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City profile: Almaty, Kazakhstan

, : City profile: Almaty, Kazakhstan. Entre Nous: 13-14

Medical services have reported significant social distress in and around Almaty, the capital of Kazakhstan. A generally unhealthy female population relies upon abortion for contraception, with each women having an average of five abortions over the course of her reproductive lifetime. Many of these women have gynecological problems, the level of infertility is on the rise, and 70% of all registered pregnant women have some kind of disease. Anemia is most frequently observed, increasing four-fold over the last four years. Diseases of the urogenital system have doubled over the same period, while the number of premature deliveries grows annually, currently 8% of all deliveries. The City Health Care Department has declared a state of emergency for gynecological and obstetrical services. Order 33 of February 12, 1994, however, approved the Family Planning Program requiring all medical institutions to provide family planning services with the goal of reducing the number of abortions by 50%, thereby decreasing the levels of maternal and perinatal mortality. The program covered the integration of obstetrical and gynecological services with medical services to boost cohesion and access to both patients and services. It also defined the duties of obstetricians, gynecologists, general practitioners, pediatricians, and other medical experts. The authors describe the program's structure.


PMID: 12222257

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