Mothers and children are still a vulnerable group in most of the countries of the world. There are some immediate causes, but to deal with the underlying causes and basic/ social determinants is more important - please suggest your views.
It is a very good question. In my opinion, First of all, there should be a public policy, according to Marmott review or Aadelaide recommendation of WHO and also increase the social capital in the community.
Every circumstance of life (born, grow up, live, work, age, system of that country) depends upon the economics, social policy and politics of that particular country. Therefore, to reduce the health inequality and social exclusion make effective public policy and utilize properly.
Excellent answer and I agree, however, there are often cultural practices and norms that treat women and children as second-class citizens. Despite our laws this also happens in the UK. Some would argue that we should not try to change these norms but that means letting these vulnerable groups suffer unnecessarily. Whether we can ever reach that Utopian world of equality for all is unfortunately doubtful.
The social/basic determinants are well known over the years related to maternal mortality but when we initiate control programme, we opts for measures which bring results in short timing. In case we have to work on social determines we shall develop community based strategy on long term bases directing towards social, environmental and cultural factors. We shall have to work on many fronts for this. Already the transition is there but it will take time in decades to have positive/ significant results. At present we are more techno centric rather than addressing to these basic/ social determines in practice.
Sir,
I will not answer the question as already the stalwarts in the field have already done so.
However i would share our research with u:
Factors Affecting the Place of Delivery in Rural Meghalaya, India
I would like if you all read and comment on it.
Thanks and regards
Please go through with the article - Hogberg U and Wall S (!986): Secular trends in maternal mortality in Sweden from 1750 to 1980, Bulletin WHO, 64 (1): 79-84 and see how the improvement of housing & living conditions affects the maternal mortality in Sweden between 1750 and 1980 even there was not so improvement in maternal care
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