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Health 

 What is the care 

The dominant features  of reproductive health in most parts of the development  countries are high  materal  death and mobility rates, huge perinatal and childhood looses and high birth rates, poor nutrition, poor health care and growth stunning obviously contribute to the damage but do not,on their own, 

Wholly explain the developing world s appalling reproductive results. Underlying these purely health related matters is the sheer magnitude  of the high risk factors operating among women themselves early marriage, 

Early teenage pregnancy  and high party com.bined with high child mortality. These factors are, in turn,  manifestation of of the low status accorded to the majority of women in most societies  in developing countries and of the larger issues of underdeveloment of social,

Economic and politics processes. These shortcomings are all inextricably interwoven in a vicious cycle. The breaking of this cycle is absolutely vital and formal education of good quality, 

Together with alleviation of abject poverty, stands the best chance of achieving this however, other measure to raise  living standards  also matter in fact they are all long overdue. This chapter addresses these indirectly medical issues and shows how they relate to some specific public  health concerns, 

Including maternal and perinatal mortality. These issues are all relevant and doctors must accept as part of their professional duty the calling of policy marketers attention to them if genuine progress in reproductive health in developing countries  is to be made .as part of  this process, 

Doctors would do well  to encourage the building and maintenance of population data and accurate records of  national vital  statistics, thereby  ending reliance on the use of estimates for health and socio  economic  panning, many of which are inherently and fundamentally flawed. 

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