ACHIEVEMENTS WITHIN THE MILLENNIUM DEVELOPMENT GOAL NUMBER 5 - MATERNAL HEALTH - IN ROMANIA
Among the eight Millennium Development Goals (MDGs) adopted by the United Nations in 2000, Goal Number 5 focused on Improve the Maternal Health. Aim: This paper intends to assess the progress recorded in maternal health in Romania, from the perspective of the MDG number 5, at the target date of year 2015. Material and methods: The research represent a descriptive study (1990-2015) and an analysis of the related achievements, from the perspective of the MDG number 5. The specific targets and indicators recommended by the United Nations were: Target 5.A “Reduce by three quarters, between 1990 and 2015, the maternal mortality ratio” and Target 5.B “Achieve, by 2015, the universal access to reproductive health”. Results: A significant downward has been recorded in the maternal deaths, approximately ten times, from 262 cases in 1990 to 28 cases in 2015. The proportion of the births attended in 2015 by skilled health personnel was 99%. The estimated prevalence rate for any contraceptive method pointed out that just two of three Romanian women of reproductive age, currently use contraceptive methods (69%). The Romanian adolescent birth rate was and remains high, 36 cases aged 15–19 years per 1,000 women in that age group. The antenatal care coverage decreased from 94% to 76%, along the studied interval. The estimated prevalence rate regarding the unmet need for family planning in 2015 was 9.5%. Conclusions: An important progress has been made in Romania, in achieving the MDG no. 5 - Improve Maternal Health - since 1990. The target 5.A. was achieved, whereas the target 5.B. revealed that in spite of the progress made, Romania still lags far behind the other countries of European Union.
2. *** UNITED NATIONS. The Millennium Development Goals Report, 2015.
3. Boerma T, Mathers C, Abou Zahr C, Chatterji S, Hogan D, Stevens G. Health in 2015: from MDGs, Millennium Development Goals to SDGs, Sustainable Development Goals. Geneva: WHO, 2015.
4. *** Romanian Government with the support of the United Nations System in Romania. Report about The Millennium Development Goals, Bucharest, 2003.
5. Vlădescu C, Scîntee SG, Olsavszky V, Hernández-Quevedo C, Sagan A. Romania: Health system review. Health Systems in Transition 2016; 18(4): 1-170.
6. *** MINISTRY OF HEALTH, WORLD BANK, UNFPA, USAID, UNICEF. Reproductive health survey: Romania, 2004. Summary Report, May 2005.
7. *** NATIONAL INSTITUTE OF STATISTICS. Romanian Statistical Yearbook 2016, 2017.
8. *** WHO. World health statistics 2018: monitoring health for the SDGs, Sustainable Development Goals. Geneva: WHO, 2018.
9. *** UNITED NATIONS, Department of Economic and Social Affairs, Population Division, Fertility and Family Planning Section. World Contraceptive Use 2018. Data set. (http://www.un.org/en/development/desa/population/publications/dataset/contraception/wcu2018.shtml, accessed 2.7.2018).
10. *** UNICEF DATA. Monitoring the Situation of Children and Women. Adolescent Health. Adolescent birth rate by country (https://data.unicef.org/topic/maternal-health/adolescent-health/, accessed 2.7.2018).
11. *** UNICEF DATA. Maternal-and-Newborn-Health-Coverage-Database 2018
(https://data.unicef.org/data/antenatal-care-coverage-least-four-visits/, accessed 2.7.2018)
12. *** UNITED NATIONS. Trends in Contraceptive Use Worldwide 2015 (ST/ESA/SER.A/349). (http://www.un.org/en/development/desa/population/publications/pdf/family/trendsContraceptiveUse2015Report.pdf, accessed 2.7.2018).
13. Alkema L, Broaddus E, Chou D, et al. Trends in maternal mortality: 1990 to 2015: estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. Geneva: WHO, 2015.
14. *** OECD. European Observatory on Health Systems and Policies, 2017. Romania: Country Health Profile 2017, State of Health in the EU, OECD Publishing, Paris / European Observatory on Health Systems and Policies, Brussels (http://dx.doi.org/10.1787/9789264283534-e, accessed 2.7.2018)
15. Carausu EM, Paris S, Burlea LS, Tucmeanu AI, Antohe I. The Crisis Impact on the Romanian Health System and Population Health. Review of Research and Social Intervention 2017; 57: 120-137.
Once an article is accepted for publication, MSJ requests a transfer of copyrights for published articles.
COPYRIGHT TRANSFER FORM FOR
REVISTA MEDICO-CHIRURGICALĂ A SOCIETĂȚII DE MEDICI ȘI NATURALIȘTI DIN IAȘI /
THE MEDICAL-SURGICAL JOURNAL OF THE SOCIETY OF PHYSICIANS AND NATURALISTS FROM IASI
We, the undersigned authors of the manuscript entitled
warrant that this manuscript, which is submitted for publication in the REVISTA MEDICO-CHIRURGICALĂ, has not been published and it is not under consideration for publication in another journal.
- we give the consent for publication in the REVISTA MEDICO-CHIRURGICALĂ, in printed and electronic format and we transfer unconditioned and complete the copyright of this manuscript to the REVISTA MEDICO-CHIRURGICALĂ, in the event of its acceptance.
- the manuscript does not break the intellectual property rights of any other person.
- we have read the submitted version of the manuscript and we are fully responsible for the content.
Names and signatures of authors / copyright owners (the following sequence is the authorship of the article):
N.B. All the authors must sign this form