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Ir a escala con profesionales de cuidado calificado y calificado.

Marge Koblinsky1, Zoë Matthews, Julia Hussein

  • 1ICDDR,B, Centre for Health and Population Research, Dhaka, Bangladesh. margek@icddrb.org

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La mejora de la atención de la salud materna requiere abordar la escasez de proveedores y las debilidades del sistema. La utilización de equipos de parteras y asistentes puede aumentar significativamente el acceso a servicios de parto calificados, reduciendo las altas tasas de mortalidad materna a nivel mundial.

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Área de la Ciencia:

  • Salud Pública La salud pública.
  • Salud Global La salud global.
  • Servicios de salud Servicios de salud Investigación Investigación.

Sus antecedentes:

  • La mayoría de las mujeres prefieren la atención profesional de maternidad cuando es accesible.
  • La provisión mundial de atención de salud materna se enfrenta a un estancamiento, particularmente donde la mortalidad materna es alta.
  • Las intervenciones clave para la salud materna están bien establecidas.

Objetivo del estudio:

  • Identificar estrategias para avanzar en la provisión y utilización global de atención de salud materna.
  • Abordar los obstáculos que impiden la expansión de los servicios profesionales de maternidad.
  • Proponer soluciones para superar el estancamiento en la atención de la salud materna.

Principales métodos:

  • Análisis de los obstáculos a la expansión de la atención de salud materna.
  • Discusión de decisiones estratégicas para aumentar la oferta de proveedores calificados (capacitación, despliegue, retención).
  • Evaluación basada en la simulación de modelos de equipos de proveedores para la cobertura de atención de maternidad.

Principales resultados:

  • Los principales obstáculos incluyen la escasez de proveedores, la infraestructura inadecuada, la mala calidad de la atención y la renuencia de los usuarios debido a los costos y el desajuste del servicio.
  • El enfoque estratégico en la capacitación, el despliegue y la retención de los trabajadores de la salud es crucial.
  • Las simulaciones indican que los equipos de parteras y asistentes basados en las instalaciones podrían aumentar la cobertura de atención de maternidad hasta en un 40% para 2015.

Conclusiones:

  • Los equipos de proveedores calificados ofrecen un modelo eficiente para ampliar la atención de maternidad.
  • Este enfoque permite una expansión significativamente más rápida en comparación con los proveedores individuales en entornos domésticos.
  • Abordar problemas sistémicos y optimizar el despliegue de proveedores es clave para reducir la mortalidad materna.