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Sfantul Ilie Lacatusu - Viata, minunile, acatistul

www.archive.org/details/SfantulIlieLacatusu-ViataMinunileAcatistul_496...
PDF „De câte ori vin aici, ne rugăm și Sfântul Ilie Lacatușu ne ajută. Ne ajută foarte mult. Ajută!” „Părintele Ilie Lacatușu era un om care vorbea foarte puțin și făcea foarte mult”. „Mi-a povestit despre părintele Ilie că, atunci când mergea la el, îl găsea citind și rugându-se. Era foarte retras, blând, iertător”. „Nu mai vorbesc de clipa când intri pentru prima oarâ în lăcașul sfânt unde se află moaștele părintelui și de unde izvorăște o mireasmă dumnezeiască și sfântă, iar chipul său simți că-ți vorbește, într-un cuvânt, îi simți prezența vie și ajutorul pe care ți-l dă necondiționat, fie că ești convins sau nu pentru ce te afli acolo. Oameni buni, creștini, cei care sunteți cu adevărat creștini, chiar dacă sunteți păcătoși, căci așa suntem, nimeni nu poate explica în cuvinte, oricât de dulce ar avea graiul, ce înseamnă, pentru cei bolnavi și trupește, și sufletește, existența moaștelor Sfântului Ilie Lăcătuău”. „De câte ori sunt supărat și amărât, vin la părintele Ilie Lăcătușu și mă rog: „Părinte, îți mulțumesc pentru ajutor, te rog, ajută-mă!”. Câ¢nd plec pe drum, cât aș fi de supărat, până ajung acasă mă liniștesc”. „Oare mulțumim lui Dumnezeu și Sfântului Ilie cum se cuvine?”
Published on 05/24/2012
Document details: 492 downloads.

Sfantul Ilie Lacatusu - Viata, minunile, acatistul

www.archive.org/details/SfantulIlieLacatusu-ViataMinunileAcatistul...
Document editabil in format ODT pt Apache Open Office. Sfantul Ilie Lacatusu - Viata, minunile, acatistul „De câte ori vin aici, ne rugăm și Sfântul Ilie Lacatușu ne ajută. Ne ajută foarte mult. Ajută!” „Părintele Ilie Lacatușu era un om care vorbea foarte puțin și făcea foarte mult”. „Mi-a povestit despre părintele Ilie că, atunci când mergea la el, îl găsea citind și rugându-se. Era foarte retras, blând, iertător”. „Nu mai vorbesc de clipa când intri pentru prima oarâ în lăcașul sfânt unde se află moaștele părintelui și de unde izvorăște o mireasmă dumnezeiască și sfântă, iar chipul său simți că-ți vorbește, într-un cuvânt, îi simți prezența vie și ajutorul pe care ți-l dă necondiționat, fie că ești convins sau nu pentru ce te afli acolo. Oameni buni, creștini, cei care sunteți cu adevărat creștini, chiar dacă sunteți păcătoși, căci așa suntem, nimeni nu poate explica în cuvinte, oricât de dulce ar avea graiul, ce înseamnă, pentru cei bolnavi și trupește, și sufletește, existența moaștelor Sfântului Ilie Lăcătuău”. „De câte ori sunt supărat și amărât, vin la părintele Ilie Lăcătușu și mă rog: „Părinte, îți mulțumesc pentru ajutor, te rog, ajută-mă!”. Câ¢nd plec pe drum, cât aș fi de supărat, până ajung acasă mă liniștesc”. „Oare mulțumim lui Dumnezeu și Sfântului Ilie cum se cuvine?”
Published on 05/24/2012
Document details: 47 downloads.

