母婴营养不良:国家一级采取有效行动
Jennifer Bryce1, Denise Coitinho, Ian Darnton-Hill
1Johns Hopkins Bloomberg School of Public Health, 615 North Wolfe Street, Baltimore, MD 21205, USA. jbryce@jhsph.edu
Lancet (London, England)
|January 22, 2008
概括
解决20个国家的营养不良问题是实现全球卫生目标的关键. 有效的干预措施必须扩大规模,重点关注关键怀孕到24个月的窗口,并得到强有力的政策和数据的支持.
科学领域:
- 公共卫生 营养 公共卫生 营养
- 国际发展国际发展
- 孕产妇和儿童的健康
背景情况:
- 80%的营养不良儿童居住在20个负担很高的国家.
- 现有的营养干预措施显示孤立的成功,但缺乏规模和政策支持.
- 千年发展目标 (MDGs) 1,4和5都受到营养不良的重大影响.
研究的目的:
- 评估在负担最高的国家解决营养不良的行动.
- 确定国家级营养计划的关键挑战和有效策略.
- 为改善母婴营养结果指导政策和实践.
主要方法:
- 对营养干预措施的系统审查.
- 分析来自高负担国家的最佳实践报告.
- 识别和报告实施营养行动的七个关键挑战.
主要成果:
- 确定了七个关键挑战:确定优先级,有效干预,扩大规模,接触目标人群,数据利用和能力建设.
- 经过验证的干预措施需要快速,规模化的实施,专注于怀孕到24个月的时间.
- 不有效或未经证实的独立计划 (例如,生长监测,学校养) 不应该消耗营养资源.
结论:
- 国家层面的承诺,基于证据的干预措施和规模化的实施对于减少营养不良至关重要.
- 为了实现可持续的改善,需要与健康干预相结合的综合经济和社会政策.
- 利用现有的国家专业知识和正式化知识共享对于未来的研究和问题解决至关重要.
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