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証拠から行動に移り,次世代に健康的なスタートを切ります
Elizabeth Mason1, Lori McDougall2, Joy E Lawn3
1World Health Organization, Geneva, Switzerland.
Lancet (London, England)
|May 24, 2014
まとめ
新生児死亡率と死産率を減らすには,集中的な政治的注意と投資が必要です. "すべての新生児のための行動計画"は,すべての赤ちゃんの生存と繁栄を目指して,母親と新生児のケアを改善するためのロードマップを提供します.
科学分野:
- 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
- 新生児死亡率 新生児死亡率
背景:
- 妊産婦と幼児の死亡率を減らすのに著しい進展がみられたが,新生児の死亡と死産は依然として重大な課題である.
- 新生児の死亡率と死産は,過去の世界的保健イニシアチブでは過小評価されていた.
- 既存の母子保健の取り組みは,新生児と死産率の低下が遅いことを示している.
研究 の 目的:
- 2035年までに新生児と死産の死亡率目標を概説する.
- 新生児と死産の目標を2015年後の世界保健枠組みで認めることを提唱する.
- 出生時の死亡を予防する投資に高いリターンをもたらす可能性を強調する.
主な方法:
- 進捗状況を分析し,母親と新生児の健康に関するギャップを特定する.
- "すべての新生児シリーズ"と"すべての新生児行動計画"のレビュー.
- 新生児の生存と福祉の進歩を加速するために必要な重要なシフトの優先順位付け.
主要な成果:
- 妊産婦と新生児の死亡を回避し,死産を予防することによって,投資収益を3倍に回す可能性.
- 5つの重要なシフトを特定しました:政治的注意の強化,親の声の促進,戦略的投資,熟練した医療従事者によるスケールアップの実施,そして説明責任のある堅実な評価.
- "すべての新生児のための行動計画"は,包括的ケアのための証拠に基づいたロードマップとして機能します.
結論:
- 産前・産後・産後ケアにおける公平性と質の向上,特に脆弱な集団に対する緊急の注意が必要である.
- 目標の達成には,政治的意志の強化,地域社会の関与,そして有意な投資が必要です.
- すべての新生児が数えられ,生存し,繁栄する権利を有することを保証するには,協調されたグローバルな努力が必要である.
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