التحليل الجغرافي لمؤشرات الصحة الإنجابية في محافظة كربلاء المقدسة

The Geographical Analysis of Reprodetive Health Indicators in Kerbala Province

Abstract:
The current study is interested in the reality and level of birth health state of mothers in the age ( 15 to 49) years in Kerbala province for the year 2020. Besides, it studies the most important social, economic, and demographic influential factors on the birth health indicators. It is also interested in the mothers’ health due to its great role in the impact on the individual public health and society through presenting all the health services related to the health state of mothers, family planning, and differences of the birth health on the level of administrative and environmental units in the area of the study. It is known that the health reality depends, in a way or another, on the dominant values and conventions in the family.
The study depended on a random sample. The married women were distributed in the area of the study into 144106 families in including 1102 families in the city and 458 families in the countryside of area of the study. It contained (43) questions included various issues like the accommodation environment and the economic, social, and healthy aspects. The area of the study was divided into seven administrative units. The study also relied on the unpublished data of the central statistic system.
The study also relied on the descriptive analytical approach and the use of some statistic formula, the qualitative styles to induce the sample size and population growth; this is in addition to get benefit from some statistical measurements, the qualitative styles represented by ( spss) as a ranking coefficient factors, and Pearson related factor.
The study reached the following most important results. There were insufficient birth health services, the matter that leads to negligence of their health and their exposure to some health problems, as well as , not taking the vaccine doses during pregnancy. The study also stated that there is a backward relation between the educational level and procreation in the area of the study, i.e. whenever the educational level increased , procreation decreased. The study also concluded the number of children of the working woman is less if compared with number of the non -working woman ( housewife), and the working woman uses anti pregnancy devices more than the non-working woman . This is in addition to the decrease of the woman’s economic level and this makes women do not take anti pregnancy devices; and this, in turn, leads to more deliveries and shortness of pregnancy duration from pregnancy to another.
The results were accompanied with a list of recommendations as the following. Ministry of health has to start improving the health services presented to the people inside the province through establishing governmental hospitals within every district that is in need for. Also, there should be expansion for the first healthcare service especially what concerns mother’s health in the rural areas, as well as preventing the girls early marriage which has sound effects on the young mothers in the rural areas in particular y spreading sound concepts about the birth health, encourage the women to continue their learning due to the great role of learning in enabling women to control their lives and health. This, in turn, reduces the early marriage percentages and reduces the early deliveries. The specialized medical staff have not to encourage and permit mothers to make caesarean operation unless great necessity and urgent cases and not a mere personal desire from mothers.