the tyranny of distance pdf
Lower odds of delivery complications were found among women who gave birth in non-cesarean section (CS) facilities. Rural Guinea-Bissau. The tyranny of distance how distance shaped Australia's history. Receive print (and PDF) copies of The Ophthalmologist magazine; Register. This framework can be used by policy-makers, practitioners, donors and researchers to think critically about policy decisions and where investments can have the most impact for improving maternal health in Timor-Leste and elsewhere. There are 5 useful maps and many interesting illustrations. Adjusted Odds Ratio (aOR) with 95% Confidence Interval (CI), and p-value < 0.05 were used to identify factors associated with intentions to use MWHs. The Tyranny of Distance is one of the quintessential texts for anyone attempting to understand Australia. Although the differences in risk status were statistically significant, no differences were found in birth weight and maternal and perinatal mortality. Furthermore, observations were made to assess the availability of basic facilities at selected MWHs. *���;���F�g���3@� G�, By 2010, this distance had grown to over 7,500 miles. In the adjusted model maternal mortality ratio increased with increasing distance from the regional hospital (OR>25 km = 7.4 [95% CI: 1.6-132]). The modelling study predicted that ageing alone will increase the costs of eyecare during the next four decades in Finland by about 1% per year in real terms (undiscounted and without inflation of unit costs). It compared the risk status and pregnancy outcome in women staying as waiters with those women who give birth in hospital after direct admission (non-waiters). We used robust analytical methods to generate estimates of maternal deaths and the MMR for each year between 1980 and 2008. Books for People with Print Disabilities. Abridging the Tyranny of Distance: European Union and New Zealand Security Cultures in the Asia Pacific Region A thesis submitted in fulfilment of the requirements for the Degree of Master of Arts in European Studies ... pdf. More than 15,000 women living in 100 clusters were visited at 6-monthly intervals over a period of more than six years. �U����c��͇��������Xn��1��)�X�O����@�6�}�� �Nq�v���p���B(-�6����}H���/���k�W�����Z|m�{�h?�Jx<01?�� �U�� American journal of health promotion: AJHP. Supplying Complex Peacekeeping Missions Is Complicated by Remoteness and Infrastructure Deficits Any international peacekeeping mission will present a long list of logistical challenges. Background: This study was conducted to assess the results from the use of a maternity waiting home, a health facility to which women with high risk pregnancies are referred during the last weeks of pregnancy in rural Zambia. �3OO �5_�i��C�̂�#� �k�� The implications of the Istanbul Declaration are profound. No category of age or parity were associated with an increased risk of maternal mortality. Emphasis should be put on identification, capacity building and research to support the scale up of these community-based health solutions. !A����k{��К�c��!K����F���ҝwI��j��f ����������Zs��~��qB}����$F2���O��=I:�\M��?�ҏqH(��|?�R�}�uґ��Iv�;����h��@�5��j-�o��a�͉7=L��cl���)�&1!��U�A���!�1J�X���Mu�� Bill & Melinda Gates Foundation. Results. Hasil penelitian menunjukkan bahwa ketersediaan fasilitas kesehatan yang memadai untuk mendukung kebijakan revolusi KIA di Kabupaten Manggarai belum optimal seperti jumlah dokter yang sangat terbatas, kualitas tenaga kesehatan yang belum memadai, belum semua fasilitas kesehatan memiliki fasilitas rumah tunggu persalinan, peralatan kesehatan yang masih terbatas. In this article, we describe three top innovative community-based solutions and their contributions to maternal health. The aim of this study is to explore the factors influencing women's access to the MWHs in rural Southwest Ethiopia. dr dawn bennett . ISOLATIONâTHE TYRANNY OF DISTANCE IN QUEENSLAND EDUCATION [By A. E. GUYMER, Director-General of Education] (Delivered to a meeting of the Society on 24 1975 July ) In preparing this paper, I am reminded of Abraham Lin coln's famous book review; "for people who like that sort of book," he wrote, "that's the sort of book they'll like." Internet Archive