The child healthcare system in Cyprus

Efstathiou, Elisavet; Theophilou, Leda; Angeli, Stelios; Hadjipanayis, Adamos

doi:10.14744/turkpediatriars.2020.17047

Cited by 3 publications

(2 citation statements)

References 21 publications

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“…Moreover, the understanding that there is poor governmental support for infants with special medical needs might be another reason that affects a woman's decision to abort (Raz et al, 2019;Remennick, 2006). All three countries provide adequate care for sick children, yet there are additional costs that are not subsidized and that require expenditures (Efstathiou et al, 2020;Institute for Quality and Efficiency in Health Care, 2015;Sabbah, 2019). Interestingly, for a moderate disease, Cypriot women conveyed similar intentions to terminate the pregnancy to Israeli women.…”

Section: Discussionmentioning

confidence: 99%

Women’s Intention to Abort a Fetus Diagnosed With a Genetic Disease: Results From Israel, Cyprus, and Germany

Kivity

Barnoy

2023

Sage Open

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Developments in genetics enable detection of fetal genetic abnormalities. The decision whether to abort is affected by culture, perceived severity of abnormality, and legal regulations. The study aimed to assess the cultural differences in women’s intention to abort if their fetus is diagnosed with a genetic disease. A cross-sectional study was conducted in Israel, Germany, and Cyprus. A questionnaire presented six scenarios where the fetus of a pregnant woman is diagnosed with a mild, moderate, or severe genetic disease. For each scenario, the participating women were asked to rate their perceived severity of having a child with the disease, sense of control over performing an abortion, and intention to undergo an abortion. 141 Israeli, 121 German, and 96 Cypriot women participated in the study. The results revealed that Israeli women were more inclined to perform an abortion (Israel: Mild-Disease M ± SD = 3.20 ± 1.37; Moderate-Disease 2.90 ± 1.39; Severe-Disease 4.08 ± 1.51) compared to Cyprus (Mild-Disease SD = 2.74 ± 1.52; Moderate-Disease 2.53 ± 1.27; Severe-Disease 3.41 ± 1.70) and Germany (Mild Disease, M ± SD = 2.38 ± 1.42; Moderate Disease 2.23 ± 1.44; Severe-Disease 2.98 ± 1.51). In all cases, Israeli women reported a higher sense of control over performing an abortion and Cypriot women expressed the highest perceived severity. Sense of control, perceived severity, being Israeli, and increased age explained 31% of the variance in the intention to abort ( F = 54.39). Intention to abort following the diagnosis of a fetus with a genetic disease varies by country. There is a greater intention to abort when women feel more control, and have a higher perceived severity, regardless of the severity of the disease.

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Section: Discussionmentioning

confidence: 99%

Women’s Intention to Abort a Fetus Diagnosed With a Genetic Disease: Results From Israel, Cyprus, and Germany

Kivity

Barnoy

2023

Sage Open

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“…Up until June 2019, when a national health insurance scheme was introduced, public hospitals were financed by the government and were accessible to civil servants and to people meeting the criteria of specific socio-economic backgrounds. In the private sector, the patients had to pay themselves or were covered by private health insurance [ 20 ]. The primary caregivers of antenatal, intrapartum, and postnatal care in Cyprus are obstetricians/ gynecologists and midwives.…”

