| 作者简介 | 第6-8页 |
| 摘要 | 第8-11页 |
| ABSTRACT | 第11-15页 |
| Chapter 1 Introduction | 第21-26页 |
| 1.1 Research Background | 第21-23页 |
| 1.2 Purpose and Objectives of the Study | 第23-24页 |
| 1.3 Study Questions | 第24-26页 |
| Chapter 2 literature Reviews | 第26-34页 |
| 2.1 Strategies for Integrating Primary Health Services in Middle-and Low-Income Countries at the Point of Delivery | 第26页 |
| 2.2 Programmers with Other Health Services for Preventing HIV Infection and Improving HIV Outcomes in Developing Countries | 第26-27页 |
| 2.3 Impact of Prevention of Mother to Child Transmission Programmers on Maternal Health Care | 第27-28页 |
| 2.4 Strategies for Integrating Second Health Services in Low-and Middle-Income Countries at the Point of Deliver | 第28页 |
| 2.5 Integration of Maternal, Neonatal and Child Health and Nutrition, Family Planning: Current Evidence and Practice from a Systematic Cochrane Review | 第28-29页 |
| 2.6 Review for Mother and Child Management by the Ministry of Health | 第29-30页 |
| 2.7 the health situation economic | 第30-32页 |
| 2.7.1 Markets code of the mother and child Public Health | 第31页 |
| 2.7.2 The Computer Integrated System of Management of Public Finances health | 第31-32页 |
| 2.8 Overall Obj ective of the Mother Child Health Management Assessment | 第32-34页 |
| Chapter 3 Methodology | 第34-40页 |
| 3.1 Design of the Study and Tools for Data Collection | 第34-36页 |
| 3.1.1 Quality of Care Survey Tools | 第34页 |
| 3.1.2 Grid Observation of Prenatal Care | 第34-35页 |
| 3.1.3 Grid Observation of Labor and Childbirth | 第35页 |
| 3.1.4 State Health Facilities Locations | 第35页 |
| 3.1.5 Interview with Health Care Providers | 第35-36页 |
| 3.2 Samples Provided | 第36-37页 |
| 3.2.1 Health Facilities | 第36页 |
| 3.2.2 Health Agents | 第36-37页 |
| 3.2.3 Consultation of Labor and childbirth and Prenatal Care | 第37页 |
| 3.3 Data Collection | 第37-40页 |
| 3.3.1 Management and Data Analysis | 第38页 |
| 3.3.2 Approval on Ethics Plan | 第38-40页 |
| Chapter 4 Results | 第40-73页 |
| 4.1 Actual Samples | 第40-43页 |
| 4.1.1 Characteristics of Service Providers Interviewed | 第42页 |
| 4.1.2 Sample characteristics for the Antenatal Care Observation | 第42页 |
| 4.1.3 Sample Characteristics for Labor and Childbirth Observation | 第42-43页 |
| 4.2 Availability of Drugs and Essential Supplies | 第43-45页 |
| 4.2.1 General Evaluation of the locations and Health Centers' Infrastructure | 第43页 |
| 4.2.2 Availability of items for Ensuring Quality of Childbirth | 第43-45页 |
| 4.3 Essential supplies for Normal Childbirth and Delivery with Complications | 第45-47页 |
| 4.4 Signal Functions of Obstetric and Neonatal Care Emergency Performed Complete Course in Last Three Months | 第47-52页 |
| 4.5 Knowledge and Skills of Health Care Providers | 第52-59页 |
| 4.5.1 Pre-Eclampsia/Eclampsia Fictitious case | 第54-55页 |
| 4.5.2 Resuscitation Simulation of a New Born | 第55页 |
| 4.5.3 Prenatal Care Observations | 第55-59页 |
| 4.6 Observations of Labour and Childbirth | 第59-67页 |
| 4.7 Observations of Cases of Complications | 第67-70页 |
| 4.7.1 Number of cases and training health | 第67-68页 |
| 4.7.2 Availability of medicines | 第68-69页 |
| 4.7.3 Assumptions and warning | 第69页 |
| 4.7.4 Number of cases and Centers | 第69-70页 |
| 4.7.5 Assumptions and warning | 第70页 |
| 4.8 Availability of Medicines | 第70-73页 |
| 4.8.1 Education and Interventions Additional Postpartum | 第70-71页 |
| 4.8.2 Post Partum Support | 第71-73页 |
| Chapter 5 Other Cooperation of Department Management Health | 第73-105页 |
| 5.1 Cooperation between department management and the United Nations Population Fund-54 | 第74-75页 |
| 5.2 Evaluation an Interim of Program Country | 第75-76页 |
| 5.3 Objectives and Scope of the Evaluation | 第76-81页 |
