死产:卫生系统如何为母亲和婴儿提供服务?
Robert Pattinson1, Kate Kerber, Eckhart Buchmann
1Medical Research Council Maternal and Infant Health Care Strategies Research Unit, Department of Obstetrics and Gynaecology, University of Pretoria, Pretoria, South Africa. robert.pattinson@up.ac.za
Lancet (London, England)
|April 19, 2011
概括
扩大产妇和新生儿护理,包括紧急产科护理和梅毒治疗,可以显著减少高死亡率国家的死产,产妇死亡和新生儿死亡.
科学领域:
- 全球健康 全球健康
- 产科和妇科 产科和妇科
- 公共卫生政策 公共卫生政策
背景情况:
- 死产,孕产妇死亡和新生儿死亡有共同的原因,需要综合预防策略.
- 卫生系统层面的干预措施对于降低产前和产妇死亡率至关重要.
研究的目的:
- 评估扩大预防死产的干预措施的影响和成本效益.
- 确定关键干预措施,以减少高负担环境中的产妇和新生儿死亡率.
主要方法:
- 对卫生系统级干预措施的分析,重点是紧急产科护理,梅毒检测和治疗以及先进的产前护理.
- 在68个优先国家建模99%的干预覆盖率的潜在影响.
主要成果:
- 在高死亡率的国家,紧急产科护理对减少死产,产妇和新生儿死亡的影响最大.
- 梅毒的检测和治疗是一种具有中等影响的成本效益的干预措施.
- 先进的产前护理干预措施可以降低死亡率,但成本更高.
结论:
- 综合,量身定制的服务交付套餐对于有效实施至关重要.
- 实现99%的关键干预覆盖率,每年可以节省超过110万例第三季度死产和160万例母婴死亡.
- 估计的额外成本约为109亿美元,即每人2.32美元,这代表了对全球母亲和儿童健康的成本有效投资.
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