By Patricia Stephenson

ISBN-10: 0585183147

ISBN-13: 9780585183145

ISBN-10: 0821341979

ISBN-13: 9780821341971

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Extra resources for Improving Women's Health Services in the Russian Federation: Results of a Pilot Project (World Bank Technical Paper)

Example text

Social challenges of transition series. 1'982'00947dc21 98-14708 CIP Page iii Contents Foreword iv Abstract v Acknowledgments vi I. Introduction 1 II. Women's Reproductive Health in the Russian Federation 2 III. Reproductive Health Services in the Russian Federation 6 IV. Summary of Findings: the Lubertsy Field Test Evaluation 9 V. Discussion and Conclusions 20 Annexes A. Methodolgy used in the Evaluation of the Lubertsy Project 23 B. Detailed tables 24 References 41 Tables and Figures Tables Table 1.

Developing final standards would require a broader consultation among Russian scientists and the international community, accompanied by effective communication and education strategies, as well as revamped and updated quality assurance mechanisms to ensure their appropriate implementation. Conclusions and Next Steps The Lubertsy Field Test results suggest that changes in protocols are possible in Russia, as long as they accompanied by sufficient training and supplies. By and large, the project was successful in implementing much needed clinical practice changes and these changes were welcomed by patients and providers alike.

7. 1. Increased rooming-in rates. 2. Increased breastfeeding rates. 3. Increased frequency of early mother-infant contact. 4. Improved health promotion practices. 5. No increase in numbers of women receiving breastmilk substitutes to take home from hospital. 6. Decrease in proportion of newborns given supplemental fluids. 7. F. 1. 1. Increased numbers of births with father or other companion in attendance. 2. Source: Lubertsy field test evaluation design Page 12 Table 2. Family planning priority actions, interventions and outcome indicatorsPriority ActionsProject InterventionsOutcome IndicatorsA.

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Improving Women's Health Services in the Russian Federation: Results of a Pilot Project (World Bank Technical Paper) by Patricia Stephenson


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