الفهرس Only 14 pages are availabe for public view
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Abstract
Monitoring air pollution and its association with demographic factors is important in identyfing the prevalence of child morbidity and mortality. Assessment of quality of maternal child health care centers give a background of the efficiency of health care system to reduce the rate of morbidity and mortality.
Descriptive advanced statistical techniques were used based on EDHS 2005 . Field study through selection of maternal and child health centers in some Egyptian governorates to examine the utilization of the child health services introduced.
Air samples was taken from air environmental monitoring stations belonged to Environmental Monitoring Center - Ministry of Health to examine the effect of air pollution on child morbidity and mortality in Egypt, Semouha district in Alexandria governorate had been chosen as a control area (upwind) in comparison with Kafr El Zayat in Gharbia governorate (downwind) to study the impact of air pollution on child morbidity and mortality.
The study aim to reduce child morbidity and mortality due to environmental causes , the effect of the environmental and demographic factors on child morbidity and mortality and to evaluate the child health services provided in Egypt through Ministry of health and population.
The findings of this study suggested that asthmatic children are susceptible to high levels of air pollutants, particularly TSP (Total Suspended Particles) , the study revealed an increase in admission rate to Kafr El Zayat Medical Center with children suffering of upper respiratory tract infections and asthma especially during black smog episode due to rice ash burn from October till December 2006.
TSP concentration in Semouha and Kafr El Zayat in the years 2001 and 2006 was very high in both districts, it highly exceeds the standard level which is nearly 90 µg/m3, it reached 390 µg/m3 in Semouha in 2006 and 598.7 in Kafr Elzayat, according to the readings of air pollution monitoring stations in both areas belonged to Environmental Monitoring Center.
Regarding the evaluation of maternal child health care facilities in Sharkkeya and Giza governorates in Egypt revealed that referral system from primary health care facilities to central hospitals was suffering of shortage due to weaknesses in information, communication and feedback systems.
This study revealed that healthy environment is the best for child health in reducing child morbidity and mortality .
The study concluded the need to activate the role of feedback system between central hospitals and primary health care units to upgrade the quality of the performance of the health service for the benefit of the children referred to these hospitals.