产妇护理的规模,范围,覆盖范围和能力
Oona M R Campbell1, Clara Calvert1, Adrienne Testa1
1London School of Hygiene & Tropical Medicine, London, UK.
Lancet (London, England)
|September 20, 2016
概括
确保获得优质的孕产妇保健服务至关重要,尤其是在低收入和中等收入国家. 这项研究评估了孕产妇保健系统,
科学领域:
- 公共卫生
- 全球健康
- 母亲健康
背景情况:
- 获得高质量的产妇服务是一个全球性问题.
- 尤其是在低收入和中等收入国家,孕产妇医疗服务的可用性和使用率存在显著差异.
- 了解产妇健康服务的现状对于有效的政策和规划至关重要.
研究的目的:
- 为决策者和规划者提供数据,以评估低收入和中等收入国家的产妇健康服务功能.
- 描述产后护理系统的配置,重点是分娩地点和提供者.
- 强调需要评估设施能力,提供者技能和支持基础设施,如产妇等待中心和交通工具.
主要方法:
- 对产妇健康服务配置的数据分析.
- 交付地点和交付对象的描述
- 强调在不同地理背景下评估常规护理,而不仅仅是紧急护理.
主要成果:
- 关于产妇等待中心和运输系统的信息很少.
- 提供者的设施和技能是关键因素,但往往没有得到评估.
- 地理背景对孕产妇护理策略的重要性和实施有很大影响.
结论:
- 没有一个单一的孕产妇护理模式适用于所有环境; 需要进行调整.
- 尽量减少过度干预,同时应对不断变化的疾病负担至关重要.
- 系统地测量和解决覆盖和配置挑战是为所有妇女和新生儿实施高质量,尊重孕产妇保健的关键.
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