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Maternal mortality in developing countries: challenges in scaling-up priority interventions.

机译:发展中国家的孕产妇死亡率:扩大优先干预措施的挑战。

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摘要

Although maternal mortality is a significant global health issue, achievements in mortality decline to date have been inadequate. A review of the interventions targeted at maternal mortality reduction demonstrates that most developing countries face tremendous challenges in the implementation of these interventions, including the availability of unreliable data and the shortage in human and financial resources, as well as limited political commitment. Examples from developing countries, such as Sri Lanka, Malaysia and Honduras, demonstrate that maternal mortality will decline when appropriate strategies are in place. Such achievable strategies need to include redoubled commitments on the part of local, national and global political bodies, concrete investments in high-yield and cost-effective interventions and the delegation of some clinical tasks from higher-level healthcare providers to mid- or lower-level healthcare providers, as well as improved health-management information systems.
机译:尽管产妇死亡率是一个重要的全球性健康问题,但迄今为止,死亡率下降方面的成就还不够。对针对降低孕产妇死亡率的干预措施的审查表明,大多数发展中国家在实施这些干预措施方面面临巨大挑战,包括可获得的数据不可靠,人力和财力短缺以及政治承诺有限。斯里兰卡,马来西亚和洪都拉斯等发展中国家的例子表明,制定适当的战略,产妇死亡率将下降。此类可实现的策略需要包括地方,国家和全球政治机构的加倍承诺,对高收益和具有成本效益的干预措施的具体投资,以及将某些临床任务从高级医疗保健提供者委托给中低等医疗机构。级别的医疗保健提供者,以及改进的健康管理信息系统。

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