| 5.3.1 Questions and Evaluation Criteria | 第76-77页 |
| 5.3.2 Principles and Methodological Approach of the Evaluation Will Be Guided By the Following Principles | 第77-79页 |
| 5.3.4 Composition of the assessment team | 第79页 |
| 5.3.5 Expected Documents | 第79-80页 |
| 5.3.6 Responsibility for managing and monitoring the assessment | 第80页 |
| 5.3.7 Duration of the contract and conditions of remuneration consultants | 第80-81页 |
| 5.4 Evaluation of activities and materials to maternal health in the health department | 第81-82页 |
| 5.5 Development and updating of the texts governing training and midwifery to refocus on improving maternal and newborn health | 第82-83页 |
| 5.6 Rate of Births at Health Facility Level as a Percentage of the Estimated Number of Total Delivery | 第83-85页 |
| 5.7 Activities of Health Management Decentralized | 第85-91页 |
| 5.7.1 Obstetric Fistula | 第85-86页 |
| 5.7.2 Family Planning | 第86-87页 |
| 5.7.3 Challenges in the implementation | 第87-91页 |
| 5.8 Advanced Strategies Result Marie Stops Madagascar | 第91-100页 |
| 5.8.1 Sensitization | 第92-93页 |
| 5.8.2 Advocacy | 第93-94页 |
| 5.8.3 Integration of Reproductive health of adolescents services in voluntary testing centers and other existing health | 第94-95页 |
| 5.8.4 Malagasy Association for Family Welfare | 第95-97页 |
| 5.8.5 Position of the Reproductive health of adolescents | 第97-98页 |
| 5.8.6 Strengthening national capacity in the production | 第98页 |
| 5.8.7 Advocacy for the integration of Minimum Initial Service in the national contingency78 | 第98-99页 |
| 5.8.8 Development of Partnerships with No Governmental Organizations | 第99-100页 |
| 5.9 Management Materials delivery and United Nations Population Fund | 第100-105页 |
| 5.9.1 National Institute of Statistics | 第102-104页 |
| 5.9.2 Other Plan Action of Department Management | 第104-105页 |
| Chapter 6 Discussions and recapitulation | 第105-117页 |
| 6.1 Summary of Results | 第105-110页 |
| 6.1.1 Prenatal Care | 第106页 |
| 6.1.2 Observations of Antenatal Care | 第106页 |
| 6.1.3 Infection Prevention | 第106-107页 |
| 6.1.4 Knowledge of Providers | 第107页 |
| 6.1.5 Observations | 第107-108页 |
| 6.1.6 Preeclampsia and Eclampsia | 第108-109页 |
| 6.1.7 Observations of Labor and Childbirth in Relation to the Pre-Eclampsia or Eclampsia89 | 第109页 |
| 6.1.8 Obstruction of Labor and Work Extended | 第109-110页 |
| 6.2 Knowledge Providers | 第110-111页 |
| 6.3 Findings on All Topics and Discussion | 第111-113页 |
| 6.3.1 Level Training to be ready to Provide Services | 第111页 |
| 6.3.2 Differences between Levels of Being Ready To Provide Training | 第111-112页 |
| 6.3.3 Service Delivery | 第112页 |
| 6.3.4 Knowledge | 第112-113页 |
| 6.4 limits | 第113-114页 |
| 6.5 Comparison of Those Findings of Demographic And Health Survey in Madagascar | 第114-117页 |
| 6.5.1 Prenatal care | 第114-115页 |
| 6.5.2 Care Childbirth and Breastfeeding | 第115-117页 |
| Chapter 7 Recommendations or Contribution | 第117-122页 |
| 7.1 Recommendations Regarding National Policy | 第117-118页 |
| 7.2 Recommendations for All Components and Related to the Level of Health Facilities to Be Ready to Provide Services | 第118-119页 |
| 7.3 Recommendations by Component | 第119-122页 |
| 7.3.1 Labor and Childbirth | 第120页 |
| 7.3.2 Obstruction of Labour or Work Extended | 第120-122页 |
| ACKNOWLEDGEMENT | 第122-123页 |
| References | 第123-132页 |
| Annex 1: List of Participating Health Facilities to Stud | 第132-133页 |
| Annex 2: Table of frequency District | 第133-134页 |
| Annex 3: Strengthen the Provision of Quality Health Services to the Entire Population | 第134-136页 |
| Annex 4: Process Indicators | 第136-142页 |
| Annex 5: Allocation per Year (US$) | 第142-147页 |
| Annex 6 List of Cost Used | 第147页 |
