结束由肺炎和腹引起的可预防死亡:一个可实现的目标
Mickey Chopra1, Elizabeth Mason, John Borrazzo
1UNICEF, New York, NY 10017, USA. mchopra@unicef.org
Lancet (London, England)
|April 16, 2013
概括
减少儿童死于肺炎和腹的死亡率至关重要. 扩大干预措施和实现高免疫率可以在2025年前显著降低死亡率.
科学领域:
- 全球儿童健康 儿童健康
- 可预防疾病的流行病学.
- 公共卫生干预措施 公共卫生干预措施
背景情况:
- 全球5岁以下的死亡率有所下降,但没有达到2015年的目标.
- 肺炎和腹每年导致大约200万儿童死亡.
- 为了实现儿童生存目标,需要加快减少.
研究的目的:
- 评估对肺炎和腹进行扩大干预的影响.
- 为了建模到2025年减少儿童死亡率的潜力.
- 确定结束可预防的儿童死亡的优先行动.
主要方法:
- 利用模型,根据干预扩展来预测死亡率的降低.
- 预计与将干预扩大到80%和免疫扩大到90%相关的成本.
- 分析了国家一级的业绩,以确定可实现的下降率.
主要成果:
- 将干预措施扩大到80%和免疫接种到90%,可以消除超过三分之二的肺炎和腹死亡.
- 到2025年实现这些目标的估计成本为6715亿美元.
- 到2025年,可以达到肺炎的3/1000和腹的<1/1000的特定原因死亡率.
结论:
- 到2025年终止由肺炎和腹引起的可预防死亡是可以实现的.
- 关键行动包括提高意识,加强领导力和协作,优化干预组合.
- 有经济有效的策略可以显著降低儿童死亡率.
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