Document Detail


Impact of health service provision on mothers and infants in a rural village in North West Frontier Province, Pakistan.
MedLine Citation:
PMID:  10555531     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The objective of this paper is to examine the impact of the Health Service Research Project of the Pakistan Medical Research Council (PMRC) on mothers and infants in Budhni village, North West Frontier Province (NWFP), Pakistan. METHODS: Information from the PMRC records on the socioeconomic and demographic situation over the last 10 years and anthropometric measurements made on all infants from 1986-96 were collected and analysed. RESULTS: The demographic data showed a number of changes, namely a reduction in birth rate and improvements in perinatal, neonatal, infant and child mortality rates. Literacy in the village was poor (27 and 39% literate in 1986 and 1996, respectively) and female literacy showed no improvement (14%). Improvements in sanitation and in the water supply introduced by the PMRC had limited success, as clean water was subsequently contaminated by unclean hands and utensils, and 50% of the population continued to use open fields for sanitation. In 1986 only 27% of children 0-5 years were vaccinated, but by 1996, 96% of children had completed polio, diphtheria/pertussis/tetanus (DPT) and bacille Calmette-Guérin (BCG) vaccination programmes and 95% of women of child-bearing age were vaccinated against tetanus. Protection against tetanus reduced neonatal deaths and from 1993 onwards there have been no further cases. Anthropometric data for the period 1986-96 for infants (0-24 months) showed that at birth the majority of infants were close to the 50th National Centre for Health Statistics (NCHS) centile for weight and length, and only 5% of birth-weights were less than 2.5 kg. Growth charts showed faltering in length and weight and by 24-months length in both boys and girls was below the 3rd NCHS centile and weights were just above. CONCLUSIONS: Reductions in child mortality have occurred over the period 1986-96. However, the slow progress in adopting hygienic practices, despite health education, and the low literacy rates, particularly in women, may hamper continued improvement.
Authors:
C A Northrop-Clewes; N Ahmad; P I Paracha; D I Thurnham
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Public health nutrition     Volume:  1     ISSN:  1368-9800     ISO Abbreviation:  Public Health Nutr     Publication Date:  1998 Mar 
Date Detail:
Created Date:  1999-11-23     Completed Date:  1999-11-23     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9808463     Medline TA:  Public Health Nutr     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  51-9     Citation Subset:  IM    
Affiliation:
Northern Ireland Centre for Diet and Health, University of Ulster, Coleraine. c.clewes@ulst.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Analysis of Variance
Birth Weight
Child
Child Health Services* / economics
Child, Preschool
Educational Status
Family Planning Services
Female
Financial Support
Growth
Health Status*
Humans
Immunization
Infant
Infant Mortality
Infant, Newborn
Male
Maternal Health Services* / economics
Middle Aged
Pakistan
Pregnancy
Preventive Health Services* / economics
Program Evaluation
Rural Health Services* / economics
Sanitation

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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