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Cuenta regresiva hasta 2015 para la supervivencia materna, neonatal y infantil: el informe de 2008 sobre el
1, , Jennifer Bryce
1(Johns Hopkins School of Public Health, USA. jbrycedanby@aol.com
Lancet (London, England)
|April 15, 2008
Resumen
El progreso en la supervivencia materna e infantil es posible, pero se necesitan esfuerzos enfocados. La cobertura de vacunación aumentó rápidamente, sin embargo, los servicios esenciales como la asistencia especializada en partos y la atención posparto siguen siendo bajos en los países prioritarios.
Área de la Ciencia:
- Salud Global La salud global.
- Intervenciones de salud pública Intervenciones de salud pública
- Salud Materna y Infantil.
Sus antecedentes:
- La iniciativa Countdown to 2015 rastrea las intervenciones prioritarias para la supervivencia materna, neonatal y infantil.
- Se centra en 68 países responsables del 97% de las muertes maternas e infantiles en todo el mundo.
- Supervisa 22 intervenciones basadas en la evidencia para reducir la mortalidad.
Objetivo del estudio:
- Informar sobre el progreso de 68 países con alta carga hacia los Objetivos de Desarrollo del Milenio (ODM) 4 y 5.
- Para analizar la cobertura de las principales intervenciones de supervivencia materna, neonatal e infantil.
- Para rastrear las tendencias en mortalidad, estado nutricional, políticas, financiamiento y equidad.
Principales métodos:
- Selección de países con altas tasas de mortalidad materna e infantil.
- Análisis de los datos de mortalidad específicos del país y cobertura de la intervención.
- Seguimiento de perfiles de causa de muerte, indicadores nutricionales, políticas, flujos financieros y equidad.
Principales resultados:
- Solo 16 de los 68 países prioritarios estaban en camino de cumplir el ODM 4; 7 estaban en camino desde 2005.
- La mortalidad materna se mantuvo alta en la mayoría de los países; las tendencias para el ODM 5 no estaban disponibles.
- La cobertura varió ampliamente; las intervenciones de rutina (inmunización, atención prenatal) tuvieron una cobertura más alta que la atención de emergencia o posparto.
Conclusiones:
- Se puede lograr un progreso significativo en la supervivencia materna e infantil con intervenciones enfocadas.
- El aumento de la inversión y la cobertura son cruciales para la inmunización.
- Se necesitan mejoras urgentes en los servicios de anticoncepción, atención al parto, atención postnatal y manejo de enfermedades de recién nacidos / niños.
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