减少孕产妇死亡率的策略:继续做有效的事情
Oona M R Campbell1, Wendy J Graham,
1Department of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK. Oona.Campbell@lshtm.ac.uk
Lancet (London, England)
|October 10, 2006
概括
降低孕产妇死亡率需要优先考虑有效的产后护理,理想情况下是在具有转诊准入的初级卫生中心. 尽管情况复杂,但战略选择可以显著降低孕产妇死亡率,敦促对千年发展目标采取迅速行动.
科学领域:
- 全球健康 全球健康
- 孕产妇健康 孕产妇健康
- 公共卫生政策 公共卫生政策
背景情况:
- 减少孕产妇死亡率是复杂的,因为不同的国家背景和健康决定因素.
- 近二十年的安全孕育计划已经出现了无法解释的决策延迟.
研究的目的:
- 为了证明尽管复杂,但减少孕产妇死亡率所需的战略选择很少.
- 优先考虑有效的产后护理策略和互补的方法.
主要方法:
- 审查证据,为减少孕产妇死亡率做出战略选择提供信息.
- 优先考虑一种特定的产后护理策略,该策略基于初级水平的交付与转诊访问.
主要成果:
- 有效的产后护理策略是减少孕产妇死亡率的绝对优先事项.
- 在获得转诊设施的初级机构 (卫生中心) 进行分娩是优先考虑的.
结论:
- 战略选择,特别是产妇护理,对于实现第五个千年发展目标至关重要.
- 需要紧急实施经过验证的战略,质疑决策者致力于减少孕产妇死亡率的承诺.
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