ABSTRACT
The study used capture-recapture methods to determine if information on births, deaths and family planning use obtained from two data sources provides the same or more complete information than that available from a single source. Five different data sources used were: village heads (mukhtars), community health volunteers, primary health care centres, maternal and child care units and local administrative units (health group presidencies) in 10 selected villages in a rural area of Turkey from May to October 1999. Although the numbers of deaths and births were estimated, no estimation of the number of women using any family planning method could be made. The study highlights some data collection problems of the surveillance system in Turkey and recommends that the routine surveillance systems be strengthened.
Subject(s)
Data Collection/methods , Fertility , Mortality , Population Surveillance/methods , Rural Health/statistics & numerical data , Birth Certificates , Birth Rate , Community Health Services/statistics & numerical data , Community Health Workers/statistics & numerical data , Data Interpretation, Statistical , Death Certificates , Epidemiologic Studies , Family Planning Services/statistics & numerical data , Humans , Maternal-Child Health Centers/statistics & numerical data , Primary Health Care/statistics & numerical data , Turkey/epidemiologyABSTRACT
The study used capture-recapture methods to determine if information on births, deaths and family planning use obtained from two data sources provides the same or more complete information than that available from a single source. Five different data sources used were: village heads [mukhtars], community health volunteers, primary health care centres, maternal and child care units and local administrative units [health group presidencies] in 10 selected villages in a rural area of Turkey from May to October 1999. Although the numbers of deaths and births were estimated, no estimation of the number of women using any family planning method could be made. The study highlights some data collection problems of the surveillance system in Turkey and recommends that the routine surveillance systems be strengthened
Subject(s)
Birth Certificates , Birth Rate , Community Health Services , Data Interpretation, Statistical , Death Certificates , Data CollectionABSTRACT
The objective of this study was to compare sexually transmitted disease (STD) occurrence and STD complaints in women using intrauterine device (IUD) with women who are not using any modern contraceptive method in a family planning setting in Trabzon, Turkey. A great majority of all women in both groups were housewives and all indicated their husbands as the first and only lifetime sexual partner. The IUD user group (n = 211) did not differ significantly from the nonuser group (n = 155) in terms of mean age, years of schooling, first age at intercourse, frequency of sexual intercourse or practice of vaginal douching (p >0.05). STD signs and symptoms were not found to be significantly different among both groups, with the exception of vaginal discharge. IUD users complained more of abnormal vaginal discharge than nonusers (RR = 2.09, CI = 1.17-3.75, p = 0.007). Bacterial vaginosis was diagnosed with the Gram-staining of the vaginal smear and current IUD users were found to be 2.78 times more likely to be diagnosed with bacterial vaginosis as compared to nonusers (p <0.00). The diagnosis of trichomoniasis, N. gonorrhea, vulvovaginal candidiasis, and Chlamydia was not found to be associated with IUD use.
Subject(s)
Intrauterine Devices/adverse effects , Sexually Transmitted Diseases/diagnosis , Sexually Transmitted Diseases/epidemiology , Adult , Coitus , Female , Humans , Risk Factors , Sexual Behavior , Therapeutic Irrigation , Turkey/epidemiology , Vagina , Vaginal Discharge/epidemiology , Vaginosis, Bacterial/diagnosis , Vaginosis, Bacterial/epidemiologyABSTRACT
PIP: The author examines health indicators such as neonatal and maternal morbidity and mortality for the period 1967-1988 at the Etimesgut health training and research area, Turkey. The purpose of the study is to evaluate health care services. (SUMMARY IN ENG)^ieng
Subject(s)
Delivery of Health Care , Health Services Research , Infant Mortality , Maternal Mortality , Maternal Welfare , Asia , Asia, Western , Demography , Developing Countries , Health , Mortality , Organization and Administration , Population , Population Dynamics , Program Evaluation , TurkeyABSTRACT
This article describes a study designed to test a method for assessing the cost to the health services of illegally induced abortion and the feasibility of estimating the incidence of induced abortion by a field interviewing approach. The participating centers included three hospitals in Ankara, Turkey; three hospitals in Ibadan, Nigeria; one hospital in Caracas and one in Valencia, Venezuela; and two hospitals in Kuala Lumpur, Malaysia. Hospitalized abortion cases were classified as induced or spontaneous or as "probably induced," "possibly induced," or "unknown" according to a classification scheme comprising certain medical criteria. The sociodemographic characteristics of induced and spontaneous abortion cases were subjected to discriminant function analysis and the discriminating variables best characterizing the induced versus the spontaneous abortion groups were identified for each center. On the basis of this analysis, the "probably" and "possibly" induced and "unknown" categories were further classified as induced or spontaneous abortion, with stated probabilities. Thus an overall estimate is made of the proportion of all hospitalized abortions that can be considered illegally induced outside the hospital. Selected results on costs of induced and spontaneous abortion are shown. The method further tested the feasibility of obtaining valid survey data on abortion from the communities studied by re-interviewing the women hospitalized for induced and spontaneous abortion six months later in their homes. This exercise showed a degree of under-reporting of abortion that varied widely among centers, even among women who had admitted illegal induction at the time of hospitalization. The feasibility of estimating the incidence of illegal abortion by field studies is discussed in the light of these findings.
Subject(s)
Abortion, Criminal , Developing Countries , Health Services/economics , Internationality , Costs and Cost Analysis , Data Collection , Female , Humans , Malaysia , Nigeria , Pregnancy , Pregnant Women , Turkey , VenezuelaABSTRACT
PIP: The results of a survey concerning coitus interruptus in Turkey are presented. The survey concerned approximately 1,000 women aged 15-19 living in four villages and two urban areas in the Etimesgut region, located about 25 kilometers from Ankara. The results indicate a high level of use of coitus interruptus. The authors discuss strategies for emphasizing the contraceptive failure associated with traditional methods in order to convert users to more effective methods (SUMMARY IN TUR)^ieng
Subject(s)
Coitus Interruptus , Contraception , Family Planning Services , Asia , Asia, Western , Contraception Behavior , Developing Countries , TurkeyABSTRACT
PIP: Oral rehydration fluid therapy was practiced in a rural district near Ankara. A total of 1237 children, 746 of whom were in the treatment group and the rest in the control group, were followed up for 16 months. In the treatment group, auxiliary nurse-midwives applied the fluid therapy to children with diarrheal diseases at home. A significant difference was found between the treatment and control groups with respect to weight gain; the treatment group gained 230.2 g in a month and the control group gained 189.9 g in a month. Also, the treatment group received fewer antibiotics and less referrals were made to health centers as compared with the control group. In conclusion, oral rehydration therapy was found to be a convenient and effective method in the management of diarrhea in the rural areas of Etimesgut district in Ankara.^ieng
