通过专业的熟练护理,扩大规模.
Marge Koblinsky1, Zoë Matthews, Julia Hussein
1ICDDR,B, Centre for Health and Population Research, Dhaka, Bangladesh. margek@icddrb.org
Lancet (London, England)
|October 19, 2006
概括
改善孕产妇保健需要解决提供者短缺和系统缺陷的问题. 利用助产士和助理团队可以显著增加获得熟练分娩服务的机会,降低全球高产妇死亡率.
科学领域:
- 公共卫生 公共卫生
- 全球健康 全球健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 大多数女性更喜欢专业的孕产妇护理,如果可以获得.
- 全球孕产妇保健服务面临停滞,尤其是在孕产妇死亡率高的地方.
- 对于孕产妇健康的关键干预措施已经很成熟.
研究的目的:
- 确定推进全球孕产妇卫生保健提供和利用的战略.
- 解决阻碍专业产妇服务扩张的障碍.
- 提出解决方案,以克服产妇医疗保健的停滞.
主要方法:
- 对扩大孕产妇保健服务障碍的分析.
- 讨论增加熟练提供者供应 (培训,部署,保留) 的战略决策.
- 基于模拟的提供者团队模型对产妇护理覆盖范围的评估.
主要成果:
- 主要障碍包括供应商稀缺,基础设施不足,护理质量差以及由于成本和服务不匹配而导致的用户不情愿.
- 专注于培训,部署和留住卫生工作者的战略重点至关重要.
- 模拟表明,基于设施的助产士和助理团队可以在2015年之前将产妇护理覆盖率提高40%.
结论:
- 熟练提供者团队为扩大产妇护理提供了一个有效的模型.
- 这种方法使得在家庭环境中与单独提供商相比,扩张速度要快得多.
- 解决系统性问题和优化提供者部署是减少孕产妇死亡率的关键.
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