The Urban Infant Mortality Rate Essay

Health has been influenced by many factors such as poor health status, disease risk factors, and limited access to healthcare. All these factors are due to social, economic and environmental disadvantages. According to the World Organization (WHO) (2015), “the social determinants of health are mostly responsible for health inequities, which is the unfair and avoidable differences in health status seen within and between countries”

The bill selected for the purpose of this legislative analysis is titled the Stop Infant Mortality and Recidivism Reduction Act of 2016, and is also recognized by the abbreviation SIMARRA Act. The bill number is 5,130 in the House of Representatives, and has no related bills in the Senate. The SIMARRA Act is a federal bill that was last referred to the Subcommittee on Crime, Terrorism, Homeland Security, and Investigations for further review and analysis.

“Compared with European Americans, African American infants experience disproportionately high rates of low birth weight (LBW) and preterm delivery and are more than twice as likely to die during their 1st year of life”(Giscombé, C. L., & Lobel, M., 2005). The infant mortality rate for African Americans is 13.7 deaths per 1000 live births, more than twice the rate (5.7) for White Americans in the U.S. (Kung, Hoyert, Xu, & Murphy, 2008). A lot of the racial disparity in infant mortality can be explained by low birthweight and preterm delivery, which are also disproportionately and often experienced by African Americans (Martin et al., 2007).

associations in a pathway model connecting race-based discrimination, stress, and negative preterm birth outcomes in African American women.

According to Healthy People 2020, "Improving the well-being of mothers, infants, and children, is an important public health goal for the United States. Their well-being determines the health of the next generation and can help predict future public health challenges for families, communities, and the health care system" (Healthy People 2020, 2015). Infant mortality is defined as the death of an infant before his or her first birthday, while fetal mortality is defined as the intrauterine death of a fetus at any gestational age (MMRW, 2013 and MacDorman, Kirmeyer & Wilson, 2012). In the United States an estimated 13,000 fetal deaths occurred ≥ 28 weeks gestation making up 28% of all perinatal deaths in 2006, the latest year with available national data (Lee,

Throughout Kidders book Mountains Beyond Mountains, it is strongly argued that many of the impoverished nations around the world have extremely inadequate and horrible health care.

It is important to understand determinants such as poverty, lack in health care access, exposure to disease early in life, social positions, gender, race/ethnicity will all effect communities who receive health inequalities. Organizations such as WHO, National Institute of Health (NIH), and Centers of Disease Control and Prevention (CDC) have been working to provide the best quality of care for urban/rural populations. An adjustment in policies is needed to protect access to health, education, and employment for disadvantaged populations. Even though governments have made policies to provide health to all, we can see urban/rural populations are in a lack of quality of care. Health needs to be a right for all, and not based on whether in urban area or socioeconomic status they are in. Individuals’ irrespective of socioeconomic class or race should have the same rights and

Health and social justice have continued to be a major problem that affects the way people live and chance of illness, and consequent risk of premature death. The recent report from the World Health Organization shows that health disparities have continued to persist within and among countries and different regions of the world. For example, infectious diseases and undernutrition are common in poor and developing countries (WHO, 2018). The gap is even much worse between the rural and urban dwellers because of the economic differences and availability of healthcare services. Although some of the developed nations have attempted

The rural population is at great risk for poor physical, mental, and social health illness. Compared to the urban communities, there is a lack of equality in health care allocation due to a lack of resources, finances, and focus in the rural population. They are “more likely to report poor or fair health, having diabetes, having chronic disease, being obese, not engaging in health protective behaviors, and experiencing cost as a barrier to initiating or maintaining health care” (Teufel, Goffinet, Land, &

