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Estrategias para reducir la mortalidad materna: seguir adelante con lo que funciona
Oona M R Campbell1, Wendy J Graham,
1Department of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK. Oona.Campbell@lshtm.ac.uk
Lancet (London, England)
|October 10, 2006
Resumen
La reducción de la mortalidad materna requiere dar prioridad a una atención intraparto efectiva, idealmente en centros de salud primarios con acceso de referencia. A pesar de los contextos complejos, las elecciones estratégicas pueden disminuir significativamente las muertes maternas, lo que urge una acción inmediata para los Objetivos de Desarrollo del Milenio.
Área de la Ciencia:
- Salud global La salud global.
- Salud Materna Salud Materna.
- Política de salud pública Política de salud pública.
Sus antecedentes:
- La reducción de la mortalidad materna es compleja debido a los diversos contextos de los países y los determinantes de la salud.
- Casi dos décadas de programación de maternidad segura han visto retrasos inexplicables en la toma de decisiones.
Objetivo del estudio:
- Para demostrar que a pesar de la complejidad, se necesitan pocas opciones estratégicas para reducir la mortalidad materna.
- Dar prioridad a una estrategia efectiva de atención intraparto y enfoques complementarios.
Principales métodos:
- Revisión de la evidencia para informar las opciones estratégicas para la reducción de la mortalidad materna.
- Dar prioridad a una estrategia específica de atención intraparto basada en la entrega a nivel primario con acceso de referencia.
Principales resultados:
- Una estrategia efectiva de atención intraparto es una prioridad abrumadora para reducir la mortalidad materna.
- Se da prioridad a la entrega en instituciones de nivel primario (centros de salud) con acceso a instalaciones de referencia.
Conclusiones:
- Las elecciones estratégicas, particularmente en el cuidado intraparto, son cruciales para lograr el quinto Objetivo de Desarrollo del Milenio.
- La implementación urgente de estrategias probadas es necesaria, cuestionando el compromiso de los tomadores de decisiones para reducir la mortalidad materna.
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