整合妇女,新生儿和儿童的健康干预措施:行动框架
Björn Ekman1, Indra Pathmanathan, Jerker Liljestrand
1Lund University, Lund Sweden.
Lancet (London, England)
|September 16, 2008
概括
改善孕产妇,新生儿和儿童健康 (MNCH) 需要在初级卫生保健系统内进行综合性,具有成本效益的干预措施. 逐步实施,基于社区的行动和地区层面的规划是成功的关键,特别是对弱势群体来说.
科学领域:
- 公共卫生 公共卫生
- 加强卫生系统 加强卫生系统
- 孕产妇和儿童的健康
背景情况:
- 对于弱势群体来说,获得具有成本效益的母亲,新生儿和儿童健康 (MNCH) 干预措施至关重要.
- 弱势卫生系统在提供全面的MNCH套餐方面面临挑战.
- 全球经验凸显了通过战略干预来改善多国人群健康结果的潜力.
研究的目的:
- 概述在初级医疗保健系统内提供综合性MNCH干预的策略.
- 确定成功实施MNCH包的关键组件.
- 强调增量能力建设和地区层面规划的重要性.
主要方法:
- 审查来自伊朗,马来西亚,斯里兰卡,中国,坦桑尼亚和印度等国家的经验.
- 分析成本有效的卫生干预措施的综合套餐.
- 检查基于社区的干预措施,社会保护和跨部门行动.
主要成果:
- 通过逐步实施,根据卫生系统能力量身定制的综合套餐,可以实现改善多重医疗保健结果.
- 成功的方案将社区干预与社会保护和跨部门行动 (教育,基础设施,减少贫困) 结合起来.
- 在国家政策和国际伙伴关系的支持下,地区层面的规划和管理至关重要.
结论:
- 将MNCH护理套餐整合到加强的初级医疗保健系统中,可以提高护理的连续性.
- 这种方法改善了从怀孕到童年,在整个护理连续过程中获得基本服务的机会.
- 加强地区卫生系统是有效提供MNCH干预的基础.
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