Child Health Problems

1. MOTHER AND CHILD HEALTH PRACTICES AND PROBLEMS Prof. Ahmet Ozturk
2. * Home health - 15-49 years old women of reproductive age (especially pregnant women and infertile lohusalar) * Child Health - babies and children 0-6 years of age
3. 15-49 years in 2010 and 73.7 million in 2010, about 7.19 million of the population of reproductive age (27%) women oluşturmaktadır.Yine Turkey's population, 8.4% 0-4 percent of the general population, between the ages of 5-9 years in order to 8.3% of account (approximately 12% of age group 0-6) is
4. • 16 book century Thomas Raynold "Rise of Mankind" pregnancy-related diseases mentioned for the first time. The hygiene of pregnancy and pregnancy disorders • 17 Francou century book Mauriceau "Obstetrics Pregnancy and maternity". • 18 century, William Smellie "Pregnancy Diseases and Preventive Measures" in his book talked about pregnancy and disease.
5. • 19 century, the first medical home health unit was opened in Edinburgh. Here, "prenatal care" given by Dr. Ferguson in. • 20th century England were first pre-natal beds. Thus, for the first time was the main prenatal care. • 20 century, the United States started to visit pregnant women at home.

6. In our country, to make the necessary assistance to women who gave birth in 1842, 1862 açıldı.İlk maternity clinic, two year courses at the Faculty of Medicine, Gulhane Park, and a building in the delivery room at first birth and child care centers açılmıştır.1926 School, Ankara and Konya açılmıştır1905 Midwife Kadırga'da, schools were opened in 1937 in Konya in 1938, Balikesir and midwives.
7. In 1952, MCH services, other health services, No. 557 "Population Planning edildi.1965 was integrated Maternal and Child Health (MCH) Director kuruldu.1961 socialization of health care law No. 224, Ministry of Health Law" after the family planning services, to carry out the "Population General Directorate of Planning "has been established. In 1982, the Maternal and Child Health Department and the General Directorate of Population Planning "Mother and Child Health and Family Planning General Directorate" was the name of the combined.
8. In our country today, the Maternal and Child Health and Family Planning Services; - Family doctors - Community health centers (TSM), and - provided by the Maternal and Child Health and Family Planning Centres.
9. Family Medicine Practice Regulations (2010) Family physician duties Article 4 a) ............ d) people (cancer, chronic disease groups, age, sex, and follow-up and screening were recorded, gives, f) makes health-related guidance to health promotion and preventive services, maternal and child health and family planning services as a registered diseases, pregnant women, birth, newborn, infant, and child health, adolescent, adult, elderly health, and so on) makes
10. Immunization hizmetleriMadde 7 - Immunization services are carried out by family physicians. TSM'ler vaccines are delivered by the needs of family physicians. Family health center Family physicians take the necessary measures for the protection of cold-chain conditions
11. DIRECTIVE OF PUBLIC HEALTH MERKEZLERİNİNKURULMASI and operation (August 2011) Reproductive health services • Article 18 - (1) in cooperation with other health related organizations, within the framework of the principles of preventive reproductive health, family planning and other maternal and child health services performed by family physicians provide health services . Maternal and child health training center • TSM'ler these issues and gives a theoretical or given to skills training and provides consulting services.
12. Reproductive health services (2) Each family makes planning for the implementation of reproductive health services, the health center. Family physicians and / or family health personnel IUD (intrauterine device), and other reproductive health training in the theory and skills related to the planning grants are given to provide either.
13. Reproductive health services (3) In particular, local authorities and community leaders about the people and institutions for public education on reproductive health, co-operation will be implementing plans and programs. (4) reduction of maternal and infant mortality (Guest Mother Project, etc.) on all the programs carried out by the Ministry of planning and execution.
14. School Health Services • Article 29 - Area schools, especially boarding school division or enabled (. Disabilities and the like), housing (public and private), nursing homes and child protection agency, hotels, motels, B & B accommodation, health care and in terms of the rules of such as public hygiene control makes it at least twice a year. Schools during this check evaluates the severity of the disease.
15. COUNTRY HOME AND CHILD HEALTH PROBLEMS
16. 1. The mean age of first marriage in Turkey Marriage Age SorunuTürkiyede 8.20, west west, and in rural areas was found to be 6:19 3:21 number. On the other hand, the first marriage, mean age of ignorance 7:18 in the high school and higher education, those with an increase of 24.1 percent.
17. Adolescent Fertility • According to DHS, the mother became pregnant with her first child 19-year-olds 17.2%, 3.5% of women aged 15-19 married women in the age group 15-19 Ø 5.7 Ø iannedir siannedir% 48.5%
18. 2. (18.3%) women in our country, the problem is one-fifth of the Education of Women in Turkey • The level of education of any school or any other did not unable to complete. Uneducated women in the 25-29 age group increased by 27% to 12% rate of 45-49 age group. • East rose by 54%, • 28% of women living in rural areas.
19. Number of Illiterate Women 2.8Sahip 3.7Çocuk 2.6Ortalama Olmakİstedikleri 2.5 4.9 3.2 5.0 Number 5.0Sahip 5.9Çocuk their 4.9Ortalama
20. 3. Women's Status and Health Services KullanımıEğitim, professional and economic status of women, with their own traditions and directly affects the health status.


