解释孟加拉国儿童生存率的公平收益:健康和发展中的规模,速度和选择性
Alayne M Adams1, Atonu Rabbani2, Shamim Ahmed3
1Centre for Equity and Health Systems, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Lancet (London, England)
|November 26, 2013
概括
孟加拉国通过解决性别和社会经济不平等问题,取得了显著的儿童健康成果. 这种由健康方法的社会决定因素驱动的进步,突显了系统的公平导向在发展中的影响.
科学领域:
- 全球健康 全球健康
- 发展研究 发展研究 研究
- 公共卫生政策 公共卫生政策
背景情况:
- 近几十年来,孟加拉国的儿童健康状况取得了显著进展.
- 分析显示,性别和社会经济不平等的显著减少有助于这些收益.
- 为了了解孟加拉国独特的健康轨迹,采用了健康的社会决定因素框架.
研究的目的:
- 为了分类孟加拉国的儿童健康改善.
- 确定解释该国健康收益的关键发展因素.
- 检查公平在健康和社会经济发展中的作用.
主要方法:
- 使用健康的社会决定因素的方法.
- 分析关于儿童健康结果的分类数据.
- 审查国家发展政策和实施战略.
主要成果:
- 儿童生存率的显著改善与减少性别和社会经济差异有关.
- 确定了关键驱动因素:系统的股权重点,以及规模,速度和选择性的实施属性.
- 尽管取得了进展,但女孩和较低财富五分位数的残余不平等仍然存在.
结论:
- 孟加拉国支持公平的发展战略对改善健康状况至关重要.
- 应对城市化,慢性疾病和气候变化等新出现的挑战至关重要.
- 维持和增强健康公平需要加强治理和系统思维,以实现包容性发展.
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