Section: Introductionmentioning

confidence: 99%

Women's experiences of VBAC in Cyprus: a qualitative study

Hadjigeorgiou

Katsie

Papadopoulou

et al. 2021

BMC Pregnancy Childbirth

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Background and aim In 21st century, there has been an increasing interest in vaginal birth after previous caesarean section (VBAC) in Cyprus, a country with a very high operative birth rate. Research-based evidence of women’s VBAC experiences in Cyprus is non-existent, despite its significance for the well-being of mothers and families. The aim of this study is to gain insight into the women’s lived experience of VBAC in Cyprus. In this study women’s experiences of VBAC are explored for the first time in Cyprus. Method The study is qualitative and exploratory in nature. Data were collected through semi-structured interviews with 10 women, who experienced vaginal birth after a previous caesarean section (VBAC) in Cyprus. A descriptive phenomenological approach was employed for the analysis of data. Results Analysis of data yielded four major themes: (a) medicalization of childbirth, (b) preparing for a VBAC, (c) birth environment, and (d) healing through VBAC. On the whole, the women interviewed described their previous experience of CS as traumatic, in contrast to vaginal childbirth. VBAC was considered an utterly positive experience that made the women feel empowered and proud of themselves. Conclusion This study offers valuable insight into a newly researched subject in Cyprus, which is necessary for advancing perinatal care in Cyprus. The findings indicate that women need evidence-based information, guidelines on birthing options, good preparation with tailored information and personalized care for a successful vaginal birth after a previous caesarean section. Proper, non-biased, consultations are a main factor that affects women’s choice of mode of birth. The introduction of new, women-friendly perinatal strategies that respect and promote childbirth rights is imperative in the case of Cyprus. All women have the right to exercise informed choice and the choice to alternative birthing options.

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Hospital admissions due to snake envenomation in the Republic of Cyprus: a 7-year retrospective review

Jestrzemski

Athanasiadou

Scoutellas

et al. 2022

J Occup Med Toxicol

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Background Snake envenomation is a major neglected tropical disease, lacking data in many countries including Cyprus, a Mediterranean island inhabited by the medically important blunt-nosed viper (Macrovipera lebetina). Reviewing the 2013–2019 period, we present first-time epidemiological snakebite data in the Republic of Cyprus. Methods We obtained data on snake envenomation-related hospital admissions from the Ministry of Health, and population and rainfall data from the Statistical Service of Cyprus and Department of Meteorology websites. Human-viper conflict information was acquired from interviews with 12 representatives of Cypriot institutions. Results Between 2013 and 2019, 288 snake envenomation cases were admitted to public hospitals, averaging 41 people annually. The minimum was 29 cases (2017) and the maximum was 58 (2015). Snake envenomation incidence increased from 4.55 per 100,000 population (2013) to 6.84 (2015), but remained low since 2017 (3.49 in 2019). Between 2000 and 2018, the deaths of one man (73 years), and indirectly, one woman (77 years), were related to snake envenomation. While 266 cases (92%) happened between April and October (the blunt-nosed viper activity period), most envenomations occurred in September (cumulative for 2013–2019), with 88 cases (31%). Snakebite incidence peaked in the 60–69 years age group (9.19 per 100,000 population), and was higher in males (6.85) than in females (2.82). Of all admitted patients, 242 (84%) were discharged within 4 days. Mean hospital stay duration was 2.65 days, with one case of 13 days. Most patients were admitted to the general hospitals in Paphos (51%), Limassol (30%) and Nicosia (11%), which provide secondary healthcare, with the last one providing tertiary healthcare. Conclusions Snakebite-related deaths are very rare in the Republic of Cyprus. Most envenomation cases happened in late summer (September). Short hospital stays indicate mostly non-severe clinical courses. The hospital admission data suggest that snake envenomation risk is highest in Paphos district. The statistical data hint at males and middle- to older-aged people being at highest risk, whereas from our interview data we assume that outdoor workers are at higher risk than other occupational groups.

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The child healthcare system in Cyprus

Cited by 3 publications

References 21 publications

Women’s Intention to Abort a Fetus Diagnosed With a Genetic Disease: Results From Israel, Cyprus, and Germany

Women’s Intention to Abort a Fetus Diagnosed With a Genetic Disease: Results From Israel, Cyprus, and Germany

Women's experiences of VBAC in Cyprus: a qualitative study

Hospital admissions due to snake envenomation in the Republic of Cyprus: a 7-year retrospective review

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