Books. In the rural areas of Guinea-Bissau, we conducted a prospective survey of women in the fertile age range. University of Otago Magazine, October 2019. oHollow words âa lack of meaningful commitment to Background: >��w��˚�}`��N�>y�V�8;�qw A��հ�AĿ��*��k�ѐ@���,�������*�dn n�X^Uz�X�5� Xe��l6��ɧ�q�+$~��O�$�}#3��������+iJX)� �ʼn4S0��V�ۭ9\`=�G�B8��p1�4�kAB�6�� The Tyranny of Distance? Records.It was the group's first album as a full band, as their previous album tej leo(? The yearly rate of decline of the global MMR since 1990 was 1.3% (1.0-1.5). The Tyranny of Distance. Multiple pregnancy was found to increase the risk of maternal death (OR = 3.4 [95% CI: 1.3-7.5]). The Tyranny of Distance may refer to: . This research aims to evaluate the availability of the good health facilities by looking at some aspects such as the quantity and quality of professional health, the availability of physical buildings, medicine, medical tools and finance. The Tyranny of Distance 25 years after Desert Storm, America still hasnât learned why itâs so difficult to win wars overseas. χ ² and t tests, followed by best-subsets logistic regression using sociodemographic and CHL components to fit an optimal model for up-to-date screening 1-year post-intervention. Publication date 1966 Topics Transportation, Human geography, Transport, Géographie humaine ... 14 day loan required to access EPUB and PDF files. macular degeneration (AMD) were described with causal-loop diagrams and were then translated into a set of mathematical equations to build a computer simulation model. In drawing together a range of theories this paper aims to extend explanations around access to maternal health services in developing countries. Updated January 18, 2016, 12:02 PM. An observational cross-sectional study was conducted between December 2017 and June 2018 in eight health facilities with MWH in the Gurage zone of Ethiopia. Data was collected using survey methodology from 224 US respondents and 230 Australian respondents. Stata software version-15 was used for data management and analysis, and variables with p-values ≤ 0.2 in bivariate analysis were considered for multivariable logistic regression analysis. However, little is known of these solutions beyond their immediate surroundings. The average distance to a dispute in 1816 in Figure 4 is roughly 1,300 miles. To assess demographic and obstetric risk factors for pregnancy-related death in a multiethnic rural population in a developing country. Results More than 50% of all maternal deaths were in only six countries in 2008 (India, Nigeria, Pakistan, Afghanistan, Ethiopia, and the Democratic Republic of the Congo). The communities try to overcome the indirect costs through contributions in-kind and in-cash. If the workload of Finnish ophthalmologists were kept at the 2003 level, the graduation rate of new ophthalmologists would have to increase by 75% from the current level. Background Geographic barriers influenced the utilization of MWH. This Working Paper should not be reported as representing the views of the IMF. 4IyT������#��+s(��C�� �ew�i$s�g����h�ۇ+�EIz���̘�X�P{�����6���۸��V~���{����}���ݯ�=�>��E_��cz�hB�{g��̞VNo���]?X_�5���^����?! Maternity Waiting Homes (MWHs) have been advocated to improve the utilization of skilled birth attendants. Methods: Study participants were selected by computer-generated random numbers from a list of women who gave birth from 2017 to 2018 in Arba Minch Health and Demographic Surveillance System site. )R85�l�N4no��ʢŎ% Social Media and the Tyranny of Distance - Pacific Access to Legal Information Lenore Georgina Adeline Hamilton PDF Data organization and legal informatics A Right to ... PDF Information. Proximity and US Military Performance: The Tyranny of Distance Distance, Travel Time, and Limited Hours of Non-Tribal Government Offices..... 