Newborn healthcare in India: The road ahead
Newborn healthcare in India: The road ahead
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印度新生儿保健：未来之路
DOI：
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发表时间：
2009
期刊：
影响因子：
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通讯作者：
V. Paul
中科院分区：
文献类型：
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作者：
V. Paul
该国的新生儿死亡率仍然高得令人无法接受，而且各州之间的差异很大。六个人口大国占新生儿死亡负担的60%。大多数基于证据的干预措施都反映在方案中，但覆盖率很低，原因是错失机会和卫生系统薄弱导致执行不力。需要在家庭和社区一级以及农村和城市环境中的外联和设施一级采取行动。ASHA必须参与新生儿的家庭护理。私营部门需要参与为贫困家庭的新生儿提供护理。需求方融资和激励措施可以改变游戏规则，提高寻求护理和服务的吸收。有效的方案拟订将需要更多的预算、分散的规划、管理支助、适当的监测和大规模的人力资源能力发展。社区动员是必不可少的，行政委员会机构可以在这方面发挥重要作用。Advoa.cy不应削弱努力，因为要使新生儿存活率达到可接受的水平，还有很长的路要走。
Neonatal mortality in the country continues to be unacceptably high and unrelenting with wide variations across states. Six high population states account for 60% burden of neonatal deaths. Most of the evidence-based interventions are reflected in the programs, but the coverage levels are low due to poor implementation resulting from missed opportunities and weak health systems. Action is required at the home and community level, as well as at the outreach and facility levels in rural and urban settings. ASHAs must be engaged in home care of neonates. Private sector needs to be involved for providing care to neonates of poor families. Demand side financing and incentives could be game-changers in enhancing care seeking and service uptake. Effective programming would require still higher budgets, decentralized planning, managerial support, proper monitoring and a massive human resources capacity development. Community mobilization is essential for which panchayati raj institutions can play an important role. Advoa.cy efforts should not be diluted because there still is a long way to attain an acceptable level of newborn survival.