ASSESSMENT OF PRENATAL CARE IN THE REPUBLIC OF TAJIKISTAN
Department of Public Health and Medical Statistics with the course of history of Medicine, Avicenna Tajik State Medical University, Dushanbe, Tajikistan
Objective: Assessment of the access to prenatal care and identification of possible impediments.
Methods: In August – October 2015, it was interrogated 960 of women, who have finished the pregnancy in maternity hospital or at home, with absence or participation of medical worker, in the Republic of Tajikistan. Also, 16 discussions were held in focus-group comprising representatives of various levels of medical aid in the fields and jamoats.
Results: 99.1% of respondents were registered for prenatal care with minor variations between regions (RRS – 97.9%, and up to 100% in the Sogd Region and GBAO). In the members of registrants of prenatal care are 90.3% and registered in the first pregnancy trimester according to the country standards, and 9.7% were registered at a late gestation period. The part of researched women, who has never attended consultations and obstetrician-gynecologist medical checkup consisted 7%, which is connected to the absence of obstetrician-gynecologists at the level of healthcare facilities. Pregnant women aged under 24 in the first pregnancy trimester were registered more often than compared to women aged 35 and older (90.8% and 82% accordingly). Percentage of recently parouse of women, who received prenatal care from 1 to 3 times, which made 58%, and a few of two thirds of them, who recently parouse of women are also, received prenatal care more than 4 times.
Conclusions: The research provided high number of coverage the prenatal care, although home deliveries and deliveries without health personnel support remains an urgent issue for the health system of Tajikistan. The reasons of uncoverage were called: residing abroad, late awareness of pregnancy, absence of necessity in prenatal care, financial and geographical accessibility. As recorded that the family practitioners were men, which was the main reason of the low usage of service of family experts.
Keywords: Prenatal care, family doctors, obstetrician-gynecologists.
- Gabrysch S, Campbell O. Still too far to walk: Literature review of the determinants of delivery service use. BMC Pregnancy Childb. 2009;9:34.
- Simkhada B, Teijlingen ER, Porter M, Simkhada P. Factors affecting the utilization of antenatal care in developing countries: systematic review of the literature. J Adv Nurs. 2008;61:244-60.
- Ortayli N, Malarcher S. Equity analysis: identifying who benefits from family planning programs. Stud Fam Plann. 2010;41:101-8.
- World Health Statistics 2015. WHO, 2015.
- Dоdkhоеvа MF, Jоnоvа BU, Тоirovа МP. Pеrspекtivy razvitiya dorodovogo ukhoda [Prospects for the development of prenatal care]. Doklady Акаdеmii nauk Respubliki Tadzhikistan. 2009;52(9):718-22.
- Nazim N, Habibov, Lida Fan. Modelling prenatal health care utilization in Tajikistan using a two-stage approach: implications for policy and research. Health Policy Plan. 2008;23(6):443-51.
- DodkhoevaMF, SharipovaМI, SultanovaММ, NazarovHМ. Okruzhayushchaya sreda i reproduktivnoe zdorov’e [Environment and reproductive health]. Avicenna Bulletin (Vestnik Avitsenny). 2016;4:74-82.
- Gaibov АG, Ganieva МH, Vohidov АВ. Оsnovnye aspecty okhrany reproduktivnogo zdorov’ya naselenia Respubliki Tadzhikistan [Main aspects of reproductive health of the population of the Republic of Tajikistan]. Avicenna Bulletin (Vestnik Avitsenny). 2016,4:52-5.
- Кyzaeva АD, Kudamanova АB, Mysaev АО, Аbenova GК, Butumbaeva ShR, Еrdjanova GА. Аnaliz mneniya akusherov-ginekologov i akusherok po voprosam organizatsii antenatal’nogo ukhoda v Kazakhstane [Analysis of the opinion of obstetrician-gynecologists and midwives on the organization of antenatal care in Kazakhstan]. Vestnik КаzNMU. 2014;4:365-9.
- Кyzaeva АD, Igisenova АI, Urazaeva UА, Аbenova GК, Еrdjanova GА, Lyan VV. Okhrana materinstva v Velikobritanii: opyt dlya Каzakhstana [Maternity protection in the UK: experience for Kazakhstan]. Vestnik КаzNMU. 2014;4:369-72.
- Маterinskaya smertnost’ v Кyrgyzskoy Respublike: оbzor tendentsiy [Maternal mortality in the Kyrgyz Republic: a review of trends]. Vsemirnyy Bank, Centr analiza politiki zdravoockranenia. Bishkek, Kyrgyzstan; 2012. 67 p.
- Мiraliev SR, Bandaev IS, Коmilov ISh, Nuriddinova NN. Sostoyanie i opredelenie stoimosti meditsinskikh uslug po okhrane zdorov’ya materi i rebyonka v ramkakh Programmy gosudarstvennoy garantii [The state and definition of the cost of medical services for the protection of mother and child health under the State Guarantees Program]. Vestnik pedagogicheskogo universiteta. 2014;5(60):189-93.
- Kerber KJ, de Graft-Johnson JE, Bhutta ZA, Okong P, Starrs A, Lawn JE. Continuum of care for maternal, newborn, and child health: from slogan to service delivery. Lancet. 2007;370:1358-69.
- Wiegers TA , Boerma WG, de Haan O. Maternity care and birth preparedness in rural Kyrgyzstan and Tajikistan. Sex Reprod Healthc. 2010;1(4):189-94.
- Byrne A, Hodge A, Jimenez-Soto E, Morgan A. What Works? Strategies to Increase Reproductive, Maternal and Child Health in Difficult to Access Mountainous Locations: A Systematic Literature Review. PLoS One. 2014; 9(2):e87683.
Miraliev Salohiddin Rajabovich, Doctor of Medical Sciences, Associate Professor, Head of the Department of Public Health and Medical Statistics with the course of History of Medicine at Avicenna Tajik State Medical University
Juraeva Nargis Sarabekovna Candidate of Medical Sciences, Associate Professor of the Department of Public Health and Medical Statistics with the course of History of Medicine at Avicenna Tajik State Medical University
Komilov Ismoil Sharipovich, Senior lecturer of the Department of Public Health and Medical Statistics with the course of History of Medicine at Avicenna Tajik State Medical University
Nuriddinova Nigora Naimovna, Senior lecturer of the Department of Public Health and Medical Statistics with the course of History of Medicine at Avicenna Tajik State Medical University
Address for correspondence:
Miraliev Salohiddin Rajabovich
Doctor of Medical Sciences, Associate Professor, Head of the Department of Public Health and Medical Statistics with the course of History of Medicine at Avicenna Tajik State Medical University
734003, Republic of Tajikistan, Dushanbe, Rudaki Avenue, 139
Tel.: (+992) 985 287997
Materials on the topic:
- IMPROVEMENT OF ORGANIZATIONAL FORMS OF WORK OF THE LOCAL MEDICAL ORGANIZATION PROVIDING OUTPATIENT MEDICAL CARE
- MEDICO-SOCIAL STATUS OF COMBUSTIOLOGICAL PATIENTS AND CLINICO-ECONOMIC ANALYSIS OF THE RESULTS OF THEIR TREATMENT
- THE POSSIBILITIES OF USING INFORMATION TECHNOLOGY IN MANAGEMENT OF THE ORGANIZATION’S PROCESSES OF EMERGENCY MEDICAL CARE
- CURRENT PROBLEMS OF INTEGRATION WORK OF THE DUSHANBE AMBULANCE SERVICE WITH CITY HEALTH CENTERS, NURSING CARE HOSPITAL AND OTHER PROFILE SERVICES