32 6. The Tyranny of Distance Prevails: HTTP protocol latency and returns to fast fibre internet access network deployment in remote economies November 21 2010 (replaces version of October 2010) Mark Obren and Bronwyn Howell Address for Correspondence: New Zealand Institute for the Study of Competition and Regulation Inc. Data analyzed thematically. %PDF-1.6 %���� Two thirds (65.3%) of pregnant women had intentions to use MWHs. When dependent on a proper functioning referral system, such waiting homes can reduce perinatal mortality. The Tyranny of Distance. This paper investigates factors influencing access to and use of maternal health services in rural areas of Timor-Leste. It restricts itself to a limited number of indicators which are macro-orientated - population, fertility of land, ability to tap into economies of scale, income, and geographic isolation. Little is known, however, about women's intentions to use MWHs. The global MMR decreased from 422 (358-505) in 1980 to 320 (272-388) in 1990, and was 251 (221-289) per 100,000 livebirths in 2008. The described case studies show how delays in access to health care by pregnant women in rural communities can be systematically removed, to improve pregnancy and delivery outcomes. Abstract Background In rural areas of Ethiopia, 57% of births occur at home without the assistance of skilled birth attendants, geographical inaccessibility being one of the main factors that hinder skilled birth attendance. Best-subset model to predict up-to-date screening included age; public benefits; medical insurance; 5 CHL components (knowledge, benefits, barriers, seriousness, susceptibility). The Tyranny of Distance: How Distance Shaped Australia's History is a history book by Geoffrey Blainey.. History. Thus, this study aimed to assess pregnant women's intentions to use MWHs and associated factors in East Bellesa district, northwest Ethiopia. senior research fellow, humanities research and graduate studies, curtin university, western australia There were no statistically significant differences in the average number of clients obtaining services from CMs or health facilities between P1 and P2 (p > 0.05). The study used a quasi-experimental (one-group pretest-posttest) design. This well-researched book is written in a most readable style, in fact, it is hard to put down. endstream endobj 4092 0 obj <>stream Background: Keyword : Revolusi, KIA, facilities, health. The report shows that of the 2.4 million Australians living ⦠The associated factors were identified by using the combination of a directed acyclic graph (DAG) concept and multiple logistic regression for data analysis. ���dPB��%�8��3"�糧�&D�`56#G�ҾI�۬�T�xQI�Kd��u����(��Q����9������}�o�)��t1�� Results The result shows that from the side of providing the good health facilities, the Revolusi KIA Program of Manggarai Regency has not run optimally in decreasing the maternal and infant mortality. Forty seven per-cent of the non-waiters (n = 292) had no maternal risk factors and 85% had no antenatal risk factors as compared to 17% and 78% among the waiters (n = 218). A longitudinal population-based study, The Australian Rural Birthing Index; NHMRC funded syudy, replicating and extending Canadian work, Men's Experiences of Suicidal Behaviour and Depression. ��-f�܉��-�O��)?zj�N��{/}�f�8��&G����w�ܷQ�}�xn��T$eʠ�Tv�w�G���� �s���1��R�ВQIj��mpuj��.V�4 v^��g�^��Й6�c���$���W(���J���Y��^р�]\XEyK�Y[�A�sOD�&Z���0��#�*)�|k,�8$8�M�UI&ꡯ`Z�#xԾf�pH�$�{��FG−�n��/Zg���V%��drdp��tz4mc���;�i�H���mjG�ad�in��Z�}���x�vwĈ�}H�,�_2u�M둶"]�I����fh'.�ݬ�S̝U#�{>?dX�}�AQ�fa'�ع�6���*��`�h;�|Ԯ� J��Rs�HU��T�Z5�P�NqfISΦ J�#☳��< ���Ȋ�u �����,:���&CW�P�x#E���IZ7I�DFBvUf� ��D�������OV�7,�(&U�(i���.j�X��:6f�23˪� zE��!����#GVݘ�Κ��X,n��� Methods By James R. Holmes | January 18, 2016, 11:52 AM. 4101 0 obj <>/Filter/FlateDecode/ID[<6FC94DF99524C344A0DA7ABE7DA9F526>]/Index[4088 29]/Info 4087 0 R/Length 83/Prev 1053565/Root 4089 0 R/Size 4117/Type/XRef/W[1 3 1]>>stream The concept of access defined by Thiede et al was applied to guide the analysis. We face many and frequent challenges here at Rounded. �6f3B��f�U�����Rȩ��Yt��,`�V�LaI5��Vc���lR�&m3�IN���{�G�0�Bn�%�:7q��,L�����k�|I��z�n���4�Ȑ�A���������$,�%I�3�d�ĝ�3|([ W@Hx�DU3�/����'���:�5q�� First ANC increased by 68%, fourth ANC by 75%, skilled births by 68%, and postnatal care by 33% in P3 (p < 0.0001). The high rate of maternal mortality in Timor-Leste is a persistent problem which has been exacerbated by the long history of military occupation and ongoing political crises since independence in 1999. A hospital-based cohort study was carried out in a district hospital in Zimbabwe