子どもの生存に関する未完成の課題
Jennifer Bryce1, Cesar G Victora, Robert E Black
1Institute for International Programs, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA. jbrycedanby@aol.com
Lancet (London, England)
|September 24, 2013
まとめ
子どもの生存に関する知識が増加し,より良い介入が過去10年にわたって行われてきました. しかし,平等なアクセスは依然として課題であり,継続的なグローバルなコミットメントと,効果的な児童保健プログラムのためのリーダーシップの強化を必要とする.
科学分野:
- グローバル・ヘルス グローバル・ヘルス
- 小児科は小児科です.
- 公共衛生は公衆衛生である.
背景:
- The Lancetが子供の生存に関する影響力のあるシリーズを発表したから10年が経ちました.
- 子どもの健康に関する疫学を理解し,介入策を策定するうえで,著しい進展がみられた.
研究 の 目的:
- 過去10年間にわたる子供の生存率の進展をレビューする.
- 疫学,介入,プログラム戦略,公平性,証拠,説明責任,グローバルリーダーシップを含む主要な分野を分析する.
主な方法:
- この研究は,子供の生存率に関する文献とデータの包括的なレビューです.
- 疫学的動向,介入の有効性,プログラムの実施に関する情報を統合しています.
主要な成果:
- 子どもの健康に関する疫学に関する知識は,著しく拡大しています.
- より多くの改善された介入が存在する一方で,母親と子供の間でそのカバーは不十分です.
- 子どもの生存率の進展は様々で,多くの国では継続的な支援が必要である.
結論:
- 子どもの生存は,世界保健目標の中心に留まらなければならない.
- 強化されたリーダーシップ,説明責任,そして公平な介入の範囲は極めて重要です.
- 持続的なグローバルなコミットメントと,証拠に基づいたプログラミングは,継続的な進歩のために不可欠です.
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