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Lecciones prácticas de las iniciativas mundiales de maternidad segura: es hora de un nuevo enfoque en la
Lynn P Freedman1, Wendy J Graham, Ellen Brazier
1Averting Maternal Death and Disability Program, Mailman School of Public Health, Columbia University, New York 10032, USA. lpf1@columbia.edu
Lancet (London, England)
|October 16, 2007
Resumen
La comunidad mundial de salud materna ahora debe centrarse en la implementación efectiva de servicios a nivel de distrito. El fortalecimiento de los sistemas de salud del distrito es crucial para la prestación equitativa y sostenible de atención de salud materna.
Área de la Ciencia:
- Salud global La salud global.
- Salud Materna Salud Materna.
- Fortalecimiento de los sistemas de salud.
Sus antecedentes:
- La Iniciativa Maternidad Segura ha establecido un consenso sobre las intervenciones prioritarias y la integración de políticas.
- Las comunidades mundiales de salud materna e infantil han alineado sus esfuerzos.
- Los cambios en las políticas hacen hincapié en la propiedad del país, la armonización de la financiación y la financiación basada en resultados.
Objetivo del estudio:
- Identificar las lecciones clave para la implementación de servicios de salud materna equitativos y sostenibles a escala.
- Proponer un esfuerzo de colaboración centrado en los desafíos de implementación a nivel de distrito.
- Fortalecer la capacidad de los sistemas de salud del distrito para la prestación efectiva de servicios.
Principales métodos:
- Aprovechando las experiencias complementarias de cuatro iniciativas mundiales de salud materna.
- Analizar los desafíos en la conversión de los insumos del sistema de salud en servicios funcionales.
- Centrándose en las lecciones aprendidas para una implementación escalable y equitativa.
Principales resultados:
- Existe un consenso sobre las intervenciones prioritarias de salud materna.
- Las políticas nacionales incorporan estas intervenciones.
- Necesidad urgente de fortalecer la capacidad del país para la implementación de servicios.
Conclusiones:
- La implementación efectiva de los servicios de salud materna requiere un enfoque en los sistemas de salud del distrito.
- El fortalecimiento de la capacidad del distrito es clave para convertir los recursos en servicios accesibles y utilizados.
- Se necesita un enfoque colaborativo para construir una atención de salud materna equitativa y sostenible a escala.
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