LEVEL CD-ROM Romania February 1998

www.archive.org/details/LEVEL0298R...
LEVEL CD-ROM cover disk, Romania, February 1998 Demos Catz II Publisher: pfMagic/Mindscape EN: Do you like pets? Why not have another one? Virtual... RO: Vă plac animalele de casă? Atunci de ce nu aţi accepta unul în plus? Virtual... CZ : Máte rádi domácí mazlíčky? Proč si nepořídit další? Virtuální... Screenshot: /LEVEL/CATZ /Catz 2/DISK1/SETUP.EXE | Win95, 486, 16 MB RAM, 35 MB HDD Warhammer: Dark Omen Publisher: EA EN: Follow up to successful 3D battle strategy game, where you're mercenary captain fighting with your man against evil forces... RO: Urmarea unui joc de strategie 3D de succes, în care aveţi rolul unui căpitan mercenar luptând cu oamenii săi împotriva forţelor Răului... CZ : Pokračování veleúspěšné 3D strategie, ve které se jako žoldácký kapitán snažíte protlouci nehostinným světem... Najímáte vojáky, svádíte urputné bitvy, kouzlíte... Screenshot: /LEVEL/OMEN | Launch Date: 0398 /Warhammer Dark Omen/SETUP.EXE | Win95, Pentium, 16 MB RAM, 25 MB HDD Dogz II Publisher: pfMagic/Mindscape EN: ...and what about some puppy dog...? RO: ...ce ziceţi de un căţeluş...? CZ : ...a co takhle nějaká štěnátka...? Screenshot: /LEVEL/DOGZ /Dogz 2/DISK1/SETUP.EXE | Win95, 486, 16 MB RAM, 35 MB HDD Evolution Publisher: Discovery/Interplay EN: Interested in evolution of intelligent life forms? Then try Evolution - strategy game similar to SimLife. And by the way, first intelligent being doesn't have to be homo sapiens... RO: Sunteţi cumva interesaţi în evoluţia formelor de viaţă inteligente? Atunci încercaţi Evolution- un joc de strategie asemănător cu SimLife. Şi, apropo, nu este absolut necesar ca prima fiinţă inteligentă să fie homo sapiens... CZ : Láká vás proces evoluce – vývoje inteligentního života? Proč si tedy nezahrát Evolution – hru trochu podobnou starému SimLife. A jen tak na okraj. První inteligentní tvor vůbec nemusí být Homo Sapiens... Screenshot: /LEVEL/EVOL | Launch Date: 0298 /Evolution/EVOLDEMO.EXE | Win95, P60, 16 MB RAM, 25 MB HDD Frogger Publisher: Hasbro EN: Green 8-ti bit frog is back in new, much nicer suit. RO: Broscoiul verde s-a întors şi de data asta poartă un costum nou şi mult mai arătos. CZ : Zelený žabák z osmibitů je zpátky v novém, slušivějším kabátku. Screenshot: /LEVEL/FROG | Launch Date: 0198 /Frogger/FROGGER.EXE | Win95, Pentium, 16 MB RAM, 6 MB HDD NBA Live 98 Publisher: EA Sports EN: Finally has arrived, this year little later, "brother" of sports legends NHL and FIFA, great NBA game... RO: În sfârşit a apărut, ceva mai târziu anul acesta, „fratele" legendarelor simulări sportive NHL şi FIFA, un joc de NBA „adevărat"... CZ : Konečně dorazil i letos trochu zpožděný „bratříček" sportovních legend NHL a FIFA. V tomto demu si zahrajete utkání hvězd Západu proti Východu. Screenshot: /LEVEL/NBA | Launch Date: 0298 /NBA 98/setup/english/SETUP.EXE | Win95, Pentium, 16 MB RAM, 30 MB HDD Powerboat Racing Publisher: Interplay EN: Haven't you ever dreamed of riding a powerboat in 200 mph? RO: Nu aţi visat niciodată să conduceţi un powerboat la o viteză de 200 mph? CZ : Neláká vás ovládat motorový člun řítící se rychlostí 300 km za hodinu? Screenshot: /LEVEL/PB | Launch Date: 0298 /Powerboat/SETUP.EXE | Win95, Pentium 133, 16 MB RAM, 