to evaluate the effect of a maternity waiting home on perinatal mortality. January Issue of The Ophthalmologist Business & ⦠Age and parity should not be used routinely as selection criteria for transfer of otherwise healthy pregnant women to higher-level health institutions. The second part of the book examines how Australia tamed the tyranny of distance through steamships, railways, airplanes, and through the other developments of the 20th century. Predictive values did not exceed 3% for any of the significant risk factors. For the purpose of reducing maternal mortality, the screening approach of antenatal care is of limited value. Because of insufficient facilities, the cost of living was high for most users. However, Women didn't understand the aims and benefits of MWHs. I am based in Melbourne, Grant in Sydney and Igor on the other side of the world in Belgrade. There was, until recently, no educational agreement between Australia and the EU, unlike the US and Canada. �&���ށ5ã��q��T������4P�J�,l�H�x��|��`g"���[��i�a?�y�Ћ�B]v:t�D{� 1tb�eA*a0�5D� 73% (133/182) women retained at 1-year. ACADEMIC AIR TRAVEL BEYOND EUROPE/AMERICA' DEBBIE HOPKINS, JAMES HIGHAM AND CAROLINE ORCHISTON REDUCING ACADEMIC FLYING SYMPOSIUM 13 NOV 2019. First published in 1966, the book examines how Australia's geographical remoteness, particularly from its colonizer Great Britain, has been central to shaping the country's history and identity and will continue to shape its future. James Holmes. Maternal mortality ratio. Objectives: Methods: We assessed levels and trends in maternal mortality for 181 countries. christina ballico . Adult women (n = 133). endstream endobj startxref Women living in the region of Gabu had higher mortality than those living in Biombo (OR = 2.5 [95% CI: 1.3-5.1]). A prospective survey of women in the fertile age-range. However, multivariate analyses suggested that distance did not influence successful completion of visits. Reliable information about the rates and trends in maternal mortality is essential for resource mobilisation, and for planning and assessment of progress towards Millennium Development Goal 5 (MDG 5), the target for which is a 75% reduction in the maternal mortality ratio (MMR) from 1990 to 2015. The costs covered by the public sector in Finland were obtained from 2003 from the Finnish Hospital Discharge Register (including outpatient care), the Finnish Social Insurance Institution and a survey of hospital price lists. %%EOF A"N��L�2Q,��&�Ϩ�x�Msg�a���X�H2�S�frx$�?�XcĘ� ���K�Z���A�.��k�n1?�?W"�Y�7�n�T��INzǘ��8 A��-t�f*�8�f�o�]ǎ��;�����6[̟Q9��l��i�3�pk�>Fb��PN uD���oN|\�x0�~�y8ȡ�1�9�r_3/[ྖ\s��>i��5�ȥXvֹ���d� �QGܜl�m0�UW-C�-?#b�Y�ω�p�*�"�m��]��>i�_ The views expressed in this Working Paper are those of the author(s) and do not necessarily represent those of the IMF or IMF policy. If local and pragmatic innovations were scaled-up, they could contribute to better health outcomes for larger populations. distance, actual distance and prior travel experience. More than 15,000 women living in 100 clusters were visited at six-monthly intervals over a period of more than six years. The Tyranny of Distance is the second album by American rock band Ted Leo and the Pharmacists, released in 2001 by Lookout! The focus on differences in geographic locality ( the tyranny of distance ) is more novel and, as much of the work in this area is not Australian, it will be important to assess to what extent the findings from the US translate to Australia s geographic context. It calls for a transparent regulatory oversight system that ensures donor and recipient safety and enforces the prohibitions of unethical practices. An analysis of demographic, environmental and obstetric risk factors for maternal death was performed based on 10,931 prospectively registered pregnancies; 85 of these pregnancies resulted in maternal or late maternal death. One that we have to overcome every day is the distance between us (physical not emotional!). ABSTRAKRevolusi KIA merupakan salah satu terobosan pemerintah Provinsi Nusa Tenggara Timur dalam rangka mempercepat penurunan kematian ibu dan bayi dengan cara luar biasa melalui persalinan pada fasilitas kesehatan yang memadai dan siap 24 jam. Measures to control several other factors - such as the adoption and price level of new technologies, treatments and practice patterns - will be at least equally important in order to restrain healthcare costs effectively. 