The health of many women in Algeria which is part of Sub-Saharan Africa in 1990 were impacted by the poor health care system because they lived in poverty. Poverty caused these women to lack essential needs to live a quality life. They lacked or could not afford resources such as supplies, health care professionals, and facilities for healthcare, clean water, and waste disposal. This ultimately affected the health of women and their children. For instance, lack of clean water and waste disposal facilities can cause health abnormalities such as cholera or typhoid fever which can cause devastating deaths. This is a healthcare problem because of the lack of funding. The lack of funding prevents antibiotics from being used to prevent death, and prevents African’s from being vaccinated against typhoid fever. Another example of how poverty affects woman’s health is unintended pregnancy, which is because they are more likely to engage in risky sexual behavior. It's part of the health crisis because it includes a poor health system, and a lack of education about proper nutrition and behaviors during pregnancy. Complications in these pregnancies due to poor nutrition and not visiting the doctor regularly includes increased infant mortality. Infant mortality in the slums of Nairobe is 91.3% while it is 75.9% in urban areas where there is a better developed healthcare system. The inferiority of poor Africans in

Geographic maldistribution has creates barriers of care to people living in rural areas. Although there is an oversupply of physician specialists in many of the urban healthcare areas around the world, while the inner cities and rural community are struggling to attract healthcare physician professional to provide high quality care to the local population. “The supply of specialties has increased more than 100% over the last 20 years, while supply of generalists has increased only 18%” (Niles,2014). Any shortage of health workers can prevent good access to health services and is a barrier to universal coverage. The issue of the matter is that maldistribution of health workers between urban and rural is consider to be virtual concern around

In 2013, 289 000 women died during pregnancy and childbirth and it was estimated that everyday 800 women all over the world died from childbirth or childbirth-related problems (World Health Organization, 2014). Often, maternal mortality is found to occur more often in developing countries than developed countries. Maternal mortality refers women who died from the situation like during pregnancy, termination of pregnancy within 42 days, regardless of duration and place of pregnancy, from aggravation caused by the pregnancy or pregnancy management (Nwagha et al, 2010). Maternal mortality may be resulted from direct or indirect cause. Direct causes are from obstetric complications of pregnancy, labour, and puerperium, and interventions whereas indirect causes are from the worsening of current conditions by pregnancy or delivery (Givewell, 2009). This paper aims to examine the causes for maternal mortality in both developed and developing countries and will end with a proposal for government to ensure women are given reproductive health rights.

The country of India is second in terms of population size and the major cities are becoming overcrowded. Poverty rates in India have increased over the last few years and despite the economic boom the country is experiencing, the people are still living in overcrowded ghettos or slums. Overcrowding and population has brought healthcare challenges. In India, maternal and child mortality are still high, malnutrition among children and pregnant women increase yearly, and the country leads the numbers of Tuberculosis (TB) infection. Furthermore, India’s HIV problem has increased and now is third among 195 countries. The lack of basic healthcare, support and supplies from Indian official has only fueled the healthcare challenges it faces.

Worldwide, approximately 1.3 billion people do not have access to affordable and efficient healthcare and out of those who have access, almost 170 million are forced to spend around 40 % of their income on medical treatment (Asante et al,2016).In low and middle income countries (LMICs), the major constraint to the access of healthcare is financial burden, where out-of-pocket payments (OPP) contribute to approximately 50 % of total health expenditure (WHO, 2010). As a result, in these countries there is high probability of many households being pushed into poverty due to high medical expenses (McIntyre,2006).The matter of concern in LMICS is that poor and disadvantaged groups of population do not have access to adequate quality of healthcare.For instance, according to WHO (2010) up to 20 % of women in rich population are more likely to have a birth attended by skilled health worker than a poor woman. Therefore, taking an action to address health inequities faced in these countries would save up to 700,000 women.

Medical knowledge is less than adequate in these societies, leading to much illness and a very high death rate. The infant mortality rate is overwhelmingly high, which is a reason for the high birth rates. Many infants do not make it through their first year of life before they get deathly ill - most of them do eventually die from their illness. The medical technology of modern society is so expensive to third world countries, making it extremely difficult for their society to stay healthy. Life expectancy is about 40-45 years in traditional societies.