关于母亲,新生儿和儿童生存率的倒计时到2015年:2008年关于追踪干预措施覆盖率的报告
1, , Jennifer Bryce
1(Johns Hopkins School of Public Health, USA. jbrycedanby@aol.com
Lancet (London, England)
|April 15, 2008
概括
孕产妇和儿童存活率的进展是可能的,但需要集中努力. 疫苗接种覆盖率迅速增加,但在优先国家,像熟练的分娩服务和产后护理等基本服务仍然很低.
科学领域:
- 全球健康 全球健康
- 公共卫生干预措施 公共卫生干预措施
- 孕产妇和儿童的健康
背景情况:
- "倒计时到2015年"计划追踪了对母亲,新生儿和儿童生存的优先干预措施.
- 专注于68个国家,负责全球97%的孕产妇和儿童死亡.
- 监测22项基于证据的干预措施,以减少死亡率.
研究的目的:
- 报告68个高负担国家在实现千年发展目标 (MDG) 4和5方面的进展情况.
- 分析关键的母亲,新生儿和儿童生存干预措施的覆盖范围.
- 追踪死亡率,营养状况,政策,资金和公平的趋势.
主要方法:
- 选择具有高母婴死亡率的国家.
- 对特定国家死亡率数据和干预覆盖范围的分析.
- 追踪死亡原因概况,营养指标,政策,财务流动和股权.
主要成果:
- 在68个优先国家中,只有16个国家在实现MDG4的轨道上;7个国家自2005年以来一直在轨道上.
- 在大多数国家,孕产妇死亡率仍然很高;千年发展目标5的趋势无法获得.
- 覆盖范围差异很大;常规干预 (免疫接种,产前护理) 的覆盖率高于紧急或产后护理.
结论:
- 通过有针对性的干预措施,在母亲和儿童存活率方面可以取得显著进展.
- 增加投资和覆盖率对于免疫化至关重要.
- 在避孕服务,分娩护理,产后护理和新生儿/儿童疾病管理方面迫切需要改进.
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