産婦人科の規模拡大の予測効果
Caroline S E Homer1, Ingrid K Friberg2, Marcos Augusto Bastos Dias3
1Faculty of Health, University of Technology Sydney, NSW, Australia.
Lancet (London, England)
|June 27, 2014
まとめ
産婦人科のケアを拡大することで,世界的に母と新生児の死亡率を大幅に減らすことができます. 家族計画を含む普遍的な助産師介入は,2025年までに全死亡の83%までを防ぐことができる.
科学分野:
- 公衆衛生は公衆衛生である.
- 生殖器保健は,生殖器の健康についてです.
- グローバル・ヘルス グローバル・ヘルス
背景:
- 妊産婦と新生児の死亡率は,依然として世界的な健康上の大きな課題です.
- 助産士の介護は,母と子供の幸福のために必要な幅広いサービスを提供しています.
研究 の 目的:
- 78カ国で産婦人介入の拡大によって回避された死亡数を推定する.
- 母親,胎児,新生児の死亡率に対する様々なレベルの助産士ケアスケールアップの影響を評価する.
主な方法:
- 推計をするために,Lives Saved Tool (LiST) を利用しました.
- 産婦人介入のスケールアップシナリオをモデル化して,控えめな (10%),実質的な (25%) および普遍的な (95%) をモデル化しました.
- 人口開発指数 (HDI) に基づいて,国々を三国に分類した.
主要な成果:
- すべてのスケールアップシナリオは,2025年までに母性,死産,新生児死亡の減少を示した.
- 家族計画を除く普遍的な助産士介護は,HDIが低い国々で61%の死亡を防ぐことができます.
- 家族計画だけでは57%の死亡を防ぐことができ,他の介入と組み合わせれば83%の死亡を防ぐことができます.
結論:
- 助産師の介入を拡大することは,予防可能な母と新生児の死亡を減らすための非常に効果的な戦略です.
- 家族計画と包括的な母子・新生児のケアを統合することで,死亡率の減少が最大化されます.
- 助産医療の有効性は,機能的な健康システムの中で,堅牢な紹介メカニズムで強化されています.
さらに関連する動画
関連する概念動画
01:28International Nursing Organizations II
1.4K
The World Health Organization (WHO) is a specialized agency of the United Nations based in Geneva. The WHO has many initiatives that center around health. Primarily, they lead global efforts to expand universal health coverage using science-based policies and programs. They are also responsible for shaping health research agendas and developing norms and standards.
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
1.4K
01:14Scale-Up Processes
101
The scale-up of microbial fermentation processes is essential in industrial biotechnology, allowing the transition from laboratory-scale experiments to commercial-scale production while aiming to maintain product yield and quality. This process requires meticulous adjustment of equipment design, process parameters, and contamination control strategies to accommodate increasing culture volumes.At the laboratory scale, cultures are typically maintained in 1 to 10-liter glass or autoclavable...
101
01:30Current Trends in Nursing II
2.0K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
2.0K
01:28Current Trends in Nursing I
2.4K
Current trends in nursing include:
2.4K
01:26Methods Of Healthcare Delivery System
3.9K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.9K
01:30Primary Healthcare Services
2.9K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
2.9K