新生儿存活率:呼吁采取行动
Jose Martines1, Vinod K Paul, Zulfiqar A Bhutta
1Department of Child and Adolescent Health and Development, WHO, Geneva, Switzerland. martinesj@who.int
Lancet (London, England)
|March 30, 2005
概括
预防新生儿死亡对于实现儿童生存目标至关重要. 低成本的干预措施和国家行动计划对于改善低收入国家新生儿生存率至关重要.
科学领域:
- 全球健康 全球健康
- 孕产妇和儿童的健康
- 新生儿生存率 新生儿生存率
背景情况:
- 新生儿死亡率仍然是实现儿童生存千年发展目标 (MDG-4) 的重要障碍.
- 现有的具有成本效益的干预措施未能充分融入当前的母婴生存计划中.
- 低收入国家的卫生系统在扩大基本新生儿护理方面面临限制.
研究的目的:
- 概述改善新生儿生存率的策略,强调立即采取行动的必要性.
- 突出在资源有限的环境中使用低成本干预措施取得成功的可行性.
- 倡导将新生儿护理纳入更广泛的儿童生存计划.
主要方法:
- 关于新生儿死亡率和成本效益干预措施的现有文献的审查.
- 分析在高死亡率国家扩大干预措施的潜在成本.
- 估计每个新生儿死亡的成本被避免.
主要成果:
- 有效的,低成本的新生儿生存干预措施存在,但需要程序化整合.
- 据估计,在75个高死亡率国家扩大干预措施每年需要41亿美元,除了目前的支出.
- 大约30%的估计成本是针对新生儿的具体干预措施,其余部分受益于母亲和老年儿童.
结论:
- 新生儿生存的国家行动计划是优先事项,需要制定,实施和监测.
- 国际捐助者和发展中国家领导人增加资金和问责是必不可少的.
- 孕产妇,新生儿和儿童健康服务需要相对于死亡率的负担更大的财务投资.
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