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Towards elimination of maternal deaths : maternal deaths surveillance and response

机译:消除孕产妇死亡:孕产妇死亡监测和应对

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摘要

Current methods for estimating maternal mortality lack precision, and are not suitable for monitoring progress in the short run. In addition, national maternal mortality ratios (MMRs) alone do not provide useful information on where the greatest burden of mortality is located, who is concerned, what are the causes, and more importantly what sub-national variations occur. This paper discusses a maternal death surveillance and response (MDSR) system. MDSR systems are not yet established in most countries and have potential added value for policy making and accountability and can build on existing efforts to conduct maternal death reviews, verbal autopsies and confidential enquiries. Accountability at national and sub-national levels cannot rely on global, regional and national retrospective estimates periodically generated from academia or United Nations organizations but on routine counting, investigation, sub national data analysis, long term investments in vital registration and national health information systems. Establishing effective maternal death surveillance and response will help achieve MDG 5, improve quality of maternity care and eliminate maternal mortality (MMR ≤ 30 per 100,000 by 2030).
机译:当前估计孕产妇死亡率的方法缺乏准确性,因此不适合短期内监测进展情况。此外,仅国家孕产妇死亡率(MMRs)不能提供有用的信息,说明最大的死亡负担位于何处,所关注的人,原因是什么,更重要的是,各个国家/地区之间会发生何种变化。本文讨论了孕产妇死亡监测和反应(MDSR)系统。大多数国家尚未建立MDSR系统,它对政策制定和问责制具有潜在的附加值,并且可以在进行孕产妇死亡审查,口头尸检和机密询问的现有努力的基础上发展。国家和国家以下一级的问责制不能依靠学术界或联合国组织定期产生的全球,区域和国家回顾性估计,而应该依靠常规计数,调查,次国家数据分析,对生命登记和国家卫生信息系统的长期投资。建立有效的孕产妇死亡监测和应对措施将有助于实现千年发展目标5,提高孕产妇保健质量并消除孕产妇死亡率(到2030年MMR≤30/ 10万)。

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