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Promoting maternal infant health in rural communities. The Rural Health Outreach Program.

RHOP is a nurse-managed community-based program that uses a variety of approaches to reduce infant mortality and improve maternal child health. In a rural area, representative of much of the rural South, which has a persistent record of poor maternal-child outcomes, the program is using university and community resources to make a difference. The goal is to empower the community to help it help itself using all the available resources. The initial outcome data indicate that these positive changes are happening and can be the site for future activities by those in the community as well as the university. Future plans include involving more departments at the university in the program and expanding services to three additional counties. Graduate students and faculty are becoming interested in conducting research using RHOP activities as a base, and future grants are being considered to expand into new areas such as substance abuse and cancer prevention.

Adult↗

[Promotion of mother-infant health: a comparative study of legislation of pregnancy protection].

OBJECTIVE: To describe the legislative measures aimed at protecting working women during pregnancy, which exist in France, Italy, the United Kingdom and Spain. DESIGN: The aspects studied were employment protection and modifications in work conditions for the pregnant woman. Existing Spanish legislation, the third Programme of Community Action for Equal Opportunities and some relevant scientific articles were reviewed. MEASUREMENTS AND MAIN RESULTS: Regarding protection of pregnant women from dismissal, legislation is more explicit in France and Italy, where protection covers the whole of the pregnancy, extending in France until 4 weeks after the end of the period off-work for the birth and in Italy until the child is one year old. Likewise, both in France and Italy, there is a long list of jobs which a pregnant woman is not allowed to do, with the possibility of a change of post if necessary. In Spain there is a Health at Work draft law, where measures relating to this question have been assembled. CONCLUSION: In general, the legislation referring to the protection of pregnant women at work is not widely known and leaves without protection those women in a more vulnerable work situation. Health professionals could support the equality and health of working women by informing them adequately of their rights.

Adolescent↗