a coprological survey was conducted on all the children 2 to 12 years of age living in the selected households (n = 2657) to provide baseline data on the prevalence of infection with these parasites. The survey results showed that intestinal helminth infections were more prevalent in rural areas and in three of the 12 Governorate districts. Almost all the respondents considered worms harmful and were aware of the need for treatment. More than adequate knowledge was present on ways to prevent infection. Good hygienic practices were associated with a low prevalence of infection in the household. Practical recommendations were formulated to design a helminth control programme tailored to the local situation and to prioritize allocation of resources. Passive case detection appeared to be appropriate to the level of infection in Qena (< 15%). The intervention should target areas and districts where prevalence of infection was higher, and all children below 12 years of age. Health education, besides encouraging mothers to refer their children to the health units for treatment, should focus on improving hygienic behaviour. While schools might be the best channel to contact children, the use of informal channels of communication, such as television, should be promoted to reach the mostly illiterate mothers. The research highlights the importance of gathering information on mothers' perceptions and behaviour in the design and implementation of a community-based intestinal helminths control programme.
In many developing countries even crude estimates of the level of maternal mortality are lacking and the prospects of fulfilling this need using conventional sources of vital registration and health service statistics are not encouraging. The constraint this imposes on the effective planning, management and evaluation of the programmes now being launched to reduce these neglected deaths is self-evident. It is less obvious how the majority of developing countries can be expected to meet the call for reliable estimates of maternal mortality by 1995. The sisterhood method provides a means of obtaining population-based estimates using household surveys for data collection. This paper describes the application of the method in Djibouti in the context of a rapid multi-purpose household survey in difficult field circumstances. In recent years the reduction of the level of maternal mortality in developing countries has become a priority for both national governments and international agencies. Attention has been drawn to the wide range of levels within and between countries and to the huge discrepancies in the lifetime risk of maternal death for women in the developed compared with the developing world. This risk has been estimated to range from 1 in 19 in West Africa to almost 1 in 10,000 in Northern Europe.
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Settlement patterns of immigrants from Suriname, Turkey, and Morocco living in the Netherlands between 1970 and 1982 are described. The author "explores to what extent general theories about ethnic residential differentiation are corroborated by the ethnic patterns in Dutch cities. On the basis of the literature four 'theories' of ethnic residential differentiation are formulated. It is pointed out that three of these four 'theories' contribute to our understanding of the existing ethnic patterns in Dutch cities, though they certainly do not fit perfectly." (SUMMARY IN ENG)
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