貧しい国における母親の健康:より広い文脈と行動への呼びかけ
Véronique Filippi1, Carine Ronsmans, Oona M R Campbell
1Maternal and Neonatal Health Group, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK. veronique.filippi@lshtm.ac.uk
Lancet (London, England)
|October 31, 2006
まとめ
母親の健康を改善するには,社会経済的脆弱性に対処し,死亡率を超えた戦略を拡大する必要があります. これには,貧困削減,女性のエンパワーメント,母,胎児,子どもの総合的なケアが含まれます.
科学分野:
- 公衆衛生は公衆衛生である.
- グローバル・ヘルス グローバル・ヘルス
- 母親と子供の健康について
背景:
- 母親の健康は,社会経済的要因と女性のエンパワーメントと密接に関連しています.
- 現在のアプローチは,しばしば死亡率に狭く焦点を当て,ほぼ事故と長期的な健康上の影響を無視しています.
- 母親,胎児,子供の健康は相互に関連しており,全体的な見方を必要としています.
研究 の 目的:
- 母の健康に対する包括的,文脈化されたアプローチを提唱する.
- 社会経済的決定要因とより広範な戦略の重要性を強調する.
- 母の健康を新生児,生殖,HIV,マラリアの取り組みと統合する.
主な方法:
- より広範な社会経済および政治的文脈における母子の健康に関する広範な視点の分析.
- 死亡率を超えたアウトカムの見直し,ほぼミスと長期の続変を含む.
- 母胎児の介護の継続性の検討.
主要な成果:
- 経済的・社会的脆弱性は,妊婦に重大な影響を及ぼします.
- 貧困削減や女性のエンパワーメントなどのより広範な戦略は不可欠です.
- 臨時出産と長期的な健康問題への対処は,包括的な母体ケアに不可欠です.
結論:
- 政治的意志,金融投資,人材,堅牢な情報システムを含む戦略的ビジョンが必要である.
- 母親の健康と新生児,HIV,マラリアの取り組みを結びつける統合的アプローチは不可欠です.
- 世界的に母子の健康状態を改善するために,緊急に行動が必要である.
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