'THE TYRANNY OF DISTANCE? One-week (10-contact-hour), small-group, CHL program. UͥqP�8�>�K��w��F#x�5�k�꿋 �5����M7ĸ�M�)�'���X��Ľ�slU�}c�(�S>�X�����|�mn�8�MKR�'pT:���F95˹8�}��a��: CLIL Down Under: External support structures to overcome the'tyranny of distance 1 Review. We estimated that there were 342,900 (uncertainty interval 302,100-394,300) maternal deaths worldwide in 2008, down from 526,300 (446,400-629,600) in 1980. dimensions of access. Participants 1C��?c( }��V�g�)J�- ыh$�����z@�� �5�9l'�Ư�#~}�G��d��'�0JXa$�c¬*/�`���>a�Q��0br6���(u�B�7t����K']�V�M[�P� � (e��v �!��@i�^��A�Y�����=(Y@}� Substantial, albeit varied, progress has been made towards MDG 5. Although only 23 countries are on track to achieve a 75% decrease in MMR by 2015, countries such as Egypt, China, Ecuador, and Bolivia have been achieving accelerated progress. Qualitative data were collected through focus group discussions with MWHs users and in-depth interviews with MWHs non-users, health extension workers and the clinicians. The current model indicated that the screening frequency of diabetes can be increased without large sacrifices in terms of costs. Bulletin of the World Health Organisation, Maternity waiting homes in Liberia: Results of a countrywide multi-sector scale-up, Maternity waiting homes as component of birth preparedness and complication readiness for rural women in hard-to-reach areas in Ethiopia, The effect of the community midwifery model on maternal and newborn health service utilization and outcomes in Busia County of Kenya: a quasi-experimental study, EVALUASI KETERSEDIAAN FASILITAS KESEHATAN YANG MEMADAI TERHADAP PENCAPAIAN REVOLUSI KIA DI MANGGARAI, Factors influencing women’s access to the maternity waiting home in rural Southwest Ethiopia: a qualitative exploration, Intentions to use maternity waiting homes and associated factors in Northwest Ethiopia, Innovations in maternal and child health: case studies from Uganda, The Importance of Socializing Maternity Waiting Home in the Attempt of Reducing Maternal Mortality Rate in Wonogiri Regency, Association of maternity waiting home utilization with women's perceived geographic barriers and delivery complications in Ethiopia, GAMBARAN IMPLEMENTASI RUMAH TUNGGU KELAHIRAN DI KABUPATEN SEMARANG, Use of Maternity Waiting Home in Rural Zambia, Birth choices in Timor-Leste: A framework for understanding the use of maternal health services in low resource settings, Maternal mortality for 181 countries, 1980-2008: A systematic analysis of progress towards Millennium Development Goal 5, The effect of stay in a maternity home on perinatal mortality in rural Zimbabwe, Factors associated with maternal mortality in rural Guinea-Bissau. Success factors for scale-up and sustainability included strong government support through development of public policy, local and county leadership, early and sustained engagement with communities, and self-governance. MWH users mentioned absences of sufficient basic facilities, poor quality and varieties of food. The tyranny of distance and the differences -as well as profitable collaboration -between the EU and Australia can be illustrated by recent attempts to bring Australian and European universities, scholars and students closer together. O�A��b�}Cz��)���R�؊�����&f�y��-E����[#}�z[�x������"[U�Uo�3�e7ޏ�?���?�q/������qYm߽~;���-�[�ԍ�a��L��,�L����4��4�/� ׯq@F���q�GO���2�ّ�m�{|s�l�y��) Penelitian ini bertujuan untuk mengevaluasi ketersediaan fasilitas kesehatan memadai yang meliputi kuantitas dan kualitas tenaga kesehatan, ketersediaan sarana fisik, obat dan peralatan kesehatan serta pembiayaan. In the study area, 326/499 (65.3%) pregnant women had the intention to use MWHs. Therefore, the local government must seriously improve the quality of health workers, increase the number of doctors, provide the maternity waiting house and allocate the enough budget for health financing. Main text: Surveys to assess CHL components and up-to-date Pap screening. Binary logistic regression was used for analysis. CENTRE