女性,新生児,子供のための健康介入の統合:行動の枠組み
Björn Ekman1, Indra Pathmanathan, Jerker Liljestrand
1Lund University, Lund Sweden.
Lancet (London, England)
|September 16, 2008
まとめ
母親,新生児,子供の健康 (MNCH) を改善するには,初等保健医療システム内の統合された,費用対効果の高い介入が必要です. 段階的な実施,コミュニティーベースの行動,地区レベルの計画が成功の鍵であり,特に不利な立場にある人々にとって重要です.
科学分野:
- 公衆衛生は公衆衛生である.
- 保健システムの強化
- 母親と子供の健康について
背景:
- 費用対効果の高い母親,新生児,子供の健康 (MNCH) 介入へのアクセスは,脆弱な集団にとって極めて重要です.
- 弱い保健システムは,包括的なMNCHパッケージの提供で課題に直面しています.
- 世界的な経験は,戦略的介入を通じてMNCHの成果を改善する可能性を強調しています.
研究 の 目的:
- プライマリヘルスケアシステム内で統合されたMNCHの介入を行うための戦略を概説する.
- 成功したMNCHパッケージ実装のための重要なコンポーネントを特定します.
- 増量的な能力構築と地区レベルでの計画の大切さを強調する.
主な方法:
- イラン,マレーシア,スリランカ,中国,タンザニア,インドなどの国の経験のレビュー.
- 費用対効果の高い医療介入の統合パッケージの分析.
- コミュニティベースの介入,社会保護,および部門間行動の検討.
主要な成果:
- 改善されたMNCHの成果は,保健システムの能力に合わせた,段階的に実装された統合されたパッケージを通じて達成可能である.
- 成功しているパッケージは,コミュニティベースの介入と社会保護,そして分野間の行動 (教育,インフラ,貧困削減) を組み合わせています.
- 地方レベルの計画と管理は,国家政策と国際的パートナーシップによって支えられ,不可欠です.
結論:
- 強化されたプライマリヘルスケアシステムにMNCHのケアパッケージを統合することで,介護の継続性が向上します.
- このアプローチは,妊娠から子供期まで,介護の連続体全体を通して,不可欠なサービスへのアクセスを改善します.
- 地域保健システムの強化は,効果的なMNCH介入の提供に不可欠です.
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