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Gayane Avagyan: "Issues Of Mother And Child Health Protection Sphere

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  • Gayane Avagyan: "Issues Of Mother And Child Health Protection Sphere

    GAYANE AVAGYAN: "ISSUES OF MOTHER AND CHILD HEALTH PROTECTION SPHERE CONTINUE BEING ON THE AGENDA"

    ARMENPRESS
    APRIL 29, 2010
    YEREVAN

    YEREVAN, APRIL 29, ARMENPRESS: Chief specialist of the mother and child
    health protection department of the Armenian Healthcare Ministry Gayane
    Avagyan presented in an interview to "Armenpress" the works carried out
    in mother and child health protection sphere and the existing issues.

    - How will you assess the current situation in the sphere? Are the
    most important issues solved?

    - We have certain progress but the main issues continue being on the
    agenda. I will mention the most important achievements - the number
    of women and pregnant women applying to doctors has increased. Today
    in our country 91% of pregnant women at least once apply to a doctor
    and according to our information 70-72% applies to doctor four and
    more times. We consider it a progress, thought it is not enough. The
    problem is that we must assess not only the mechanical visits but their
    quality as well. For assessing the quality today we have monitoring
    indicators - women's satisfaction from the medicine, pregnancy outcome
    - miscarriage, early birth, normal birth, pregnancy process - with
    difficulties, without difficulties, their timely prevention, timely
    medical assistance. We are working with these indicators, but to say
    that they fully present the situation will not be right.

    We have great achievement and many painful issues which because of
    different reasons are considered still unsolved: for mother and child
    health preservation we must work uninterruptedly uniting all possible
    state and public forces.

    - How are the pre-birth, birth assistance consultations, and medical
    assistance mechanisms working?

    - For already two years birth assistance certificate system is
    functioning. It gives the pregnant women an opportunity to not only
    get free pre-birth medical assistance in women consultation but also
    give birth without thinking about payments. Women with certificate may
    apply to a doctor she prefers, get consultation and birth assistance
    at the medical establishment she wants.

    - Are there free examinations of certain diseases?

    - Today we have cervical carcinoma prevention national program which
    is unprecedented in the CIS countries. This gives a woman from 30-60
    years old an opportunity to apply to women consultation and pass free
    examination. But the number of Armenian women applying for it is very
    low. Almost 90% of pregnant women, against 5-6% previously registered,
    passes examination for HIV too, thanks to which their infection is
    being revealed and its transfer to the fetus is being prevented.

    - Which are the most hardly available goals of the sphere according
    to the annual report?

    - The most painful issue here is the abortion. Firstly, there is
    incomplete registration of abortions. International experts say
    that the official information in Armenia is thrice small from the
    real number: it may also be seen by the demographic health research:
    over 47% of pregnancies ends with abortion.

    - What is the reason for performing abortion?

    - These are mainly unwanted pregnancies. Our women do not like
    contraceptives, they use traditional means - interrupted sexual
    relation, calendar calculations which are not effective. Before the
    fetus becomes 12-week old it is for woman to decide whether to perform
    an abortion or not. But we are against abortions in the sense that
    in any case it is preferable to use contraceptives.

    - Is the opinion that there is no secure abortion for women grounded?

    - It is difficult to give assessment. Anyway, unequivocally it would
    be more right to use medicine than perform abortion. Today like in
    the whole world, here too we are trying to make the drug abortions
    more extended. In the standard developed in collaboration with the
    World Health Organization and, which will soon be applied, there is a
    drug abortion as well. But here we again face the Armenian mentality:
    women go to pharmacies, buy tablets and use them without knowing
    whether they are good for them and how much to use. No matter how
    difficult it is to oversight, we are trying to regulate this sphere.
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