从秘鲁的教训来减少5岁以下的死亡率:了解计划实施和背景
Patricia J García1, Anna Larson Williams2, Marco H Carcamo2
1School of Public Health, Cayetano Heredia University (UPCH), Lima, Peru. patricia.garcia@upch.pe.
BMC pediatrics
|February 27, 2024
概括
秘鲁通过增加获得基本的母婴健康服务,显著降低了5岁以下的死亡率 (U5M). 关键策略包括数据驱动的决策,文化适应以及对公平的关注,为其他国家提供一个模式.
科学领域:
- 全球健康 全球健康
- 实施科学 实施科学
- 公共卫生政策 公共卫生政策
背景情况:
- 卫生政策制定者需要成功实施干预措施的数据,以减少5岁以下的死亡率 (U5M).
- 在U5M研究中的示例确定了具有显著U5M减少的国家.
- 这项在秘鲁的案例研究使用了实施研究来分析成功的基于证据的干预措施 (EBI) 背后的因素.
研究的目的:
- 探索有助于成功实施秘鲁关键EBI的上下文因素和战略.
- 了解2000-2015年间降低5岁以下死亡率 (U5M) 的驱动因素.
主要方法:
- 使用混合实施研究框架和混合方法方法.
- 在秘鲁对EBI和U5M文献进行了桌面审查.
- 与关键信息提供者进行了关于实施策略和上下文因素的深入采访.
- 评估了三个关键的EBI:产前护理访问 (ANC),基于设施的分娩和婴儿疫苗接种.
主要成果:
- 在2000年至2015年期间,ANC访问从69%增加到96.9%,设施分娩从56%增加到91%,婴儿疫苗接种达到90%.
- 关键信息提供者将经济增长,金融改革和国家致力于减贫和母婴健康作为关键的背景因素.
- 成功的实施策略包括数据利用,文化敏感的适应,以及多部门参与的公平和反贫困倡议.
结论:
- 几个EBI为秘鲁在2000-2015年间成功减少U5M贡献了贡献.
- 持续关注股权增加了基本EBI的覆盖范围,导致U5M减少.
- 了解秘鲁的实施策略可以帮助在类似的国家复制这一公共卫生成功.
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