30 MB HDD Robo Rumble Publisher: Metropolis/Topware EN: Action real-time strategy game, in which your company is competing with the others for government contract for developing weapons for intergalactic war. So move on... RO: Un joc de strategie real-time şi acţiune, în care compania pe care o conduceţi are de învins concurenţa în cursa pentru contractul guvernamental de fabricare a armelor destinate războiului intergalactic. Aşa că, la treabă... CZ : Akční realtimeová strategie, ve které musíte pro vaši společnost vyhrát kontrakt od Světové vlády na zbraně pro připravovanou válku s mimozemskou rasou. Tak se snažte... Screenshot: /LEVEL/ROBO | Launch Date: 0398 /Robo Rumble/RRDEMO.EXE | Win95, Pentium, 16 MB RAM, 25 MB HDD Sabre Ace Publisher: Virgin EN: Korea War is here! So try F-51 Fighter, F-80 or F-86 for USA or Yak-9 and MiG 15 for Korean forces. RO: În mijlocul războiului din Coreea... Interceptorul F-51, F-80 sau F-86 din partea SUA sau YAK-9 şi Mig 15, cu cele mai bune urări, din partea forţelor coreene, toate sunt gata de luptă. Pilot, succes în misiune! CZ : Vzhůru do korejské války! Účinkují F-51 Fighter, F-80 a F-86 za Američany nebo Yak-9 a MiG 15 za Koreu. Zvolte si stranu a ... Screenshot: /LEVEL/SA | Launch Date: 0098 /Sabre Ace/SETUP.EXE | Win95, Pentium, 16 MB RAM, 70 MB HDD Sanitarium Publisher: DreamForge/Asc Games EN: You have woken up, but where you are? You just remember falling from the cliff in your car and then darkness... Strange room... strange noises... are you mad? Is it a nightmare? Are you dead? Maybe.... RO: Tocmai te-ai trezit, dar nu prea şti unde te afli. Păstrezi doar amintirea vagă a căderii cu maşina de pe un deal, apoi întuneric... Ciudată cameră... ciudate sunete... ai înnebunit? Eşti oare în lumea celor drepţi? Se prea poate... CZ : Probral jste se, ale kde to jste? Vzpomínka na pád auta z útesu a pak už jen temno... Podivná místnost... Maniakální skřeky v pozadí... Zbláznil jste se? Je to noční můra? Je to smrt? Možná... Screenshot: /LEVEL/SAN | Launch Date: 0398 /Sanitarium/SETUP.EXE | Win95, P90, 16 MB RAM, 80 MB HDD, 1 MB Video Teazle Publisher: Aniware EN: Collection of some puzzle games... RO: Pentru voi, cei mai răbdători, un nou set de puzzle-uri. CZ : Kolekce několika logických her... Screenshot: /LEVEL/TEAZ | Launch Date: 0198 /Teazle/TEAZLE.EXE | Win95, 486, 16 MB RAM, 10 MB HDD The Golf Pro Publisher: Empire EN: Probably the best looking golf ever... RO: Golf... din nou topul este serios atacat. Screenshot: /LEVEL/GOLF | Launch Date: 0398 /Golf Pro/GOLFDEMO.EXE | DOS, Pentium, 16 MB RAM, 65 MB HDD Ubik Publisher: Cryo/ABM Morava EN: Adventure with real-time strategy features based upon novel of Phillipa K. Dicka, writer of Blade Runner and Total Recall...In this demo you play small part of first level. RO: Un joc ce combină elemente de strategie real-time şi aventură, bazat pe romanul lui Phillipa K. Dicka, autorul cunoscutelor Blade Runner şi Total Recall... CZ : Sci-fi adventura s prvky realtimeové strategie na motivy knihy Phillipa K. Dicka, autora knih Blade Runner a Total Recall. V demu si zahrajete malou část první úrovně... Screenshot: /LEVEL/UBIK | Launch Date: 0398 /../UbikUS/SETUP.EXE | Win95, Pentium, 16 MB RAM, 40 MB HDD [email protected] Race Pro Publisher: Kalisto/Microprose EN: Very fast and fun racing game from Kalisto full of action and graphic effects. You can try one circuits in two cars. RO: Viteză şi distracţie de la Kalisto, alături de acţiune dinamică şi efecte grafice într-un simulator auto. Puteţi încerca puterea a două maşini pe un circuit. CZ : Pekelně rychlé a zábavné závody od Kalista plné akce a efektů. K dispozici je jeden tréninkový okruh a dvě auta, což je víc než dost, abyste si přesvědčili o tom, že tyhle závody jsou opravdu jednička. Screenshot: /LEVEL/ULT | Launch Date: 0398 /[email protected] Race/ULTRACE.EXE | Win95, Pentium 133, 16 MB RAM, 50 MB HDD Uprising Publisher: Cyclone/Ubi Soft EN: Command & Conquer in 3D? You don't believe it? But it's true! Finally not only Dune 2 clone, but really something groundbreaking. Mix that is working perfectly... RO: Command & Conquer în 3D? Nu vă vine să credeţi? Păi să vă vină! În sfârşit, nu doar o seacă clonă de Dune 2, ci un joc cu adevărat „supărat". Şi asta neluând în seamă faptul că rulează destul de bine... CZ : Command & Conquer v 3D? Nevěříte? Ale ano! Konečně žádná další „tuctová" realtimeová strategie, ale něco inovačního. Mix, který se opravdu povedl... Screenshot: /LEVEL/UP /Uprising/UPDEMO.EXE | Win95, Pentium, 16 MB RAM, 55 MB HDD Uprising 3Dfx Publisher: Cyclone/Ubi Soft EN: ...and here is 3Dfx version... RO: ... pentru cei mai pretenţioşi, oferim şi versiunea pentru 3Dfx... CZ : ... a tady je verze pro 3Dfx karty... Screenshot: /LEVEL/UP3 /Uprising/UP3DFX.EXE | Win95, Pentium, 16 MB RAM, 50 MB HDD, 3Dfx Virus Publisher: Telstar EN: Are you afraid of VIRUS? RO: Are you afraid of VIRUS? Screenshot: /LEVEL/VIRUS /Virus/VIRUSDEM.EXE | Win95, Pentium, 16 MB RAM, 100 MB HDD Shareware ASTRO For Windows /ASTROW/setup.exe Keyboard Trainer /AKEYTR/setup.exe Around The World /WLDTRV/go.bat As You Like It /AYLI/install.exe Auto Care Center 97 /AUTOCC/setup.exe BarBack /BARBK/setup.exe Baseball Stats /BSTATS/install.exe Directory Compare /DCOMP/dcw6c-2.exe Baseball Stats Farm Animals /FANIM/install.exe InfoTree /INFOTREE/it32.exe Live Image /LIVEIM/liveimg.exe Miranda Scientific /ASTQIZ/setup.exe Updates AirWarrior III v1.0d /AirWarrior 3/aw3ptch1.exe Civil War General 2 v1.2 /Civil War Generals 2/cwg29512.exe Close Combat II v2.0a /Close Combat 2/cc2patch.exe Daytona USA Deluxe Direct3D /Daytona Deluxe/ddx_d3d.exe East Front v1.06 /East Front/ef_106.exe F1 Racing 3Dfx v1.05 /F1/f1rs105v.exe F1 Racing D3D v1.05 /F1/f1rs105d.exe F1 Racing DirectSound3D /F1/sound3d.exe FIFA 98 v1.1 (Direct3D) /Fifa 98/fifa98.exe Flight Unlimited 2 v1.03 /Flight Unlimited 2/flt01-02.exe Hellfire v1.01 /Hellfire/hf101.exe Jack Nicklaus 5 v5.1 /Jack Nicklaus 5/jack51up.exe Lands of Lore 2 Direct3D /Lands of Lore 2/ll2-130e.exe MS CART Racing v1.01 /MS Cart Racing/cart101.exe Men in Black /Men in Black/mib01.exe Motoracer v3.20 /Motoracer/update.exe Myth v1.1 /MYTH/myth_11.exe Pax Imperia 2 v1.3 /Pax Imperia 2/pax103.exe Quake II v3.10 /Quake 2/q2-310.exe Shattered Steel v1.14 && Missions Disk Streets of SimCity Voodoo Rush /Streets of Simcity/sos_rush.exe Test Drive 4 v1.2 /Test drive 4/td42up.exe Toca v1.1 /TOCA/patchefg.EXE Virtua Fighter 2 Direct3D /Virtua Fighter 2/vf2d3d.exe Zork GI v1.1 /Zork GI/ZGIPAT.EXE HotShots Commandos Publisher: