RESUMO
Health in Seychelles has improved significantly over the past three decades, largely as a result of investment not only in the health services, but also in other social sectors that have direct impact on child survival and the health of individuals. Through different stages of the evolution of the health care system there have been close links between health policy and strategy, the overall national development efforts and the wider social and economic environment. Awareness of these links are useful in the understanding of current health issues such as the lifestyle related patterns of morbidity and mortality, characterised by non-communicable diseases and HIV/AIDS, the high demands for health care services, and evolving relationships between the public and private sectors.
Assuntos
Infecções por HIV/terapia , Política de Saúde , Administração de Serviços de Saúde , Serviços de Saúde , Doenças não Transmissíveis/terapia , Assistência de Saúde Universal , Regulamentação Governamental , Infecções por HIV/diagnóstico , Infecções por HIV/epidemiologia , Custos de Cuidados de Saúde , Política de Saúde/economia , Política de Saúde/legislação & jurisprudência , Política de Saúde/tendências , Serviços de Saúde/economia , Serviços de Saúde/legislação & jurisprudência , Serviços de Saúde/tendências , Administração de Serviços de Saúde/economia , Administração de Serviços de Saúde/legislação & jurisprudência , Administração de Serviços de Saúde/tendências , Nível de Saúde , Humanos , Doenças não Transmissíveis/epidemiologia , Formulação de Políticas , Seicheles/epidemiologia , Mudança Social , Determinantes Sociais da Saúde , Fatores de TempoRESUMO
Services aimed at improving the health of infants, children and mothers have developed over the years since the initiation of the Seychelles Child Development Study. This paper describes the policies, procedures and facilities and how they have impacted on service provision. The utilisation of antenatal, perinatal and child health services, both in the hospital and community settings, are described. The successes and challenges are illustrated by describing fertility, abortion, teenage pregnancy and infant mortality. This overview of maternal and child services provides a perspective on an important aspect of health care development and the context in which the SCDS is conducted.