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Pregnancies among rural adolescents are 65% higher than among the urban. They are also the group with the highest maternal mortality rates. Approximately 30% of adolescents between the ages of 15 and 19 have been pregnant, especially among poor and extremely poor girls in rural areas.
The RAAS has among the worst rates of maternal mortality and infant mortality in Nicaragua because of difficulty in transportation, lack of communication and poor health care. Most transportation is by boat, horse or on foot. The only airfields are in Bluefields and Corn Island. The nearest hospital is in Bluefields.
Over 70% of maternal deaths recorded by the Ministry of Health (MINSA) occur in rural areas, and almost half involve women who are 20 to 30 years of age. One out of every three women that die is adolescent, not taking into account the unreported births and deaths in rural areas.
The high infant mortality rates on the Caribbean coast are due to diarrhea, infectious respiratory diseases, parasites, malnutrition and neonatal problems arising from deficient prevention of diseases. Other contributors are deficient conditions in which the population lives (poverty, lack of safe drinking water, and ignorance of proper hygiene). Poverty continues to rob children living in rural areas of a long and healthy life.
The epidemiological profile is manifested by diseases that reflect environmental and the conditions of extreme poverty and chronic malnutrition, in which most of the population lives in the rural region on the east coast of Nicaragua.
65% of malnourished children of Nicaragua live in the rural areas of the Caribbean coast.
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"Whatever you do for one of the least of these brothers and sisters of mine, you do for me." -- Matthew 25:31-46