The Impact of War on Child Health in the Countries of the Former Yugoslavia (1995) / Chapter Skim
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Pages 39-48
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From page 39... ...
Certain general principles emerged in the workshop discussions, such as the need to keep children with their parents whenever possible, the need to protect children within their home communities whenever possible, and the importance of maintaining basic health, educational, and social service systems for children under conditions of great adversity. The participants examined how these principles might be implemented during the course of dislocations and upheavals, how professional roles can be exercised to minimize the trauma, and how the lives of families and children can be reintegrated within a context in which their growth and development can proceed in a wholesome fashion.
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From page 40... ...
The wars have also extracted a heavy toll on the health care system through the loss of facilities and infrastructure, the loss of supplies and equipment, and the loss of physicians and nurses; and the economic hardships of war have resulted in fewer resources for health care.
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From page 41... ...
Consultation with the recipients of such aid regarding their needs, particularly the identification of needs as defined by current situations, will help to strengthen the capacities of the health care systems within the countries themselves. This approach is preferred to evacuating of large numbers of children and adults to be cared for elsewhere.
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From page 42... ...
Breakdowns in primary health care systems, preventive medicine, and maternal and child health care services in the countries of the former Yugoslavia require attention. Although regional differences exist, well-structured programs for the care of mothers and children have been widely disrupted.
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From page 43... ...
The economic strains of war also contribute to the diversion of resources from the health care system. The economic sanctions contain provisions for humanitarian aid, but these provisions are not thought to have been adequate or effective in allowing access to medical supplies and the basic commodities necessary for health and health care.
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From page 44... ...
Routine therapy for children affected with common conditions such as cleft lip and palate and congenitally dislocated hips has often been deferred because of the load of trauma patients in selected areas, including Croatia and BosniaHerzegovina. Such children, even though they have treatable conditions, may suffer long-lasting ill-effects because of their lack of timely care.
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From page 45... ...
34. Diabetes mellitus, asthma, seizure disorders, malignancies, congenital heart disease, and birth defects have all posed problems because of either decreased drug availability or a decreased capacity of the health care system to provide care.
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From page 46... ...
42. The widespread nature of mental health problems has caused mental health professionals in these regions to devise new ways of therapy that entail the training and utilization of community professionals such as teachers.
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From page 47... ...
49. Professional development in these regions will require access to current scientific and health information and participation in the international academic community.
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