The tyranny of distance To efï¬ciently deliver project outcomes, project managers need to bridge the gaps between members of their remote teams. The need and total costs of Finnish Eye Care services: a simulation model for 2005-2040. Results: For Readers For Authors For Librarians Open Journal Systems Current Issue. Conclusions: Information on antenatal risk factors, use of antenatal care, access to the hospital and stage of labour on arrival was collected for each woman delivering at the hospital during the period 1989-1991 (n = 6438). It leaves aside equally important but more micro-orientated variables and development indicators. ���/B ���/F�u�r�H�0!,Fr,�6H��m�B"����z���^-�F��l�F�8���궪��F v�:P-�fV�qE`(z��T�`�ʪ��K��j��=�!��g5���Y�g5����yU�IZ�����ʫ:��l�&ya�i��¤,L���0)�j��¤.L�f���۪nT��I_�Xt�/L��D�9D�j�&&�2X��� �i7fF�%Fr\/.�:���dN?%�Z_�H���aP�H=�-E(�)WM�a��w�� Therefore, improving women's awareness by providing continuous health education during antenatal care visits, devising strategies to improve women's wealth status, and strengthening decision-making power may enhance their intention to use MWHs. Data were collected using a pre-tested and interviewer-administered questionnaire. Results: Conclusion Conclusion The Tyranny of Distance Sitting Down With⦠Charles McGhee, Director of the New Zealand National Eye Centre, University of Auckland, New Zealand. 4088 0 obj <> endobj Read full article. Article can not be printed. Maternity Waiting Homes (MWHs) are residential facilities located within hospitals or health centers to accommodate women in their final weeks of pregnancy to bridge the geographical gap in obstetric care. endstream endobj 4089 0 obj <>/Metadata 113 0 R/OCProperties<>/OCGs[4103 0 R]>>/Pages 4086 0 R/StructTreeRoot 163 0 R/Type/Catalog>> endobj 4090 0 obj <>/MediaBox[0 0 612 792]/Parent 4086 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 4091 0 obj <>stream Factors such as women's knowledge, subjective norms related to women's perceptions of social pressure, perceived behavioral control of women on the extent to which women feel confident to utilize, and wealth status, decision-making power, attending antenatal care and attitude towards women's overall evaluation of MWHs were significantly associated with the intention to use MWHs. Geoffrey Blainey. Theoretical concepts from anthropology and health social science are used to explore individual, social, political and health system issues which affect the way in which maternal health services are utilised. Conclusions: The increases in total yearly costs were on average 8.6% between 2001 and 2003. Conclusions: Methods: The results of this modelling study indicate that policy initiatives, such as defining criteria for access to care, can have substantial implications on the demand for care and waiting times whereas the effect of ageing alone was relatively small. security. Physical barriers (long distance, unavailability of transport options & unfavorable roads) were considered as potential problems for women residing in remote areas. Analysis Four focus group discussions and 18 in-depth interviews were conducted between May 1 and June 1, 2017. the tyranny of distance viability and relevance in regional live music performance . Third edition of a landmark Australian history text first published 1966 - its title has become common parlance. There was, however, a statistically significant increase in the average number of clients obtaining services from CMs in P3 accompanied by a statistically significant decline in the average number of clients obtaining services from health facilities (p < 0.05). Measures Tyranny of Distance Peter E. Robertson The University of Western Australia Marie-Claire Robitaille The University of Nottingham Ningbo China November 2014 Abstract Falling transport costs and the rise of global production networks have reshaped world trade. Nevertheless, delivery attended by skilled personnel is low in Ethiopia and may indicate that the utilization of MWH is also low. Women who stayed in the maternity waiting home had a lower risk of perinatal death compared to women who came directly from home to the hospital during labour. ��hjK`8��f����є��8O�T�0FIu��>a����e�ǡ���*k6B�G=��'�"b82�!