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PAD-78-60 1 (1978-03-09)

handle is hein.gao/gaobaaxyv0001 and id is 1 raw text is: RELEASED UNITED STATES CENIRAL ACCOUNTING OFFICE WASI1ItNGTON, D.C. %OS43 Il N oc ainc fir. Alhert P. Pu:,no, Director Departr.cnt of Human Ve,;our.. CQ/ Govern: _-,it of thc, Di:;tr icL of Co u:, bia -- l h n i o - - 1 . --20(. T -- ... ...... .. IrnIIIIiI/N IIlIIlIIIlIllfIIIIjII#I . . . . ' Z1,1' 4 11-9( t -r - };-C;- 2 0 0 0 ,t LM 107111 De ar Mr. Russo; Pe have coi.)ected our revIwG cf .rcqr,;:: e an. pro.,lems encOunte 'd in the DiotricL of Colu:,bia to :,r ,,. preg ianc/ cutco;,¢. As yOU kno;d, cur -'rk. in tie ivt,'c, was part of our nal, iorvl re-.'ie;. oi ;v(.cd r; e fortn to reduce or nrevent infant t.orLal ity atd noti Jditv and other adverse preg3na.ncy outccrc. Our work in t.e Sta,.. is still underway, and we expect to report the r Lj I of our national review to tlhe Congrn::s in th S.,: ir, of 1979. As agreed when we I;ogan our tork in thc Ci!:tr Lt, we are providing this 'ary of our fir.inqs to you. Althouch prcgn.ancy ouLcourx h:.s q:treIl1y j;:,:rcrvc(, the District in thi- last sb,:ral o r :ny probl,,.. . pcrsist. Infant ond fc,:l 6iath rat d ad the in;ci.ce of low birthweight in ants, teena9- 1. r::ancy, a:I aLOrtior. in the District ar hiLBh rel:4ive cn other areas in Li'e United States. .anv District woven do not receive pcr,ajta1 care at all or do not begin roec. ivino such care until 1.lte in their pregnancies. Nany factors contrilute to these preblues. The ep.rt- ment of Numan Resources (DIHR) can help allevict- suveral of ,these factors. To &, this, we reco:wmend that you: --Exert more lec-Jership anc concert^1 iction to address adverx pregnancy i,cxe zn the District, by seeing that responibilities a-r.-ng aez:cies for p/anhing, Linaticirg, deliverina, coordinatina, and evaluating services for nother:; and infants are clearly defined, understood, and carried out; and by working more closely with pri',ate orqaniza- tions and providers in the District with interests in this area.

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