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    • You must respond with at least 250 words. Your replies must do the following:
    • Rebuttals in which you will have the final word and clarify your classmates’ understanding.
    • We are talking about Women and Children Mortality Rates in Bolivia
    • Reference at least 1 scholarly source for each reply.
    • References in APA.


1)      Other student response:


Great Post! You are well on your way to a successful program. I really enjoyed reading about your efforts to help reduce maternal and child mortality. You’ve posed an interesting area to address. I do agree that a well organized fundamental program is very much desired to help the people of Bolivia more importantly the mothers. The maternal mortality rate (MMR) in Bolivia is one of the higher rates in Latin America, at 229 per 100,000 live births1. Though this is already a high number, it becomes more shocking when disaggregated in terms of rural and urban MMR: According to Womankind Worldwide, the ratio for Rural Bolivia is 602 out of 100,0002. What makes this number more tragic is that it is unnecessarily high, as “most deaths related to pregnancy and childbirth in developing countries can be prevented through appropriate use of health services”3.


 Educating the community on the importance of utilizing health services and educating them on the reproductive system can be benefitting and more important save lives. You have mentioned that a vertical approach would best fit programs goals you are trying to obtain. Lankester states that vertical approaches work best for tackling single complex issues but they tend to bypass community action and initiative. They focus more on empowerment. I wanted to ask other than tackling the concern of why the people aren’t utilizing health amenities and empowering the locals with the knowledge of the reproductive system, are you also going to consider the other diseases that causes maternal and child mortality rate to increase?




2)      Other Student response:


I enjoyed reading your post regarding your implementations to improve the maternal and children mortality rate within Bolivia. The maternal mortality rate (MMR) in Bolivia is one of the higher rates in Latin America, at 229 per 100,000 live births.¹ With the implementation of insurance policies and coverage for mother and children, does your implementation involves making maternal and prevent services free for women and children? We know that poverty is closely linked with higher maternal and perinatal mortality.² When it comes to insurance policies and coverage, the out of pocket cost such as premiums for the coverage, the deductibles, copays, coinsurance, and out of pocket maximums need to be very affordable for the low income families. Also, if the maternal services and prevent services are free, this will encourage individuals within the low income community to go to the doctor for these services because they know it will all be covered.


Equal distribution of health facilities and providers in urban and rural areas is a great implementation, because individuals in rural area are forgotten when the country makes decisions on where to place health facilities. Neither shalt thou countenance a poor man in his cause.³ Providers should be held to a standard of treating all women with respect and stick to the code of conduct regarding the services they provide to patients. Sexual and reproductive health education programs is a great idea in order in to control the fertility rate, but are there particular diseases associated with the maternal and children mortality rate? Should there be educational programs in place to address these diseases?


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