Eidos EN: Strategy game from second world war, where you're with your special forces filling missions behind enemy lines. Looks like big suprise from unknown spanish team. RO: Un joc de strategie plasat în timpul celui de-al doilea război mondial, în care aveţi de îndeplinit, împeună cu forţele speciale, misiuni în spatele liniilor inamice. O surpriză plăcută din partea unei necunoscute echipe spaniole. CZ : Strategická hra z druhé světové války, kde se speciální jednotkou plníte mise v týlu nepřítele. Vypadáto na velmi příjemné překvapení od neznámého španělského týmu. Screenshot: /LEVEL/COM | Launch Date: 0598 Descent: Free Space Publisher: Interplay EN: Famous 3D action game Descent will soon have follow up, which will move to the freespace like very good looking space simulation. RO: Faimosul Descent, 3D action-ul care a scris istorie, va avea în curând un sequel, în care lupta se va da în spaţiul cosmic, fiind o simulare bine realizată. CZ : Slavné 3D akční hry Descent brzy dostanou následovníka, který se vydá do volného prostoru v podobě velmi dobře vypadajícího vesmírného simulátoru. Screenshot: /LEVEL/DES3 | Launch Date: 3Q98 Dune 2000 Publisher: Westwood/Virgin EN: Remake of classic real-time strategy Dune 2, which is going to have new graphic, new movies, network play a other new features. RO: Remake-ul faimosului Dune 2, „bunicul" jocurilor de strategie real-time, prezintă o grafică îmbunătăţită, filme noi, joc în reţea şi alte noi caracteristici. CZ : Remake klasické real-timové strategie Dune 2, který bude obsahovat novou grafiku, nové filmečky, síťovou hru a řadu dalších vylepšení. Screenshot: /LEVEL/DUNE2 | Launch Date: 0998 Redline Racer Publisher: Criterion/Ubi Soft EN: Motocycle racing game, that thanks to great Dive engine, used in Sub Culture, promises great visual and playable game. RO: Un simulator moto realizat cu ajutorul engine-ului Dive, folosit în Sub Culture, promite o grafică excelentă şi o jucabilitate mare. CZ : Závody motorek, které díky výbornému Dive enginu, použitém v Sub Culture, slibují výbornou podívanou a hratelnost. Screenshot: /LEVEL/redl | Launch Date: 2Q98 Settlers 3 Publisher: BlueByte EN: Third part of successful real-time strategy game from Blue Byte, which except from new graphic will have network play too. Nothing else is known at the moment. RO: Partea a treia a unui joc de strategie real-time de mare succes din partea firmei Blue Byte care, în afară de noua grafică, va avea şi modul de joc în reţea. Nimic în plus, pentru moment... CZ : Třetí díl úspěšné real-timové strategie od Blue Byte přinese mimo vylepšení grafiky i možnost hry po síti. Více známo není. Screenshot: /LEVEL/SET3 | Launch Date: 0598 V2000 Publisher: David Braben EN: New game from David Brabena, creator of such games as Elite or Frontier. Looks like interesting game, but no other information available at this time. RO: Un nou joc al lui David Brabena, creatorul jocurilor Elite şi Frontier. Promite a fi un joc interesant, dar momentan nu se ştie nimic altceva. CZ : Nová hra od Davida Brabena, tvůrce takových her jako Elite či Frontier. S tím se musíte spokojit, více o tomto zajímavém, ale tajném, projektu nevíme. Screenshot: /LEVEL/V2000 | Launch Date: ?
Published on 01/16/2019
Document details: 191 downloads.

