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从证据到行动,为下一代提供健康的开始
Elizabeth Mason1, Lori McDougall2, Joy E Lawn3
1World Health Organization, Geneva, Switzerland.
Lancet (London, England)
|May 24, 2014
概括
减少新生儿死亡和死胎需要集中政治关注和投资. "每一个新生儿行动计划"为改善母亲和新生儿护理提供了一份路线图,旨在确保所有婴儿的生存和繁荣.
科学领域:
- 全球卫生健康 全球卫生健康
- 孕产妇和儿童的健康
- 新生儿死亡率 新生儿死亡率
背景情况:
- 在降低母婴死亡率方面取得了显著进展,但新生儿死亡和死胎仍然是一个关键的挑战.
- 在过去的全球卫生倡议中,新生儿死亡率和死胎的代表性不足.
- 现有的母婴健康工作表明,新生儿和死产率的减少速度较慢.
研究的目的:
- 概述到2035年为新生儿和死胎的死亡率目标.
- 倡导在2015年后的全球卫生框架中承认新生儿和死产目标.
- 突出投资高回报的潜力,防止出生时发生的死亡.
主要方法:
- 分析进展情况,识别产妇和新生儿健康方面的差距.
- 审查每一个新生儿系列和每一个新生儿行动计划.
- 优先考虑必要的关键转变,以加快新生儿生存和福祉的进展.
主要成果:
- 通过避免产妇和新生儿死亡以及预防死产,投资回报的三倍潜力.
- 确定了五个关键转变:加强政治关注,促进家长的声音,战略投资,与熟练的卫生工作者进行规模化实施,以及强有力的评估与问责制.
- "每一个新生儿行动计划"是全面护理的基于证据的路线图.
结论:
- 迫切需要注意提高产前,产后和产后护理的公平性和质量,特别是对弱势群体.
- 实现这些目标需要加强政治意愿,社区参与和有针对性的投资.
- 确保每个新生儿都有被计算,生存和壮成长的权利,需要全球协调努力.
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