Definitely.Lack of adequate prenatal care?
Head Start is not a prenatal program. It is a preschool program for 4 & 5 year old children.Why hasn't Sra. Fernandez or someone started a "Head Start" program? As an example, this is what the prenatal care program for poor women in the USA is called.
It is one of the cheapest government programs to run also AFAIK.
But infant mortality tells us a lot less about a health care system than one might think. The main problem is inconsistent measurement across nations. The United Nations Statistics Division, which collects data on infant mortality, stipulates that an infant, once it is removed from its mother and then "breathes or shows any other evidence of life such as beating of the heart, pulsation of the umbilical cord, or definite movement of voluntary muscles... is considered live-born regardless of gestational age."16 While the U.S. follows that definition, many other nations do not. Demographer Nicholas Eberstadt notes that in Switzerland "an infant must be at least 30 centimeters long at birth to be counted as living."17 This excludes many of the most vulnerable infants from Switzerland's infant mortality measure.Head Start is not a prenatal program. It is a preschool program for 4 & 5 year old children.
Speaking of which infant mortality in the US isnt that high for a "civilized country".
Infant mortality is high at that hospital SOLELY because of inferior medical care from incompetent professionals. People have been birthing for thousands of years in many different situations, diets, activities, climates, and locations so it cant be them being poor.
I have a friend who for the past 3 weeks has had kidney stones and I asked her if she was drinking enough water and she says 8-10 vasos al dia. And then I ask her if she is eating something with excessive calcuim or magnesuim in it. She says she is taking calcium tablets for her and her kids. But yet she has been to the doctor 3 times now and again 6 months back in March when she had the kidney stones before. BUT it never dawned on her doctor that reason she was having kidney stones was because of the overabundance of calcio in her blood, from the supplements?
Why do I have to tell her that in order to drop the kidney stones she has to lay off the pills? What kind of doctor is this? And if this guy is a nephrologist or even a general practitioner who cannot read a blood test that specifies her bloodwork is way out of the range, what good is he? As well as, what kind of idiot prescribes medication without knowing if the patient is using something else, conflicting with or counterindicative of what he prescribes?
Now, I propose that Ob/Gyns and Pediatricians are just as incompetent as the GP/Nephrologist I described above. Which is why they are working in a public hospital versus a private clinic. And this contributes to the large quantity of infants that have died.
This applies to many poor Dominicans, even more so in the case of Haitians.well, racer, people have been breeding for ages and their kids have been dying like flies. mortality rate has dropped only recently and it is still extremely high in the poorest nations (africa). so yes, lack of nutrition is the key factor here.
This confirms what I've seen, and it is to these doctors' credit that they treat illegal Haitians - the Hippocratic oath means that as humans their legal status and nationality has as much to do with their entitlement to medical care as their favourite football team - but it can't be denied that the already inadequate and underfunded Dominican public health care system is straining under the additional burden.as for dominican doctors: i am not a huge fan but in the land of the blind one-eyed is the king. there is no other choice in DR and i am sure doctors are doing the best they can. well, most of them. public hospitals are often staffed with young doctors who have to do some slavery work after they are done with the university. they are unexperienced and they are paid pitiful salaries.
A gynaecologist I know who works in public and private hospitals described cases just like this to me. Rather than taking the pre-natal vitamins and following the dietary advice they drink some traditional concoction and end up with severe anaemia.in general i tend to blame parents. they totally lack knowledge, they are often ignorant and would rather belive bruja than a doctor.
This is almost universal, and has tragic consequences - not just infant mortality but on children's longer term mental and physical development. Especially when they can't afford formula and feed them flour and water, sugared water, herbal tea or Sprite instead.and then we have mothers who refuse to breast feed because they think their tetas will look bad and their man will leave them.
As I recall, there was one study - done in the Southern region, which said that 25% of the births were from Haitian women... Certainly this is a big issue and I agree with Chiri that the stats should be broken down into Dominicans and Haitians and the bill forwarded to the Haitian state... This should be easy enough to do since the babies of Haitian mothers are theoretically given a different color birth certificate (Libra Rosada).recently there have been many articles on hospitals in hoy, listin diario, el caribe, el nacional, everywhere. if i remember cortrectly maojority of the births in some government hospitals were from haitian mothers who also had the highest rate of deaths during/after labour.
World Average 44.13Infant mortality rate can show country's development in so many different levels other than just health care. Usually it is pretty low in poor countries with other educational, political, sociological and economical indicators at the same low level. DR is not really doing that bad comparatively to Africa.