减少儿童死亡率:公共卫生可以提供吗?
Jennifer Bryce1, Shams el Arifeen, George Pariyo
1Department of Child and Adolescent Health and Development, WHO, 1211, Geneva, Switzerland. brycej@who.int <brycej@who.int>
Lancet (London, England)
|July 18, 2003
概括
改善儿童生存率需要更好地提供经过验证的干预措施. 战略必须适应卫生系统的发展,重点是数据,监测和公平覆盖,以实现全球儿童生存目标.
科学领域:
- 全球健康 全球健康
- 儿科 儿科 儿科
- 卫生系统研究 卫生系统研究
背景情况:
- 儿童生存仍然是一个关键的全球卫生挑战,其中很大一部分死亡是可以预防的.
- 在许多低收入和中等收入国家,基本的儿童健康干预措施的覆盖范围不足.
- 在一些最贫穷的国家,免疫接种和辅助分娩覆盖率的进展正在停滞或下降.
研究的目的:
- 强调儿童健康干预措施及其交付系统之间的区别.
- 倡导根据卫生系统发展阶段量身定制交付策略.
- 审查儿童健康倡议,并讨论关键的传递系统组件.
主要方法:
- 审查最近的儿童健康倡议和分娩系统战略.
- 分析医疗服务提供的基本方面,包括数据需求和监测.
- 讨论如何实现高和公平的干预覆盖率.
主要成果:
- 有效的儿童生存干预措施由于不充分的交付系统而未得到充分利用.
- 在有效的健康规划和资源分配方面,地方级数据至关重要.
- 基于社区的倡议可以补充弱势的卫生服务,但加强国家系统至关重要.
结论:
- 实现儿童生存千年发展目标需要在干预交付策略中进行重大改进.
- 定制的交付方法,在可靠的数据和监测的支持下,对于扩大干预措施至关重要.
- 加强国家卫生系统是实现儿童生存率可持续改善的长期战略.
相关概念视频
Methods Of Healthcare Delivery System
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 limited...
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 limited...
Primary Healthcare Services
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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...
Preventive Healthcare Services
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
Healthcare Associated Infections II: Preventive Measures
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Standard Precaution
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Pneumonia V: Nursing management and Prevention
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed.


