World Health Organization ; World Health Organization Offeset Publication No. 39: Risk Approach for Maternal and Child Health Care

By World Health Organization

Book Id: WPLBN0000058422
Format Type: PDF eBook
File Size: 2.1 MB
Reproduction Date: 2005

Title:	World Health Organization ; World Health Organization Offeset Publication No. 39: Risk Approach for Maternal and Child Health Care
Author:	World Health Organization
Volume:
Language:	English
Subject:	Health., Public health, Wellness programs
Collections:	Medical Library Collection, World Health Collection
Historic Publication Date:
Publisher:	World Health Organization


Citation APA MLA Chicago Organization, W. H. (n.d.). World Health Organization ; World Health Organization Offeset Publication No. 39. Retrieved from http://gutenberg.cc/

Description
Medical Reference Publication

Excerpt
PREFACE Recent years have witnessed a growing consciousness on the p a r t of a l l who are concerned with h e a l t h d e v e l o p ~ e n t t h a t the need i s urgent to improve the q u a l i t y and the extent of t h e d e l i v e r y of h e a l t h care, p a r t i c u l a r l y f o r underserved and underprivileged populations. There has been a constant enleavour t o develop new nethods and approaches t h a t w i l l b e t t e r meet the great challenge of h e a l t h c a r e . The developnlent of the Risk Approach1' f o r improved maternal and c h i l d h e a l t h c a r e by a TvZIO Task Force, expounded in t h i s book, i s the r e f l e c t i o n and r e s u l t of t h i s cons tarlt search f o r pronlis ing approaches. The r i s k approach can be considerel as a managerial tool f o r the f l e x i b l e and r a t i o n a l d i s t r i b u t i o n of e x i s t i n g resources, based on measurements of individual and community r i s k s , and f o r developing l o c a l s t r a t e g i e s and determining the appropriate content of maternal and c h i l d h e a l t h and family planning care. Inherent i n t h i s approach i s maximum u t i l i z a t i o n of a l l resources, including some human resources t h a t a r e not conventionally involved i n such care - t r a d i t i o n a l b i r t h a t t e n d a n t s , teachers, women's groups, and a g r i c u l t u r a l workers, f o r example. It also allows f o r and promotes s e l f - r e l i a n c e f o r health care i n the community and the family, p a r t i c u l a r l y by the mother f o r the dependent youcg c h i l d . Although the approach has inportant p o t e n t i a l f o r improved coverage and q u a l i t y of care i n developing countries, it i s also useful f o r developed areas.

Table of Contents
CONTENTS PREFACE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a * . SUMMARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.1 Risk strategy and standards of care . . . . . . . . . . . . . . . 2 . RISK, OUTCOME, AND MEASUREMENT . . . . . . . . . . . . . . . . . . . . . 2.1 Concepts and definitions . . . . . . . . . . . . . . . . . . . . . . 2.2 Identification of those at risk . . . . . . . . . . . . . . . . . . 2.3 Measurement of risk . . . . . . . . . . . . . . . . . . . . . . . . 2.4 From risk measurement to intervention strategy . . . . . . . . . . . 3 . MANAGERIAL IMF'LICATIONS OF RISK APPROACH . . . . . . . . . . . . . . . . 3.1 Development of strategy . . . . . . . . . . . . . . . . . . . . . . 3.2 Resources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Page v 1 2 2 4 4 5 7 15 18 18 19 3.3 Activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 4. DEVELOPMENT OF LOCAL STRATEGIES . . . . . . . . . . . . . . . . . . . . . 20 4.1 Local ~riorities . . . . . . . . . . . . . . . . . . . . . . . . . . 20 4.2 Selection of outcome variables (problem selection) . . . . . . . . . 21 4.3 Ranking of importance . . . . . . . . . . . . . . . . . . . . . . . 21 4.4 Description of community resources . . . . . . . . . . . . . . . . . 23 4.5 Development of local intervention strategies . . . . . . . . . . . . 24 4.6 Monitoring and evaluation . . . . . . . . . . . . . . . . . . . . . 25 5 . DECISION PATHWAYS FOR SELECTION OF INTERVENTION STRATEGIES . . . . . . . 26 5.1 Example ofadecisionpathway . . . . . . . . . . . . . . . . . . . 26 5.2 Supplementing and monitoring the intervention strategy . . . . . . . 27 6 . HEALTH INFORMATION . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 6.1 Basic information for planning . . . . . . . . . . . . . . . . . . . 29 6.2 Information to be collected routinely . . . . . . . . . . . . . . . 29