Drug resistance-conferring mutations in Mycobacterium tuberculosis from Madang, Papua New Guinea.

www.archive.org/details/pubmed-PMC3478209...
This article is from BMC Microbiology , volume 12 . Abstract Background: Monitoring drug resistance in Mycobacterium tuberculosis is essential to curb the spread of tuberculosis (TB). Unfortunately, drug susceptibility testing is currently not available in Papua New Guinea (PNG) and that impairs TB control in this country. We report for the first time M. tuberculosis mutations associated with resistance to first and second-line anti-TB drugs in Madang, PNG. A molecular cluster analysis was performed to identify M. tuberculosis transmission in that region. Results: Phenotypic drug susceptibility tests showed 15.7% resistance to at least one drug and 5.2% multidrug resistant (MDR) TB. Rifampicin resistant strains had the rpoB mutations D516F, D516Y or S531L; Isoniazid resistant strains had the mutations katG S315T or inhA promoter C15T; Streptomycin resistant strains had the mutations rpsL K43R, K88Q, K88R), rrs A514C or gidB V77G. The molecular cluster analysis indicated evidence for transmission of resistant strain. Conclusions: We observed a substantial rate of MDR-TB in the Madang area of PNG associated with mutations in specific genes. A close monitoring of drug resistance is therefore urgently required, particularly in the presence of drug-resistant M. tuberculosis transmission. In the absence of phenotypic drug susceptibility testing in PNG, molecular assays for drug resistance monitoring would be of advantage.
Published on 10/24/2014
Document details: 35 downloads.

Association between lymphocyte and monocyte subsets and cognition in children with HIV.

www.archive.org/details/pubmed-PMC3900937...
This article is from AIDS Research and Therapy , volume 11 . Abstract Background: This study assesses the relationships between lymphocyte and monocyte subsets and intelligence quotient (IQ) scores in antiretroviral therapy (ART)-naive, HIV-infected Thai children without advanced HIV disease. Findings: Sixty-seven ART-naive Thai children with CD4 between 15-24% underwent cognitive testing by Weschler intelligence scale and had 13 cell subsets performed by flow cytometry including naive, memory and activated subsets of CD4+ and CD8+ T cells, activated and perivascular monocytes and B cells. Regression modelling with log10 cell count and cell percentage transformation was performed.Median age (IQR) was 9 (7–10) years, 33% were male, CDC stages N:A:B were 1:67:31%, median CD4% and count (IQR) were 21 (18–24)%, 597 (424–801) cells/mm3 and HIV RNA (IQR) was 4.6 (4.1-4.9) log10 copies/ml. Most (82%) lived at home, 45% had a biological parent as their primary caregiver, and 26 (49%) had low family income. The mean (SD) scores were 75 (13) for full scale IQ (FIQ), 73 (12) for verbal IQ (VIQ) and 80 (14) for performance IQ (PIQ). Adjusted multivariate regression analysis showed significant negative associations between B cell counts and FIQ, VIQ and PIQ (p 
Published on 10/28/2014
Document details: 35 downloads.

