Safe motherhood is still a problem in nepal. what can be the causes and preventive measures of maternal mortality in nepal?

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Maternal Mortality in Nepal: Addressing the Issue

By Roman Shrestha

2012, Vol. 4 No. 10 | pg. 1/4 | »  

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IN THIS ARTICLE  

Maternal Mortality in Nepal

Risk Factors in Nepal

Preliminary Analysis

Intervention Plans

Outcome Indicators

Generalizability of Interventions

Conclusion

References

KEYWORDS  

Maternal Health Maternal Mortality Prenatal Care Public Health Nepal International Health Antenatal Care  

Each year around 358,000 women die because of complications during pregnancy or childbirth and many more encounter serious problems (WHO, 2012). The vast majority of these problems occur in low-income countries, where poverty increases sickness and reduces access to care. These deaths occur within a context of gender-based, economic, political and cultural discrimination and neglect of women’s right to equal status and equitable access to services. Nearly all of these deaths are preventable because the majority of deaths are caused by hemorrhages, sepsis, hypertensive disorders, prolonged or obstructed labor, and unsafe abortions (Rosenfield, & Maine, 1985).

Explanation:

low context culture   (lc.):

association:    

relationships begin and end quickly. many people can be inside one's circle; circle's boundary is not clear.

things get done by following procedures and paying attention to the goal.

one's identity is rooted in oneself and one's accomplishments.

social structure is decentralized; responsibility goes further down (is not concentrated at the top).

interaction:

low use of nonverbal elements. message is carried more by words than by nonverbal means.

verbal message is explicit. context is less important than words.

verbal message is direct; one spells things out exactly.

communication is seen as a way of exchanging information, ideas, and opinions.  

disagreement is depersonalized. one withdraws from conflict with another and gets on with the task. focus is on rational solutions, not personal ones. one can be explicit about another's bothersome behavior.

territoriality:

space is compartmentalized and privately owned; privacy is important, so people are farther apart.

temporality:

things are scheduled to be done at particular times, one thing at a time. what is important is that activity is done efficiently.

change is fast. one can make change and see immediate results.

time is a commodity to be spent or saved. one’s time is one’s own.

learning:

reality is fragmented and compartmentalized. one source of information is used to develop knowledge. thinking is inductive, proceeds from specific to general. focus is on detail.

learning occurs by following explicit directions and explanations of others.

an individual orientation is preferred for learning and problem solving.

speed is valued. how efficiently something is learned is important.

hope that                                         : )