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Globalisation and perinatal health care

Recent revolutions in communication have created a global village. Isolated regions have ‘joined’ the technologically sophisticated and developed ones are increasingly faced with the realities of life in less fortunate parts. Growing awareness of the disparities are forcing people to recognise the urgent need for global health policies. Health care, including perinatal health care, must shift from a predominantly high-technology focus to incorporate broader social, cultural and psychological concerns. In many parts of the world, it is far more important in the fight against disease to provide clean water than provide doctors. Concerns with malaria, TB, AIDS and HIV dominate global health while poverty, discrimination, inadequate education and environmental contamination provide fertile growth for even greater social epidemics. Most of the world’s health care money, interest and attention is focussed on those with the least need in developed countries, rather than on developing countries where most disease occurs. Nevertheless, health care in both worlds is interrelated and we need to set priorities to address these issues with an eye to mutual benefit.