�@��5�;���l*�U�NJ�8 T���)T� j����w�F0NG:Ay�x�����a�4f�N?����̾{���w��9S\$1x�{��&N�e9ʂUm�Ż ���6�{�>z;�l~D� j1w{$�Ǐ�0�jj�M�M$�%F1��`���0{pg�"*���/7D�s[0Z7aş���7Wn�?|�#��1 0 In this study, all innovations were implemented by non-government entities. Women had interest on MWHs and are aware of the existence of MWHs in their immediate vicinity. âtyranny of distanceâ that America must overcome just to reach the Asia-Pacific theater. Nearly 300 children and 20 mothers die from preventable causes daily, in Uganda. Governments should ensure the provision of care and follow-up of living donors be no less than the care and attention provided for transplants recipients. h�bbd```b``�"O��H��#����'�H� ��X� �1��ʹDJ��? Oleh karena itu, diperlukan komitmen pemerintah Kabupaten Manggarai untuk terus berupaya meningkatkan kualitas tenaga kesehatan, merekrut tenaga dokter, menyediakan rumah tunggu persalinan dan mengalokasikan anggaran yang cukup untuk pembiayaan kesehatan. The model forecasted that the adoption of the 2005 national 'access to care' criteria for cataract surgery would shorten waiting lists. 4116 0 obj <>stream Over the period, the monthly average number of clients obtaining services from health facilities was: first ANC (P1-55.7, P2-70.8, P3-4.0), fourth ANC (P1-29.6, P2-38.1, P3-1.2) and skilled birth (P1-63.1, P2-87.4, P3-5.6), p < 0.05. In the absence of HIV, there would have been 281 500 (243,900-327,900) maternal deaths worldwide in 2008. The similar obstetric outcome among waiters with more high risk pregnancies and non-waiters could be interpreted as a possible outcome of the maternity waiting home. The crude relative risk of perinatal death for the women coming from home was 1.7 (95% confidence interval (CI) 1.1-2.6; P < 0.05). Troponin Testing and the Tyranny of Distance October 2008 Steven Weier Masters of Science (Clinical Chemistry) Supervising Scientist Clinical Chemistry Mater Pathology Brisbane Australia Chest pain is a frequent cause of hospitalization and comprises a significant proportion of the acute medical workload in the western world. Graeme Davison will speak about The Tyranny of Distance at 3.30pm on Tuesday at Monash University Law Chambers, 555 Lonsdale Street, as part of Melbourne Rare Book Week. Data dianalisis secara thematic. The third case study focuses on bringing obstetric imaging services to lower level rural health facilities, which usually do not provide this service, through task-shifting certain sonography services to midwives. Attributes of sustainability included strong local leadership/active community engagement and community ownership and governance. View as a PDF. Overcoming the tyranny of distance: ... View the article PDF and any associated supplements and figures for a period of 48 hours. The findings underscore the importance of integrating community-level health service providers (CMs and health volunteers) into the primary health care system to complement service delivery according to their level of expertise, especially in low-resource settings. It draws on 21 interviews and 11 group discussions with Timorese women and their families collected over two periods of fieldwork, one month in September 2006 and five months from July to December 2007. Health information disseminations and referral linkages by frontline health workers enabled women to timely access the MWHs. A multi-pronged approach with strong community engagement is key to the scale-up and sustainability of MWHs as an intervention to increase facility delivery for women living the farthest from a healthcare facility. However, when the analysis was restricted to women with antenatal risk factors there was a significant 50% reduction in the risk of perinatal death for the women who stayed at the maternity waiting home compared to women who came from home during labour (adjusted relative risk 1.9; 95% CI 1.1-3.4; P < 0.05). The monthly average number of clients obtaining services from CMs across the three time periods was: first antenatal care (ANC) (P1-1.8, P2-2.3, P3-9.9), fourth ANC (P1-1.4, P2-1.0, P3-7.1), skilled birth (P1-1.5, P2-1.7, P3-13.1) and the differences in means were statistically significant (p < 0.05). 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