1990年至2005年全球孕产妇死亡率估计:对现有数据的评估
Kenneth Hill1, Kevin Thomas, Carla AbouZahr
1Harvard Center for Population and Development Studies, Cambridge, MA 02138, USA. kenneth_hill@harvard.edu
Lancet (London, England)
|October 16, 2007
概括
在全球范围内,产妇死亡率仍然很高,特别是在撒哈拉以南非洲,尽管自1990年以来取得了一些进展. 实现千年发展目标第5个目标需要迫切关注改善世界各地的孕产妇和分娩护理.
科学领域:
- 全球健康 全球健康
- 人口统计学 人口统计学
- 生殖健康 生殖健康
背景情况:
- 孕产妇死亡率是一个关键的全球发展问题,也是千年发展目标5的目标之一.
- 由于数据限制,监测进展受到阻碍.
- 2006年成立了一个工作组,旨在改善孕产妇死亡率的估计和分析.
研究的目的:
- 开发对孕产妇死亡率进行改进的估计方法.
- 提供2005年孕产妇死亡率的最新估计.
- 分析1990年至2005年的孕产妇死亡率趋势.
主要方法:
- 使用了一系列依赖数据的方法进行估计.
- 产生了可比的国家,区域和全球2005年孕产妇死亡率比率.
- 评估了1990年至2005年间孕产妇死亡率的趋势.
主要成果:
- 在2005年估计有535900名母亲死亡 (MMR 402/100,000活产).
- 产妇死亡率集中在撒哈拉以南非洲 (50%) 和亚洲 (45%).
- 在全球范围内 (1990-2005) 观察到MMR每年下降2.5%,但撒哈拉以南非洲没有显著减少.
结论:
- 减少产妇死亡率的进展因地区而异,撒哈拉以南非洲地区的进展很少有所改善.
- 需要持续努力改善怀孕和分娩护理,以实现千年发展目标5的目标.
- 对于发展中国家来说,紧急强调孕产妇医疗保健至关重要.
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