ABSTRACT
The purpose of this study was to obtain data for facilitating the planning, monitoring and evaluation of reproductive health services in Mongolia. The survey was carried out in 17 randomly selected health facilities where health professionals were graded on their reproductive health knowledge and also in 64 adjacent households where 162 women of childbearing age were interviewed for their comments on reproductive health services and to obtain their reproductive health knowledge/behaviour. We rated the reproductive healthcare delivery system, using the methodology of Kielmann et al. The results from the women's interviews are encouraging and show a high acceptance of and satisfaction with family planning services.
Subject(s)
Family Planning Services/organization & administration , Health Knowledge, Attitudes, Practice , Health Planning , Maternal Health Services/organization & administration , Reproductive Medicine/organization & administration , Adolescent , Adult , Clinical Competence , Female , Health Personnel/standards , Humans , Male , Middle Aged , Mongolia , Patient Satisfaction , PregnancyABSTRACT
BACKGROUND: Description of four cases of pulmonary toxoplasmosis and review of the literature. METHODS: A retrospective analysis (October 1990-December 1992) was carried out of the patients with samples of tracheal aspirate, bronchoalveolar lavage (BAL) and lung biopsy positive for T. gondii by immunofluorescence with anti-P30 monoclonal antibodies and cell cultures. RESULTS: Four patients were diagnosed of pulmonary toxoplasmosis, three being immunosuppressed (one renal transplant, one with chronic lymphoid leukemia and one intravenous drug user HIV seronegative) and the remaining one healthy. All the patients developed progressive dyspnea and a radiologic pattern of interstitial pneumonitis (3) or alveolar condensation (1). Three of the patients were cured with pyrimethamine and sulphadiazine. One patient had coinfection by CMV and died. Another 52 cases of this rare condition have been reported in the literature. CONCLUSIONS: In the authors experience, bronchoalveolar lavage material and lung biopsy for T. gondii culture should be performed in immunosuppressed patients with an unclear interstitial radiologic pattern to rule out pulmonary toxoplasmosis.