When is a Medical Error a Crime?

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Maternal Morbidity: An Overlooked issue

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Bangladesh health services are highly skewed towards MDG goals and that’s why more focused on maternal mortality. But maternal mortality statistics are indicative of the overall state of maternal health for a particular population. But they are only the tip of the iceberg. For every woman who dies, some twenty others face serious or long-lasting consequences. (UNFPA website) Women who survive severe, life-threatening complications often require lengthy recovery times and may face long-term physical, psychological, social and economic consequences. The chronic ill-health of a mother puts surviving children, who depend on their mothers for food, care and emotional support, at great risk.

Obstetric fistula is one of the most devastating complications of childbearing, but there are many others. These may include anaemia, infertility, damaged pelvic structure, chronic infection, depression and impaired productivity. These problems, in turn, may lead to others, including marital problems, household dissolution, social isolation, shortened life spans and suicide. Costs of medical care and lost productivity may drive women and their families into poverty.

Uterine prolapse is a debilitating condition which can limit a woman’s mobility, making it impossible for her to perform routine household chores or have sex. Uterine prolapse can be triggered by difficult, prolonged labor, frequent pregnancies, inadequate obstetric care, and carrying heavy weights. The condition is often accompanied by chronic back pains and urinary incontinence. Many women who suffer from it are abandoned by their husbands and end up as social outcasts in their own communities.

Perinatal depression is a severe disorder, which needs appropriate treatment and care. Perinatal depression is associated with maternal physical morbidity, substance abuse and suicide. Gender-based violence can be a cause of depression and can also increase a woman’s risk of it. The consequences of maternal depression on the child can be severe as well, including premature delivery, low birth weight, malnutrition, poor growth and stunted emotional, cognitive and behavioural development.

Publisher’s Journals Boast Amazingly High Impact Factors

A bold and practical proposal for the post-2015 framework

Participation, Power and Social Change Research at IDS

Joanna WheelerJoanna Wheeler mini photo

This post previously appeared on 22 March 2013 on the Participate blog. Subscribe to their blog for regular updates on the Participate initiative.

At the opening of the Advancing the Post‐2015 Sustainable Development Agenda conference in Bonn last month, Horst Kolher noted wryly in his opening remarks that UN Secretary-General Ban Ki Moon asked the High Level Panel (HLP) to be ‘bold and practical’ in its recommendations for the post-2015 framework.

So far, it would appear that many of the proposals circulating are neither. Many are extremely technical, and seem disconnected from the realities of people living with extreme exclusion and marginalisation.

As the High Level Panel prepares the report of recommendations for the post-2015 framework, due to be finished at the end of May, it is an important moment to critically reflect on what these bold recommendations might look like.  One of the civil society declarations

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mHealth initiative to tackle non-communicable diseases

Dr. Soumyadeep B

With a shift in disease epidemiology trends, non-communicable diseases (NCDs) are fast becoming leaders in the global burden of disease. NCDs are estimated to cause 36 million deaths annually and have become the focal point of concern for global public health. To meet the increasing challenge, WHO plans to rope in innovative technologies to aid its fight against NCDs.

Read the full article by Dr. Soumyadeep B at National Medical Journal of India

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Network of high quality cancer hospitals is planned for India

Dr. Soumyadeep B

India’s national cancer grid, first proposed in 2010 by the Department of Atomic Energy, is finally taking shape under the leadership of Tata Memorial Hospital in Mumbai—the nation’s most respected institute for specialist cancer treatment and research.

Tata Memorial Hospital started as a private philanthropy commissioned by the Sir Dorabji Tata Trust in 1941 and is currently being run with support from the Indian government’s Department of Atomic Energy. It treats about 43 000 new patients annually from all over India and neighbouring countries. …

Read Dr. Soumyadeep B’s full article at the British Medical Journal

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Another Questionable Publisher Emerges from Canada