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in Albania - Instituti i Shendetit Publik

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INTERNATIONAL PUBLIC HEALTH CONFERENCE IN TIRANA, ALBANIAQuality of health services for women <strong>in</strong> Vlora regionGëzime Balilaj 1 , Agron Bashllari 1 , Leonard S<strong>in</strong>ani 11Directorate of Public Health, Vlora, <strong>Albania</strong>.Aim: The aim of this study was to assess the leveland quality of health services for women <strong>in</strong> thedistrict of Vlora dur<strong>in</strong>g the period 2000-2010 anddraw<strong>in</strong>g conclusions for plann<strong>in</strong>g and review<strong>in</strong>gprograms and policies which aim at reduc<strong>in</strong>g healthproblems of women <strong>in</strong> this region of <strong>Albania</strong>.Methods: This was a descriptive study cover<strong>in</strong>g theperiod 2001-2010. The study population consistedof the overall <strong>in</strong>habitants of Vlora region. Sourceof data was the District s Health Service. Dataanalysis was undertaken <strong>in</strong> Excel.Results: Gynecologist coverage for the periodunder study was 1/ 5500 women. The number ofwomens cl<strong>in</strong>ics was four for the city of Vlora and95 for the overall villages. Anemia was thepredom<strong>in</strong>ant pathology dur<strong>in</strong>g pregnancy <strong>in</strong> 2010(151.2/1000 live births). The number of births withC-section has <strong>in</strong>creased over the years, reach<strong>in</strong>g 385<strong>in</strong> 2010. There was evidence of a decrease <strong>in</strong> thenumber of abortions from 681.5 (<strong>in</strong> 2001) to 424(<strong>in</strong> 2010). The specific weight of spontaneousabortion has <strong>in</strong>creased <strong>in</strong> the recent years, reach<strong>in</strong>g46.3% <strong>in</strong> 2010. Use of KOC <strong>in</strong> family plann<strong>in</strong>g has<strong>in</strong>creased up to 12.3% (15-49 years). Infant mortalityhas fallen from 9.7 (<strong>in</strong> 2001) to 6.2 (<strong>in</strong> 2010). F<strong>in</strong>ally,the level of Pap-test<strong>in</strong>g has <strong>in</strong>creased.Conclusions: In Vlora region, family plann<strong>in</strong>gservices and mother and child care services shouldestablish priorities for the entire community, as wellas for the high-risk groups. Regard<strong>in</strong>g the morbiditydur<strong>in</strong>g pregnancy, anemia exhibited the highest sharebear<strong>in</strong>g the risk of miscarriage. Our f<strong>in</strong>d<strong>in</strong>gs <strong>in</strong>dicatethat the number of cytological exam<strong>in</strong>ations and theuse of family plann<strong>in</strong>g methods are gradually<strong>in</strong>creas<strong>in</strong>g <strong>in</strong> Vlora region.Keywords: mother and child, quality of health care, Vlora, women.ALBANIAN MEDICAL JOURNAL SUPPLEMENT117

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