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Through this form of preventive health care, women can learn from skilled health personnel about healthy behaviours during pregnancy, better understand warning signs during pregnancy and childbirth, and receive social, emotional and psychological support at this critical time in their lives. Through antenatal care, pregnant women can also access micronutrient supplementation, treatment for hypertension to prevent eclampsia, as well as immunization against tetanus. In areas where malaria is endemic, health personnel can provide pregnant women with medications and insecticide-treated mosquito nets to help prevent this debilitating and sometimes deadly disease. Regular contact with a doctor, nurse or midwife during pregnancy allows women to receive services vital to their health and that of their future children. However, data reporting at the global, regional and country levels are currently only available for a minimum of four visits, aligned with the previous recommendation. These data indicate that the proportion of women receiving at least four antenatal care visits varies greatly between countries, ranging from 24 per cent in countries in sub-Saharan Africa to over 90 per cent in countries across regions including Latin America and the Caribbean and European regions. Globally, while 88 per cent of pregnant women access antenatal care with a skilled health personnel at least once, only two in three 66 per cent receive at least four antenatal care visits. In regions with the highest rates of maternal mortality , such as Western and Central Africa and South Asia, even fewer women received at least four antenatal care visits 53 per cent and 55 per cent, respectively. In viewing these data, it is important to remember that the percentages do not take into consideration the skill level of the healthcare provider or the quality of care, both of which can influence whether such care actually succeeds in bringing about improved maternal and newborn health. Historical data show that the proportion of women receiving at least four antenatal care visits has increased globally over the last decade. The scale and pace of this progress, however, differs greatly by region. In Western and Central Africa, for example, only about half of pregnant women received four or more antenatal care visits between and 53 per cent. Stronger and faster progress is needed across all higher burden regions to drastically improve maternal and newborn outcomes. Despite progress being made, large regional and global disparities in women receiving at least four antenatal care visits are observed by residence and wealth.

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It has been required to undergo hull cleaning to remove the biofoul - a common accumulation of microorganisms, plants, algae or small animals. Cruise ship passengers have been stranded at sea for nearly a week after "biofoul" growth was discovered on the hull - with Australian officials refusing permission for it to dock. Hundreds of holidaymakers are reported to be on board the ship, which officials say is approximately 12 nautical miles offshore from the Port of Adelaide and outside Australian waters. It has been required to undergo hull cleaning to remove the biofoul - a common accumulation of microorganisms, plants, algae or small animals - and prevent potentially harmful marine organisms being transported by the vessel into Australia , the Australian Department of Agriculture, Fisheries, and Forestry told Sky News. The Viking Orion cruise ship has not docked since it left port in Wellington on Monday 26 December and has been at sea for nearly a week, according to ship tracking website Vessel Finder. The DAFF said it had been notified of small amounts of biofoul on the vessel on 28 December and it had engaged the vessel and the Australian marine biosecurity unit to comply with standard biofoul management procedures. Professional divers were engaged directly by the vessel line to clean the hull while at anchor outside Australian waters, it said. Five cruise ships detained in Essex and Bristol over welfare fears for crew. The ship is expected to dock in Melbourne today, the department said, though the arrival time is a matter for the vessel agent it noted. Tweets from people who say they are on board the Viking Orion indicate the ship may not dock in Melbourne. People are livid Another day sitting at sea where 2 boats are cleaning the ship hull," Kenn Heydrick said on 1 January. Another tweeter who said they are on board, Dr Megan Remmel, said on the morning of 1 January that passengers are "no longer getting to disembark in Melbourne. That means we've missed 4 ports and will be stuck on this ship for almost 9 full days. Cruise ship passengers stranded at sea for days after 'biofoul' discovered It has been required to undergo hull cleaning to remove the biofoul - a common accumulation of microorganisms, plants, algae or small animals.

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