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World Health Organization : Year 1985-86, Maternal and Child Health, Issue 85.13: Maternal and Child Health Division of Family Health Geneva

By Maternal and Child Health Unit, Family Health Division

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Book Id: WPLBN0000183257
Format Type: PDF eBook
File Size: 4.2 MB
Reproduction Date: 2005
Full Text

Title: World Health Organization : Year 1985-86, Maternal and Child Health, Issue 85.13: Maternal and Child Health Division of Family Health Geneva  
Author: Maternal and Child Health Unit, Family Health Division
Language: English
Subject: Health., Public health, Wellness programs
Collections: Medical Library Collection, World Health Collection
Publication Date:
Publisher: World Health Organization


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Child Health Unit, Family Health Divisio, M. A. (n.d.). World Health Organization : Year 1985-86, Maternal and Child Health, Issue 85.13. Retrieved from

Medical Reference Publication

Need for home-based mother's record The outstanding problem in maternal and child health is the unacceptably high maternal, perinatal, and neonatal mortality rates in most developing countries of the world, Important factors associated with high mortality relate partly to unregulated fertility - with pregnancy recurring too soon, too close together, and too many in number; the Life-style ,and living conditions; patchy health care delivery; poor nutritional status; and inadequate involvement of the community in health care. In recent years, a primary health care (PHC) approach which revolves around the life-style of the people and an assumption of active participation by them has been recommended to improve the situation. To reduce mortality and morbidity there is an urgent need to provide continuity of essential health care including family planning to women throughout their reproductive cycle with provision for appropriate and timely action if problems develop. Past experience with the child growth chart as a tool for promoting health care and encouraging people's participation has prompted thinking on the issue for maternal home-based health cards. The institution based maternal records are exhaustive; however, they have very limited applicability in field conditions. They are unwieldy, difficult to complete as primary health care workers have limited educational backgrounds, and expensive to store and retrieve. For these reasons, Information on maternal health is often incomplete, of poor quality, and there is a poor flow of information between the health care team in most developing countries. Moreover, the demand for family planning programme information has stimulated the development of detailed programme records. Often the rationale for the infomation is for programme management and evaluation at the higher levels and the primary health care workers nelther understand nor receive the feedback from the information he or she is responsible for collecting.

Table of Contents
Table of Contents A. Overview of Home-based Mother's Record and its Evaluation 1 1. Need for home-based mother's record (HBMR) 1 2. Review of experiences 1 3. Characteristics of home-based mother's record 2 4 . Process of development and adaptation of the record 2 5. Prototype record for local adaptation 3 6. Issues related to contents of the record 4 7. Field testing and evaluation 4 8. References 5 8. Guidelines for Use of Home-Based Mother's Record 6 1. General guidelines 6 2. Specific guidelines for PHC workers 7 3. Specific guidelines for medical staff at PHC workers first referral Level 4. References C . Guidelines for Adaptation of Home-Based Mother's Record to Local Area Use 1. Making the Home-Based Mother's Record simple to understand and to use 2. Risk criteria D. Guidelines for the Evaluation Study 1. Outline of contents of a project proposal 2. Objectives of the HBMR and questions to be answered in the evaluation 3. Evaluation study design 4. Consideration of the areas chosen for HBMR implementation and for comparison 5. Issues in determining study sample size 6 . HBMR introduction 7. Evaluation study methods . ANNEXES I. Prototype Home-Based Mother's Record 11. Matrices for Evaluation Study 111. Prototype Forms 1-7, and Guidelines IV. Prototype Data Forms 8 and 9 and Guidelines V. Prototype Questionnaires A and B and Guidelines VI. Prototype Discussion Guides A, B and C VXI. Flow Chart 1 of Study Events VIII. Prototype Coding Instructions IX. Matrices for Analysts Plan


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