Lisääntymisterveys ja naisten hyvinvointi Flashcards

1
Q

What is the definition of gender-based violence?

A

Gender-based violence refers to harmful acts directed at an individual based on their gender, often resulting in physical, sexual, or psychological harm.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Name one international convention that addresses gender-based violence.

A

The Convention on the Elimination of All Forms of Discrimination Against Women (CEDAW)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How many women died from preventable causes related to pregnancy and childbirth in 2023?

A

Over 700 women every day

Approximately 260,000 women died during and following pregnancy and childbirth in 2023.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the maternal mortality ratio (MMR)?

A

Number of maternal deaths per 100,000 live births

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

By what percentage did the global maternal mortality ratio drop between 2000 and 2023?

A

About 40%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

In 2023, what percentage of all maternal deaths occurred in low- and lower-middle-income countries?

A

Just over 90%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Which regions accounted for around 87% of global maternal deaths in 2023?

A
  • Sub-Saharan Africa
  • Southern Asia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What was the maternal mortality ratio in low-income countries in 2023?

A

346 per 100,000 live births

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What major complications account for around 75% of maternal deaths?

A
  • Severe bleeding
  • Infections
  • High blood pressure during pregnancy
  • Complications from delivery
  • Unsafe abortion
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the lifetime risk of maternal death in high-income countries?

A

1 in 7933

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What should be done to avoid maternal deaths?

A

Prevent unintended pregnancies and ensure access to quality health care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the MMR in conflict-affected areas compared to non-conflict settings?

A

504 deaths per 100,000 live births in conflict-affected areas vs. 99 in non-conflict settings

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is one of the key factors preventing women from receiving adequate health care?

A

Health system failures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What was the impact of the COVID-19 pandemic on maternal mortality in 2021?

A

MMR rose from 282,000 maternal deaths in 2020 to 322,000 maternal deaths in 2021

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the target for reducing global maternal mortality by 2030 according to the Sustainable Development Goals?

A

Less than 70 per 100,000 live births

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is WHO’s role in improving maternal health?

A

Reducing maternal mortality through research, guidance, and support

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Fill in the blank: The greatest reduction in lifetime risk of maternal death occurred in the region of _______.

A

Central and Southern Asia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is the MMR in high-income countries in 2023?

A

10 per 100,000 live births

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is a major cause of maternal death that can be managed with timely care?

A

Severe bleeding after childbirth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

How does the presence of skilled health professionals impact maternal health outcomes?

A

It can save the lives of women and newborns

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is the goal of WHO’s Strategies toward ending preventable maternal mortality?

A

Addressing inequalities and ensuring universal health coverage

22
Q

Suboptimal quality of antenatal care (ANC) presents

A

a major challenge

23
Q

various ANC components

A

counseling on birth preparedness

and complication readiness,

preventive measures and

screening tests.

24
Q

Frequent ANC visits and

A

ensuring privacy are all essential to improve the uptake of ANC

25
maternal deaths, global estimates for 2020
indicated 287. 000 deaths
26
Global maternal deaths, out of which x% occurred in sub-Saharan Africa (sSA)
70%
27
sSA, a region with the highest Maternal Mortality Ratio (MMR) of
545 per 100. 000 livebirths in 2020
28
Countries in sSA with highest maternal mortality ratio (5)
1. South Sudan 2. Chad 3. Nigeria 4. Central African Republic 5. Guinea-Bissau
29
In Tanzania, only x% of pregnant women use iron-folic acid supplements
28.5%
30
Only x% of Tanzanian pregnant women received two doses of Intermittent Preventive Treatment (IPT) for malaria in 2015
56%
31
More than three out of four women were classified as being prepared for birth, while the use of medications to prevent
intestinal worms and malaria and the decision-making power of women were low.
32
In Tanzania, counseling on newborn danger signs
was particularly low
33
Raskaana olevien kuolleisuuteen vaikuttaa
Asuminen maaseudulla Köyhyys Lapsiluku Lukutaito Vähäinen neuvolapalveluiden käyttö
34
WHO Antenatal Care Recommendations 2016 ->
35
montako pienikokoisena syntynyttä malarian vuoksi
jopa 200.000
36
Raskauden aikana elämän aikana saavutettu immuniteetti malariaa vastaan
katoaa (istukan punasolut ilmentää uusia antigeenejä, näille ei ensiodottajalla immuniteettia -> vakavan malarian riski kasvaa, lisäksi muuttuneet punasolut keskittyvät istukan verenkiertoon ja täten lasten kasvu hidastuu!)
37
IPpTSP estolääkitys tulisi aloittaa raskaana olevilla
toisen trimesterin alussa
38
Loiset aiheuttaa raskaana oleville
imeytymisongelmia, anemiaa vaikean verenvuodon riski synnytyksessä kasvaa (antibioottia ei 1. trimesterin aikana saa antaa)
39
HIV-positiivisille raskaana oleville
aloitetaan lääkitys
40
HIV-positiivisten äitien lapsille suositellaan
6kk täysimetystä + imetys 1v ikään asti (suojaa ripulilta, keuhkokuumeelta)
41
Miehet ovat mm. Tansaniassa mukana vähintään ensimmäisellä neuvolakäynnillä, jossa testataan
kuppa
42
Osallistaminen
on osa nykypäivän tutkimusmetodeja
43
Kansainvälisesti noin 30% yli 15-vuotiaista naisista
on kokenut seksuaalista tai fyysista väkivaltaa (usein tekijänä puoliso)
44
osallistaminen kansainvälisessä tutkimuksessa
tulee tehdä sosiaalisessa kontekstissa, paikallinen kulttuuri huomioiden, eettisesti ja lupa kysyen
45
Väkivallan vähentämisen toiminnan trendejä
Huomio yksilöissä (uhrit vs syylliset) Huomio ennen vai jälkeen väkivallan (ennaltaehkäisyssä vs ratkaisussa)
46
Miksi nuoriin/lapsiin kohdistuvat väkivaltatutkimukset ovat haastavia /niitä on vähän
eettisesti haastavaa toteuttaa
47
SNEHA / Society for Nutrition, Education and Health Action Intiassa /slummeissa
Yhteistyö Terveyspalvelut Poliisi-yhteistyö Juridinen tuki
48
Rikkaissa maissa tehtyjen perheväkivallan tutkimuksen väliintulojen yleistettävyys on
huono eri kulttuurien välillä globaalissa kontekstissa
49
Homofobia ja transfobia
lisäävät seksuaaliterveyden uhkaa (HIV, raiskaukset, väkivalta, muut sukupuolitaudit)
50
Homofobisen tutkimuksen edistämiseksi Keniassa
alettiin tehdä yhteistyötä LQBTI-yhteisöjen, muiden yhteisöjen, kylänvanhimpien, poliisin jne kanssa mm. luentojen, keskustelujen ja osallistumispalkkioiden avulla
51
Osallistaminen ja yhteistyö...
ovat keskeinen keino sukupuolittuneen väkivallan ehkäisyssä ja -muuttaa normeja väkivallan taustalla -lisää tietoa vähemmistöjen oikeuksista