グローバル・セーフ・マタニティ・イニシアチブからの実用的な教訓:実施に新たな焦点を当てるときが来た
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
まとめ
現在,世界の母体保健コミュニティは,地域レベルでサービスを効果的に実施することに焦点を当てなければなりません. 地域保健システムの強化は,公平で持続可能な母体保健医療の提供に不可欠です.
科学分野:
- グローバル・ヘルス グローバル・ヘルス
- 母親の健康について
- 保健システムの強化
背景:
- 安全な母性イニシアチブは,優先的な介入と政策統合に関するコンセンサスを確立しました.
- 世界的な母子保健コミュニティは,力を合わせました.
- 政策の転換は,国の所有権,資金調達の調和,結果に基づく資金調達の重要性を強調している.
研究 の 目的:
- 公平で持続可能な母体保健サービスを大規模に実施するための重要な教訓を特定する.
- 地域レベルでの実施課題に焦点を当てた共同作業を提案する.
- 効果的なサービス提供のための地区保健システムの能力を強化する.
主な方法:
- 4つの世界的な母体保健イニシアチブの相補的な経験を活かして.
- 医療システムの投入を機能するサービスに変換する際の課題を分析する.
- スケーラブルで公平な実装のために学んだ教訓に焦点を当てます.
主要な成果:
- 優先度の高い母子の健康への介入について,コンセンサスが存在しています.
- 国家政策は,これらの介入を組み込む.
- サービスの実施のための国の能力を強化する緊急の必要性.
結論:
- 妊産婦保健サービスの効果的な実施には,地区保健システムに重点を置く必要があります.
- 地域の能力を強化することは,資源をアクセシブルで利用可能なサービスに変換する鍵です.
- 公平で持続可能な母体保健医療を大規模に構築するには,協力的なアプローチが必要です.
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