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Biomedical subjects

E Tarimo

Publications and source records attributed to E Tarimo.

6 recordsLinked to original sources
PubMed1996

Safe motherhood and district health systems.

Although WHO and many countries are intensifying their efforts to improve the performance of district health systems, a lot remains to be done. The district is the most peripheral fully-organized unit of local government. As it is small enough for health staff to observe and understand major problems and developments, the district offers great opportunities for action on maternal mortality. A number of these potentials are elaborated. They include the availability of intersectoral mechanisms, a network of health facilities with at least a district hospital, the presence of non-governmental organizations, and other informal mechanisms that will enable "counting and accounting' of maternal deaths to be made. Reduction in maternal mortality is a good indication of improved performance of district health systems. It will be argued that the "district focus' is the way forward in the fight against maternal mortality.

Community Health Services↗
PubMed1996

Health screening, development, and equity.

Given the worldwide epidemiologic transition and the lure of technology aggressively promoted by those profiting from it, policy-makers in developing as well as industrialized countries now frequently face decisions on the introduction of screening into routine health services. Concerns regarding development and equity raise issues that may not arise within the scientific, technical, or individually-focused ethical frameworks used in prior work on screening policy. Screening can divert attention from primary prevention of a society's most important threats to health, especially when primary prevention faces political challenges and screening costs are viewed in isolation from the overall strategy required to make it useful. For secondary prevention of diseases with easily recognizable symptoms, public education promoting timely self-referral to accessible medical services is preferable to "screening" unselected populations. In any country, but perhaps especially in developing countries, screening may waste scarce resources: it could also lead to widened inequities.

Decision Making, Organizational↗
PubMed1989

Strengthening the backbone of primary health care.

This article discusses how to increase the effectiveness of district health systems, with particular reference to the setting of priorities and targets, the realization of various forms of joint action, and the improvement of management and other skills.

Community Health Services↗