Low göreneklerce status, factors that may affect the health status of women in modern health care facilities to take a decision about the unknown, came as foreign places, or perhaps from the traditions of this benefit can not, and sometimes without the permission of the parents and spouses of those services can not exercise
21. 4. Family 34ünde 53ünde% verbal abuse violence against women for every 100's. Women Violence Family Violence • Violence • Sexual Violence • Physical violence • Economics • • Verbal Emotional Violence Against Turkey Prime Ministry Family Research Council
22. Republic of Turkey Prime Ministry Family Research Council • Family violence against women for every 100 53ünde% 34ünde have verbal violence.
23. 5. Each year approximately 1.3 million births in the crude birth rate in Turkey is 18.6 per thousand SorunuTürkiye'de Excessive fertility. Total fertility rate: the average child per woman in Turkey 02:15. This ratio increases to 3.28 for women with no education for women living in rural areas is 2.67.
24. In 1983, more than 10 weeks gestation from "family planning Law" No. 2827 in our country 6.Türkiye Low Problem • be terminated on request. • 2008 DHS, 20.5 10.0 Total willingly then every 100 pregnancies (abortions) resulted in miscarriage compared.
25. 7. 28.5 per 100,000 live births in Turkey '• Maternal mortality rate Maternal Mortality problem for Turkey. Maternal Mortality Rate by Years in Turkey (one hundred thousand live births) 250 208 200 132 150 100 100 70 49 * 44 28.5 50 0 1974 1981 1990 1998 2000 2005 2005 Source: 1974, 1981, State Institute of Statistics, 1990 Estimated calculation WHO, 2000 and 2005 (*) 1998 SB Hospital Records Project, 2006 National Maternal Mortality Study
26. 8. Prenatal Care Problems in Turkey, Turkey Demographic and Health Survey (DHS), 2008, respectively, last births Antenatal Care (ANC), 92.0% of those who received at least one time were compared.
27. Adequate Care in: 1 2, health personnel, first 3 months of pregnancy based on 3 given by the DHS began to olması2003 at least 4 times, 46.4%, adequate care takers rate (25.4% in rural areas, 11.4% and 15.7% of those training 6 + children in those without)
28. Week • 12 • Sensing and the first follow-up EXPECTED FREQUENCY MONITORING ...... 24 weeks (6 months) ............ Once • 28 weeks (7.ay) ............ Once • 32 weeks (8.ay) ............ Once • 36 weeks (9.ay) ............ Once • 39 weeks (10.ay) .......... Once a total of 6 times
29. Health centers 2006, the frequency of follow-up per pregnancy, the average of Turkey ...... based on data collected from Denizli ................... 07.02 Urfa 6.3 ..................... 0.5 London ................. 0.4 Kayseri .................. 6.0Sağlık data from the Ministry of Turkey 2010: 4.2
30. Why are not taken into Prenatal Care?? Financial problems establishment 42.5Gerek 2.4Sağlık 36.4Gelenekler 5.9Ulaşım the problem of insecurity, poor service, etc. I do not see reasons 2.4Diğer 10:04
31. Prenatal Care Tests and Measurements (TNSA 2003) during: Measurement of 92.2Kan 96.2Tansiyon analysis 91.3Ultrason listening 46.3Boy 90.5% 2008ÇKS measurement measuring measuring 76.9 88.6 75.1 72.6 82.2Karın 1:31 82.8İdrar analysis 85.8Ağırlık
32. 9. Problems with Turkey on birth • Your doctor or under the supervision of trained health personnel '91.3% of the species. • Births 8.7% vb.kişiler traditional birth attendants or relatives (26.1% 6 35.3% after the birth of school completed, and those who are not) was built by
33. Place of birth (TNSA 2008): The country 'births, 89.7% had no health resort, is 9.7% at home. (Page: of people living in rural areas, 20.4%, 28.3%, 6 school completed, and who is not, then 38.1% of those births)
34. 10. Postpartum Care SorunlarıLohusaların Turkey, once a day after birth, postpartum period, including two more times, 3 times, the total must be monitored, but it takes a very small number.
35. 2006, according to the health center per Turkey's average post-natal follow-up ..... 1.0 Denizli .................. 2.5 Pain ..................... 0.3 Istanbul ................ 0.1 Kayseri ................. 2.3Sağlık data from the Ministry of Turkey 2010: 1.5
36. 11. Women in Turkey, Infertility Problems • Infertility condition usually of pathology, while 40% of men and 20% owned by a woman, both 40%. • 8-10% of women in Turkey is almost entirely responsible for infertility.
37. 12. • In recent years, significant reductions in infant mortality problem in Turkey, the country's IMR is obtained on the developed countries. • According to the TDHS 2008 IMR 0 is 17.6% (neonatal, postneonatal% 0 4 0% 13). • These rates are 39 per thousand in rural areas in the East was 33 per thousand, uneducated, rising to 41 per thousand.
38. Rank Country Infant Mortality Rate (2009) (1,000) 1 180 212 in Angola, Liberia, Sierra Leone 154 433 151 954 138 245 Niger, Afghanistan, Japan 116.66219 2.79221 2.92220 Hong Kong, Singapore, Sweden 2.75222 second , 46 223 Bermuda 02:31
39. 1945-50 270 1950-55 235 1955-60 212 1960-65 178 1970-75 130 1988 88 2003 28 2008 17.6 (per thousand) Infant mortality rate change
40. Cause of Death Infant Mortality Province and Districts 2007 3193 3.28% Other causes of perinatal mortality 1718 2:15 other forms of heart disease, meningococcal infections, congenital anomalies 932 08.03 04.12 1398 Birth injury, difficult labor, the other died of pneumonia causes hypoxia and anoxia 475 2.4 304 7.2 191 Accidents 01:01 07:01 128 cases of unidentified cases of Cancer Symptoms and Total 11 284 100.0 5.17 1975 970 8.6 All other reasons
41. 13. • Follow-up Baby and Kids Baby and children in Turkey, you watched insufficient number and content of the problem than expected.
42. FOLLOW EXPECTED SIKLIĞIBebekler: • The first 48 hours .......................... • Once ........................... 15 • ........................... 41 times a day • 2-3-4-6-9-12 day at a time. months ........... Once matched, including nine times
43. Health centers based on data collected in 2006, the number of children per follow-up, the average of Turkey .... Kayseri ................ 5.2 ............ 9.5 Burdur ..... The Ministry of Pain .................... 1.8Sağlık .................... 1.2 9.5 2010 Turkey Urfa data: 7.1
44. EXPECTED SIKLIĞIÇocuklar MONITORING: • 1-3 years ........... • 4-6 years of age with an interval of 6 months ........... Including a total of 9 times with an interval of 1 year,
45. Per child health centers in 2006, according to the number of follow-up, the average of Turkey .......... 1.2 Malatya ...................... Pain 2.4 .......................... 0.4 Istanbul ..................... 0.3 Kayseri ....................... 2010 Turkey 1.6 Health Ministry data: 1.6
46. 14. According to 2008 SorunuTNSA vaccination, while the rest of the underimmunized, no vaccine has not been fully dır.Çocukların per 1.7 and 74.6 years of age were immunized by one.

