Паёми Сино (Apr 2017)
ASSESSMENT OF PRENATAL CARE IN THE REPUBLIC OF TAJIKISTAN
Abstract
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. Conclusion: 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.
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