在印度劳动,分娩和即时新生儿护理期间的护理:一篇评论
Jogender Kumar1, Shiv Sajan Saini1, Praveen Kumar2
1Division of Neonatology, Department of Pediatrics, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Indian journal of pediatrics
|June 28, 2023
概括
印度 印度 印度
科学领域:
- 公共卫生 公共卫生
- 新生儿健康 新生儿健康
- 孕产妇健康 孕产妇健康
背景情况:
- 印度的目标是通过印度新生儿行动计划 (INAP) 到2030年实现单位新生儿死亡率 (NMR) 和死胎率 (SBR).
- 目前的进展不足以实现INAP的目标,需要紧急的战略调整.
- 印度各州的NMR存在显著差异,突显了对本地干预的需要.
研究的目的:
- 审查印度新生儿死亡率和死产率的现状.
- 概述在劳动,分娩和新生儿期间提出的服务扩展方案.
- 确定阻碍实现INAP目标的挑战和瓶.
主要方法:
- 审查与印度INAP和新生儿健康相关的现有文献和计划数据.
- 对新生儿基本护理 (ENC) 干预措施的覆盖率数据的分析.
- 识别产前和新生儿护理服务的质量问题和实施差距.
主要成果:
- 在四个基本新生儿行动计划 (ENAP) 的三个目标中,覆盖率超过80%,但产前护理 (ANC) 覆盖率仍然不够理想.
- 对ANC访问和其他项目干预的质量和完整性存在担忧.
- 覆盖率和NMR在州和地区层面的显著差异表明需要特定背景的微计划.
结论:
- 通过支持性监督和吸引医学院加强质量保证至关重要.
- 有效的私营部门参与对于扩大干预措施至关重要.
- 利用加强初级医疗保健的举措,为预防死产和新生儿死亡提供了一个平台.
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