赤ちゃんの世話をするのは誰ですか?
Gary L Darmstadt1, Mary V Kinney2, Mickey Chopra3
1Global Development Division, Bill & Melinda Gates Foundation, Seattle, WA, USA.
Lancet (London, England)
|May 24, 2014
まとめ
政策の進展にもかかわらず,新生児生存率と死産率の減少は,投資と実施が不十分であるため遅滞しています. 国内資金の増やし,世界的な調整,よりよいデータが,母親,新生児,子供の健康におけるより速い進歩に不可欠です.
科学分野:
- グローバル・ヘルス グローバル・ヘルス
- 公共衛生政策 公共衛生政策
- 新生児医学 新生児医学
背景:
- 新生児生存シリーズから10年後,この論文は,新生児のケアを生殖,母,新生児,子供の健康と栄養 (RMNCH) に統合する進展を評価しています.
- 『Every Newborn Series』は,新生児の生存率と死産の減少における過去10年間の進歩を評価しています.
研究 の 目的:
- 新生児生存率と死産率の減少における進展を評価するため,過去10年間の政策変更と実施を評価する.
- RMNCHプログラム内の新生児の健康への介入の進展を加速させるための重要な要件を特定する.
主な方法:
- アジェンダ設定,政策策定,リーダーシップ,パートナーシップ,実施,評価を考察する体系的な政策ヒューリスティック分析.
- 新生児の健康に関する世界保健アジェンダと政策枠組みの変化の見直し.
主要な成果:
- 新生児の健康に関するアジェンダの設定と政策の策定において顕著な進展があり",母,新生児,および子供の健康"への移行が認められています.
- 失望的に低い投資と新生児の介入の大規模な実施で,死産はほとんど対処されていない.
- 新生児生存率と死産率の減少の進展は,妊産婦死亡率と幼児死亡率 (1-59ヶ月) に遅れをとっている.
結論:
- 新生児の生存率と死産の減少におけるより速い進歩には,効果的な介入と拡大戦略の明確なコミュニケーションが必要です.
- 加速のための不可欠な要素には,国家的なリーダーシップ,技術的能力,グローバル・パートナー・コーディネーション,国内投資の増加,モニタリングのためのデータ改善,説明責任が含まれます.
- 意思決定が,次の10年間で,RMNCHプログラム内の新生児保健介入の効果的な実施に転じることを確実にするため,緊急の行動が必要である.
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