Public health

doi: 10.25005/2074-0581-2017-19-1-50-56
ASSESSMENT OF PRENATAL CARE IN THE REPUBLIC OF TAJIKISTAN

S.R. Miraliev1, N.S. Juraeva1, I.Sh. Komilov1, N.N. Nuriddinova1

1Department 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.

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Authors informations:

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

E-mail: msr@mail.ru

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