Saturday, November 25, 2017

4) Why is it advised for pregnant women to gain weight during pregnancy? Examine the causes of high IMR and MMR in India. (250 Words)

For multiple reasons: to avoid malnutrition, to deliver a healthy child, to develop self confidence, to avoid miscarriage. If any of the above issues emerge, out of pocket expenditure will increases, which the government do no wish at any stage.
High IMR and MMR are caused due to multiple reasons: paternal family (lack of care of women in such societies), lack of access of emergency helath care in far flung areas such as hilly, tribal areas, village location where primary health care units and community health care units are not located nearby, poverty (lack of funds to help them with emergency care)
Also, institutional mechanism such as private health care facilities charging heavy amount as compared to public health care ones, and the latter not having quality health care services.
Other factors :
1. mind set of the people, avoiding public health care facilities, even if they are located nearby, because they trust private hospitals more
2. Anganwadis, ASHA etc., though are the bedrock of health care facilities ,rural areas, they need to escalate the issues to higher officer, in the smallest time frame, so that unwanted deliveries are avoided.
3. Weakly iron folic acid supplements, I doubt, whether they have been seriously distributed among the anemia patients, who are expected to deliver in due course of time.
All these factors coupled together, cause IMR and MMR to be higher.
Innovative agendas to be made like: engaging teachers to contribute in health sector, who want to do so voluntarily, mass meetings to generate awareness, bold decisons that if successful will give eneormous amount of benefits but of gone wrong, backup plan ready to survive, for e.g. how to take clinical trials successfully forward?

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