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E-grāmata: Population and Health in Developing Countries

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This book provides an overview of the health of developing nations in the early twenty-first century. The basic assumption is that the health of a population is not independent of broader demographic trends, and does follow the health transition model. The coverage is broad, ranging from health transition in developing countries, to the health of women, to an analysis of morbidity. Population health is an essential component of human and social development. As both a means and an end of development, health lies at the heart of underdevelopment, and ranks first on the list of international priorities. The WHO slogan ‘Health for all in 2000’ reflects the spirit of a more general movement in favor of health promotion throughout the world. But the developing world is far from reaching this aim. The health of populations has improved in developing regions but there are still deep inequalities, and serious problems remain, especially in Sub-Saharan Africa. After reviewing the core concepts of population health, the book examines health transition in developing countries, a process that has resulted in a double burden of diseases. A discussion of mortality in developing countries serves to highlight the high rates of child mortality in these regions. The book devotes a full chapter to women’s health, and its chapter-length analysis of morbidity highlights the double burden weighing down developing populations and concludes with an analysis of health systems in developing countries.

This book provides an overview of the health of developing nations in the early twenty-first century. It offers broad coverage, ranging from health transition in developing countries, to the health of women, to an analysis of morbidity.
1 Health, Morbidity and Development: Definitions and Concepts 1(10)
1.1 Health: A Relative Notion
1(3)
1.1.1 The Definition of Health
1(2)
1.1.2 Health: A Relative Notion
3(1)
1.2 Disease and Morbidity
4(5)
1.2.1 Illness and Disease: A Difficult State to Define
5(2)
1.2.2 Illness and Disease: The Difficulty of Observation
7(1)
1.2.3 Death
8(1)
1.3 Conclusion
9(2)
2 The On-Going Health Transition in Developing Countries 11(10)
2.1 The Health Transition
11(4)
2.1.1 The Health Transition Theory
12(2)
2.1.2 The Factors of the Health Transition
14(1)
2.2 The Health Transition in Developing Countries
15(4)
2.2.1 The Health Transition in Southern Countries: Wide Variations
16(1)
2.2.2 Sub-Saharan Africa Lagging Behind
17(2)
2.3 Conclusion
19(2)
3 Measuring Population Health 21(16)
3.1 The Available Data
22(10)
3.1.1 Demographic Data
22(2)
3.1.2 Mortality-Data
24(6)
3.1.3 Morbidity Data
30(2)
3.2 Measurement Indicators
32(4)
3.2.1 Indicators of Mortality
32(1)
3.2.2 Morbidity Indicators
33(1)
3.2.3 The Relationship Between Mortality and Morbidity
34(2)
3.3 Conclusion
36(1)
4 Mortality in Developing Countries: Profound Changes 37(26)
4.1 The Decline of Mortality
37(7)
4.1.1 Globally Rising Life Expectancy
38(2)
4.1.2 Life Expectancy Disparities
40(4)
4.2 Child Mortality
44(13)
4.2.1 Different Trends
44(4)
4.2.2 The Causes of Child Deaths
48(6)
4.2.3 The Determinants of Infant and Child Mortality
54(3)
4.3 Adult Mortality Trends
57(4)
4.4 Conclusion
61(2)
5 Women's Health 63(24)
5.1 The Measurement of Maternal Mortality
63(5)
5.1.1 Definitions
64(1)
5.1.2 Measuring Maternal Mortality
65(1)
5.1.3 Maternal Mortality Data
66(2)
5.2 The Characteristics of Maternal Mortality
68(9)
5.2.1 High Maternal Mortality
68(2)
5.2.2 The Causes of Maternal Deaths
70(7)
5.3 The Conditions of Female Reproductive Health
77(7)
5.3.1 The Conditions of Childbirth
77(3)
5.3.2 Pregnancy Care
80(2)
5.3.3 Contraceptive Use
82(2)
5.4 Conclusion
84(3)
6 Morbidity: A Double Burden for Developing Countries 87(32)
6.1 Communicable Diseases and Nutritional Disorders
91(8)
6.1.1 Malaria
92(2)
6.1.2 Tuberculosis
94(2)
6.1.3 Nutritional Disorders
96(2)
6.1.4 Other Communicable Diseases
98(1)
6.2 The HIV/AIDS Epidemic
99(12)
6.2.1 The Spread of the Epidemic
100(3)
6.2.2 The Consequences of AIDS
103(4)
6.2.3 Prevention and Access to Care for AIDS Patients
107(4)
6.3 The Rise of Non-communicable Diseases and Injuries
111(4)
6.3.1 Non-communicable Diseases
111(3)
6.3.2 Injuries
114(1)
6.4 Conclusion: The Double Burden of Disease
115(4)
7 Health Systems in Developing Countries 119(22)
7.1 Toward Primary Health Care
120(2)
7.1.1 The Birth of Health Systems
120(1)
7.1.2 The Evolution of Health Systems
121(1)
7.1.3 Primary Health Care
121(1)
7.2 The Shortage of Health Workers
122(5)
7.2.1 The Shortage of Health Workers
123(2)
7.2.2 Strategies in the Battle Against Staff Shortages
125(2)
7.3 Health System Funding and the Role of the State
127(3)
7.4 Persistently Inadequate Health Information
130(2)
7.5 The Renewal of Primary Health Care
132(6)
7.5.1 The Challenges of a Changing World
132(3)
7.5.2 Primary Health Care Reforms
135(3)
7.6 Conclusion
138(3)
Conclusion 141(8)
References 149(6)
Annex 1: The Millennium Development Goals (Source: United Nations) 155(2)
Annex 2: Who Regional and Income Grouping (Source: WHO) 157(2)
Annex 3: Declaration of Alma-Ata in 1978 (Source: WHO) 159(4)
Index 163