Tikreeti R A, Ramankutty P, Antony R, George A, Habib O S
Int J Health Educ. 1981;24(4):280-5.
A pilot survey was recently undertaken among 301 married women below 50 years of age and having been pregnant at least once. These women lived in a rural environment: the first group in a peri-urban area which is developing rapidly, and the second in a traditional rural area. The survey elicited information on various aspects of the 1,476 pregnancies reported by the women in the sample, including infant mortality, complications in pregnancy, abortions, as well as the number of medical consultations. Data show that mother and child health services, on the whole, are not fully appreciated by mothers, who only visit the clinic when they have a problem. It is evident that health care is equated with curative treatment and that the positive dimensions of prevention and health maintenance are not properly perceived. The fact that in the more conservative areas 98.1% of births take place at home shows the existence of a traditional health system which is not sufficiently taken into account by health planners. In fact, local birth attendants and midwives represent for the health services untapped manpower which, if adequately trained, could help to eliminate the risks currently associated with home births.
最近对301名年龄在50岁以下且至少怀孕过一次的已婚妇女进行了一项试点调查。这些妇女生活在农村环境中：第一组在快速发展的城郊地区，第二组在传统农村地区。该调查收集了样本中妇女报告的1476次怀孕各方面的信息，包括婴儿死亡率、孕期并发症、流产以及医疗咨询次数。数据显示，总体而言，母婴健康服务并未得到母亲们的充分重视，她们只有在有问题时才会去诊所。显然，医疗保健被等同于治疗，而预防和健康维护的积极方面没有得到正确认识。在较为保守的地区，98.1%的分娩在家中进行，这一事实表明存在一种传统的卫生系统，但卫生规划者对此没有给予足够重视。事实上，当地的助产士和接生员是卫生服务中未被利用的人力资源，如果得到充分培训，有助于消除目前与在家分娩相关的风险。