The INDEPTH standard population for low- and middle-income countries, 2013.

www.archive.org/details/pubmed-PMC3969509...
This article is from Global Health Action , volume 7 . Abstract Crude rates such as the crude death rate are functions of both the age-specific rates and the age composition of a population. However, differences in the age structure between two populations or two time periods can result in specious differences in the corresponding crude rates making direct comparisons between populations or across time inappropriate. Therefore, when comparing crude rates between populations, it is desirable to eliminate or minimize the influence of age composition. This task is accomplished by using a standard age structure yielding an age-standardized rate. This paper proposes an updated International Network for the Demographic Evaluation of Populations and Their Health (INDEPTH) standard for use in low- and middle-income countries (LMICs) based on newly available data from the health and demographic surveillance system site members of the INDEPTH network located throughout Africa and southern Asia. The updated INDEPTH standard should better reflect the age structure of LMICs and result in more accurate health indicators and demographic rates. We demonstrate use of the new INDEPTH standard along with several existing ‘world’ standards and show how resulting age-standardized crude deaths rates differ when using the various standard age compositions.
Published on 10/23/2014
Document details: 29 downloads.

TB incidence and characteristics in the remote gulf province of Papua New Guinea: a prospective study.

www.archive.org/details/pubmed-PMC3936911...
This article is from BMC Infectious Diseases , volume 14 . Abstract Background: The incidence and characteristics of tuberculosis (TB) in remote areas of Papua New Guinea (PNG) are largely unknown. The purpose of our study was to determine the incidence of TB in the Gulf Province of PNG and describe disease characteristics, co-morbidities and drug resistance profiles that could impact on disease outcomes and transmission. Methods: Between March 2012 and June 2012, we prospectively collected data on 274 patients presenting to Kikori Hospital with a presumptive diagnosis of TB, and on hospital inpatients receiving TB treatment during the study period. Sputum was collected for microscopy, GeneXpert analysis, culture and genotyping of isolates. Results: We estimate the incidence of TB in Kikori to be 1290 per 100,000 people (95% CI 1140 to 1460) in 2012. The proportion of TB patients co-infected with HIV was 1.9%. Three of 32 TB cases tested were rifampicin resistant. Typing of nine isolates demonstrated allelic diversity and most were related to Beijing strains. Conclusions: The incidence of TB in Kikori is one of the highest in the world and it is not driven by HIV co-infection. The high incidence and the presence of rifampicin resistant warrant urgent attention to mitigate substantial morbidity in the region.
Published on 10/23/2014
Document details: 39 downloads.

Factors Affecting Attendance at and Timing of Formal Antenatal Care: Results from a Qualitative Study in Madang, Papua New Guinea.

www.archive.org/details/pubmed-PMC4026245...
This article is from PLoS ONE , volume 9 . Abstract Background: Appropriate antenatal care (ANC) is key for the health of mother and child. However, in Papua New Guinea (PNG), only a third of women receive any ANC during pregnancy. Drawing on qualitative research, this paper explores the influences on ANC attendance and timing of first visit in the Madang region of Papua New Guinea. Methods: Data were collected in three sites utilizing several qualitative methods: free-listing and sorting of terms and definitions, focus group discussions, in-depth interviews, observation in health care facilities and case studies of pregnant women. Respondents included pregnant women, their relatives, biomedical and traditional health providers, opinion leaders and community members. Results: Although generally reported to be important, respondents’ understanding of the procedures involved in ANC was limited. Factors influencing attendance fell into three main categories: accessibility, attitudes to ANC, and interpersonal issues. Although women saw accessibility (distance and cost) as a barrier, those who lived close to health facilities and could easily afford ANC also demonstrated poor attendance. Attitudes were shaped by previous experiences of ANC, such as waiting times, quality of care, and perceptions of preventative care and medical interventions during pregnancy. Interpersonal factors included relationships with healthcare providers, pregnancy disclosure, and family conflict. A desire to avoid repeat clinic visits, ideas about the strength of the fetus and parity were particularly relevant to the timing of first ANC visit. Conclusions: This long-term in-depth study (the first of its kind in Madang, PNG) shows how socio-cultural and economic factors influence ANC attendance. These factors must be addressed to encourage timely ANC visits: interventions could focus on ANC delivery in health facilities, for example, by addressing healthcare staff’s attitudes towards pregnant women.
Published on 10/22/2014
Document details: 83 downloads.
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