通过环境和营养干预措施改善儿童生存率:针对贫困人口的干预措施的重要性
Emmanuela Gakidou1, Shefali Oza, Cecilia Vidal Fuertes
1Initiative for Global Health, Harvard University, Cambridge, Massachusetts, USA.
JAMA
|October 24, 2007
概括
实施环境和营养干预措施可以显著降低儿童死亡率,特别是当优先考虑贫困人口时. 这些努力为实现全球儿童死亡率减少目标做出了重大贡献.
科学领域:
- 全球健康 全球健康
- 环境健康 环境健康
- 公共卫生 公共卫生
背景情况:
- 联合国千年发展目标 (MDGs) 解决了贫困,健康和可持续性问题.
- 千年发展目标干预措施之间的相互作用尚未得到充分研究.
- 了解这些相互作用对于资源分配至关重要.
研究的目的:
- 估计环境和营养千年发展目标干预措施的儿童死亡率减少.
- 评估干预效应如何根据受益人的经济地位而有所不同.
主要方法:
- 人口层面的比较风险评估建模.
- 根据经济地位进行分层分析,使用人口和健康调查.
- 利用世卫组织儿童死亡率数据和流行病学元分析.
主要成果:
- 全面干预每年可以挽救0.49万 (拉丁美洲/加勒比海),0.80万 (南亚) 和147万 (撒哈拉以南非洲) 的5岁以下儿童.
- 优先考虑贫困群体的50%覆盖率比优先考虑富裕群体的死亡率降低更大.
- 福利占儿童死亡率千年发展目标区域差距的30%-48%.
结论:
- 营养和环境的千年发展目标干预措施显著提升了儿童死亡率减少的目标.
- 优先考虑对贫困人口的干预措施,最大限度地减少儿童死亡率.
- 综合干预策略是实现全球卫生目标的关键.
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