Child health and survival in the Eastern Mediterranean region

Bhutta, Zulfiqar Ahmed; Belgaumi, Asim; Rab, Mohammad Abdur; Karrar, Zein A.; Khashaba, Mohamed; Mouane, Nezha

doi:10.1136/bmj.38979.379641.68

Cited by 16 publications

(15 citation statements)

References 14 publications

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“…Neonatal mortality, which is inextricably linked to maternal health and birth practices, has remained almost unchanged over the last 20 years: 63 per 1000 live births in 1975 to 50 per 1000 live births in 2003. There are few community‐based strategies or outreach programs in place for maternal and newborn care [22].…”

Section: Maternal and Neonatal Health Statusmentioning

confidence: 99%

Safe motherhood in Pakistan

Jafarey

Kamal

Qureshi

et al. 2008

International Journal of Gynecology & Obstetrics

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The maternal mortality ratio in Pakistan remains high at between 350 and 500 per 100,000 live births, while the neonatal mortality ratio is 50 per 1000 live births. This paper examines the trends in maternal and neonatal mortality in Pakistan and looks at why slow progress has been made in attempts to achieve safe motherhood. Despite numerous initiatives, it is uncertain whether Pakistan will achieve Millennium Development Goals 4 and 5 by 2015.

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Section: Maternal and Neonatal Health Statusmentioning

confidence: 99%

Safe motherhood in Pakistan

Jafarey

Kamal

Qureshi

et al. 2008

International Journal of Gynecology & Obstetrics

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“…Almost half of those die in the newborn period from birth asphyxia, prematurity and serious infections. In the rest of the Bayoumi and Yardumian 2006;Bhutta et al 2006).…”

Section: The Mena Regionmentioning

confidence: 98%

“…Almost half of those die in the newborn period from birth asphyxia, prematurity and serious infections. In the rest of the MENA countries, as infant mortality rates decline the health authorities acquire increasing knowledge of the significance of genetic disorders and congenital malformations (Al-Gazali et al 2006; Bayoumi and Yardumian 2006;Bhutta et al 2006).…”

Section: The Mena Regionmentioning

confidence: 99%

Newborn screening: Experiences in the Middle East and North Africa

Saadallah

Rashed

2007

J of Inher Metab Disea

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This review presents the current experiences with newborn screening in the Middle East and North Africa region. The population in the region is about 400 million, with high birth rate and an estimated 10 million newborns per year. The majority of the population is of the Islamic faith and mostly Arab. The population is characterized by a high consanguinity (25-70%) and a high percentage of first-cousin marriages. Haemoglobin disorders, inherited metabolic disorders, neurogenetic disorders and birth defects are relatively common among the population. There is a rather slow progress in developing and implementing preventive genetic programmes owing to legal, cultural, political and financial issues. Although research spending is rather soft in the region, there are numerous pilot studies that highlighted the high incidence of genetic defects and the need for newborn screening programmes. Currently, there are only four countries that are executing national newborn screening but they vary from one disease to 23 and coverage is not complete. The region needs to take big steps towards developing national strategies for prevention and should learn from experiences of regional and international screening programmes.

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“…Three articles in this week's BMJ draw together the latest evidence and the challenges ahead for women's health in the Middle East. 2 – 4 …”

mentioning

confidence: 99%