Maternal, newborn, and child health and the Sustainable Development Goals--a call for sustained and improved measurement.
Maternal, newborn, and child health and the Sustainable Development Goals--a call for sustained and improved measurement.
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DOI：
10.1016/s0140-6736(15)00517-6
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发表时间：
2015-10-17
期刊：
影响因子：
--
通讯作者：
Kirkland Group
中科院分区：
文献类型：
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作者：
Grove J;Claeson M;Bryce J;Amouzou A;Boerma T;Waiswa P;Victora C;Kirkland Group
免疫接种是上个世纪最伟大的全球卫生成就之一，挽救了数百万人的生命。确保为数百万儿童接种疫苗是一项复杂的工作，但有一项基本任务使之成为可能：在多层次和频繁间隔进行系统计数。从数千个农村卫生站的图表，到卫生部的数据库，再到世卫组织、联合国儿童基金会和全球疫苗免疫联盟的标准化调查和全球报告，一个强大的相互关联的数据收集和使用系统使卫生工作者、规划管理人员和全球行动者能够跟踪谁接种了疫苗，并根据需要进行修正，以改善绩效、政策和规划。通过与规划相结合的高度一致和协调的全球衡量战略，在防治疟疾方面也取得了类似的大规模和长期成果。2这些特点也是1980年代和1990年代初成功的全球腹泻病控制方案的一个突出特点。3艾滋病毒“三合一”（即一个行动框架、一个国家协调机构和一个国家一级监测和评价系统）促进了协调一致的衡量计划，这些计划是通过积极的全球能力建设努力实现的。4在孕产妇、新生儿和儿童健康领域，统计工作比全球卫生的其他一些领域更加困难，但从未像现在这样至关重要。可持续发展目标呼吁到2030年大幅降低孕产妇、新生儿和儿童死亡率，并普遍获得性健康和生殖健康服务。这些目标要求进一步扩大有效干预措施的覆盖面、质量和衡量。
Immunisation is one of the great global health successes of th e past century, with millions of lives saved. 1 Ensuring vaccination of millions of children is complex, but is made possible by one fundamental task: systematic counting at multiple levels and at frequent intervals. From charts in thousands of rural health posts, to databases in ministries of health, to standardised surveys and global reports from WHO, UNICEF, and GAVI, the Vaccine Alliance, a robust interconnected system of data collection and use enables health workers, programme managers, and global actors to track who is vaccinated and make course corrections as needed to improve performance, policies, and programmes.Similar large-scale and long-term gains have been made against malaria by way of highly aligned and coordinated global measurement strategies linked to programmes. 2 These characteristics were also a prominent feature of the successful global diarrhoeal disease control programme of the 1980s and early 1990s. 3 “The Three Ones”(ie, one action framework, one national coordinating authority, and one countrylevel monitoring and evaluation system) for HIV promoted harmonised measurement plans that were made possible by an aggressive global capacity-building effort. 4 In maternal, newborn, and child health, the counting is more difficult than in some other parts of global health, but has never been more crucial. The Sustainable Development Goals (SDGs) call for major reductions in maternal, neonatal, and child mortality and universal access to sexual and reproductive health services by 2030. 5 These aims require further expansion in coverage, quality, and measurement of effective interventions.