预计扩大助产产生的预计影响
Caroline S E Homer1, Ingrid K Friberg2, Marcos Augusto Bastos Dias3
1Faculty of Health, University of Technology Sydney, NSW, Australia.
Lancet (London, England)
|June 27, 2014
概括
扩大助产护理规模可以显著减少全球的孕产妇和新生儿死亡率. 包括计划生育在内的全方位助产干预措施可以在2025年之前预防高达83%的死亡.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 全球健康 全球健康
背景情况:
- 孕产妇和新生儿死亡率仍然是全球重大卫生挑战.
- 助产护理包括广泛的基本服务,以促进母亲和儿童的福祉.
研究的目的:
- 通过扩大78个国家的助产干预措施来估计避免的死亡人数.
- 评估不同程度的助产护理扩大对孕产妇,胎儿和新生儿死亡率的影响.
主要方法:
- 使用拯救生命工具 (LiST) 进行估计.
- 模拟了适度 (10%),实质性 (25%) 和普遍 (95%) 的助产干预的扩展场景.
- 根据人类发展指数 (HDI) 将国家分为三级国家.
主要成果:
- 所有扩大规模的情景都表明,到2025年,孕产妇,死胎和新生儿死亡率将减少.
- 普遍的助产护理,不包括计划生育,可以预防低HDI国家的61%的死亡.
- 仅计划生育可以预防57%的死亡;结合其他干预措施,它可以避免83%的死亡.
结论:
- 扩大助产干预是减少可预防的孕产妇和新生儿死亡的高效策略.
- 整合计划生育与全面的孕产妇和新生儿护理,最大限度地减少死亡率.
- 助产护理的有效性在功能健康系统中得到了放大,具有强大的转诊机制.
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