47. TAKVİMİDoğum CHILDHOOD VACCINATION 1 Month 2 Months 4 Months 6 Months 12 Months 18 Months 1 Year 8.SınıfHBV-1 HBV-2 HBV-3 BCG DAPT-DAPT-DAPT-DAPT-Hib Hib IPV + Hib + IPV + Hib + -3 - 2 -1 IPV IPV-R-3 KPA KPA KPA KPA-1-2-R OPV OPV OPV-R Td Td -1 MMR MMR
48. Td2 Td1'den Td2'den sonraTd3 1-3 years at least 4 - (15-49 years) pregnancy practice percentage of time the number of women TakvimiDoz Tetanus Vaccine Protection Protection, 4 SüresiTd1 (not the first encounter or) Fertility of the week for at least 6 months After years of less than 1 year 80 95 5 99 10 yılTd4 Td3'den or at least one year after the gebelikteTd5 Td4 'then or the next pregnancy after the age of 99 reproductive health
49. 15. Low Birth Weight • 2008 DHS, 11% of children with low birth weight, birth weight (2.5 kg. 'Den less) are available. • 18.3% increase in the rate of uneducated mothers 'babies, infants' e 4 17.3% or higher.
50. About Infant Mortality Ratios by weight
51. 16. Child Abuse • Negligence • Physical abuse • Sexual abuse • Emotional abuse • Economic abuse
52. • Prime Ministry Family Research Council, in our country, and / 40% of parents of children aged 7-14 years according to a study carried out by, or exposed to violence by their fathers • Mothers, fathers more • Male children exposed to violence, physical violence than girls exposed to
53. 17. Problems of Family Planning in Turkey Turkey Infants and Children Nutrition School Health Problems 18 Problems 19


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