从全球安全生育倡议中吸取实用的教训:现在是时候重新关注实施
Lynn P Freedman1, Wendy J Graham, Ellen Brazier
1Averting Maternal Death and Disability Program, Mailman School of Public Health, Columbia University, New York 10032, USA. lpf1@columbia.edu
Lancet (London, England)
|October 16, 2007
概括
全球孕产妇健康社区现在必须专注于在地区一级有效地实施服务. 加强地区卫生系统对于公平和可持续的孕产妇保健服务至关重要.
科学领域:
- 全球健康 全球健康
- 孕产妇健康 孕产妇健康
- 加强卫生系统 加强卫生系统
背景情况:
- 安全母婴倡议已经在优先干预和政策整合方面达成共识.
- 全球母亲和儿童健康社区已经协调了努力.
- 政策转变强调国家所有权,资金协调和基于结果的融资.
研究的目的:
- 确定在规模上实施公平和可持续的孕产妇健康服务的关键教训.
- 提出一个合作的努力,专注于地区层面的实施挑战.
- 加强地区卫生系统的能力,以提供有效的服务.
主要方法:
- 借鉴来自四个全球孕产妇健康倡议的互补经验.
- 分析将卫生系统投入转化为运转服务的挑战.
- 专注于学习经验,以实现可扩展和公平的实施.
主要成果:
- 关于优先的孕产妇健康干预措施存在共识.
- 国家政策将这些干预措施纳入.
- 迫切需要加强国家服务实施能力.
结论:
- 有效实施孕产妇健康服务需要专注于地区卫生系统.
- 加强地区能力是将资源转化为可访问和使用的服务的关键.
- 需要一种协作方法,以在规模上建立公平和可持续的孕产妇医疗保健.
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