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Updated: May 3, 2026

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Isolation of Leukocytes from the Human Maternal-fetal Interface
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生殖,孕产妇,新生儿和儿童健康:疾病控制优先事项第三版的关键信息
Robert E Black1, Carol Levin2, Neff Walker1
1Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Lancet (London, England)
|April 14, 2016
概括
扩大基本的生殖,孕产妇,新生儿和儿童健康干预措施可以在全球显著减少死亡和死产. 投资于包括计划生育在内的低成本措施,
科学领域:
- 公共卫生
- 全球健康
- 生殖健康
背景情况:
- 世界银行的疾病控制优先事项第三版包括生殖,孕产妇,新生儿和儿童健康 (RMNCH) 的一卷.
- 这本书指出了为减少孕产妇,新生儿,婴儿死亡和死产而采取的必要且具有成本效益的卫生干预措施.
- 一个连续的护理方法被认为是至关重要的, 整合预防和治疗干预措施.
研究的目的:
- 总结来自RMNCH卷的主要发现.
- 估计扩大关键RMNCH干预措施的影响和成本.
- 分析扩大避孕服务对减少怀孕和相关死亡率的影响.
主要方法:
- "疾病控制重点"第三版关于RMNCH的研究结果的综述.
- 通过将综合RMNCH干预措施扩大到90%的覆盖率来估计死亡率的降低.
- 通过满足90%未满足的避孕需求来避免死亡率的计算.
主要成果:
- 将RMNCH干预扩大到90%的覆盖率可以避免149,000例孕产妇死亡,849,000例死产,150万例新生儿死亡和150万例儿童死亡.
- 满足90%未满足的避孕需求可以避免6.7万名孕产妇死亡,44万名新生儿死亡,47.3万名婴儿死亡,56.4万名婴儿死亡.
- 主要有效的干预措施包括分娩管理,早产护理,传染病治疗和急性营养不良管理,可在社区/初级保健层面提供.
结论:
- 立即扩大关键的RMNCH干预需要在低收入和中等收入国家每年进行大量投资.
- 服务提供,任务转移和激励方面的创新对于解决可访问性和质量差距至关重要.
- 继续优先考虑和扩大RMNCH干预措施, 以及解决妇女地位等社会决定因素, 可以在一代内大大消除可避免的死亡.
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