Can the process indicators for emergency obstetric care assess the progress of maternal mortality reduction programs? An examination of UNFPA Projects 2000-2004
Can the process indicators for emergency obstetric care assess the progress of maternal mortality reduction programs? An examination of UNFPA Projects 2000-2004
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DOI：
10.1016/j.ijgo.2006.01.031
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发表时间：
2006-06-01
影响因子：
3.8
通讯作者：
Donnay, F.
中科院分区：
文献类型：
--
作者：
Fauveau, V.;Donnay, F.
背景资料：鉴于过去20年来低收入国家在降低孕产妇死亡率方面取得的进展令人失望，在大规模实施新的循证战略之前，审查和评估降低孕产妇死亡率方案侧重于产科急诊的试点国家取得的进展至关重要。目的：审查为监测紧急产科护理建议的过程指标及其在实地情况中的应用，审查在何种条件下可使用这些指标评估降低孕产妇死亡率方案的进展情况。研究方法：在摩洛哥、莫桑比克、印度和尼加拉瓜的选定地区，每年监测联合国建议的六项进程指标中的五项，为期五年。趋势进行了介绍和讨论。结果如下：尽管四个国家的具体情况因当地情况不同而有所差异，尽管数据收集的质量存在差异，但在方案的投入下，各项指标显示出持续的积极趋势。结论：应继续推广联合国产科急诊进程指标，但有两个重要条件：（1）认真检查数据收集的质量和覆盖面;（2）努力使进程指标与结果指标（孕产妇和围产期死亡率、并发症发生率）相匹配。(c)2006年国际妇产科联合会。由Elsevier爱尔兰有限公司出版。保留所有权利。
Background: In view of the disappointing progress made in the last 20years in reducing maternal mortality in tow-income countries and before going to scale in implementing the new evidence-based strategies, it is crucial to review and assess the progress made in pilot countries where maternal mortality reduction programs focused on emergency obstetric care. Objective: To review the process indicators recommended for monitoring emergency obstetric care and their application in field situations, examining the conditions under which they can be used to assess the progress of maternal mortality reduction programs. Methods: Five of the six UN recommended process indicators were monitored annually for 5years in selected districts of Morocco, Mozambique, India and Nicaragua. Trends are presented and discussed. Results: With specific variations due to different local situations in the four countries and in spite of variations in quality of data collection, at( indicators showed a consistent positive trend, in response to the inputs of the programs. Conclusions: The UN process indicators for emergency obstetric care should continue to be promoted, but with two important conditions: (1) data collection is carefully checked for quality and coverage; (2) efforts are made to match process and outcome indicators (maternal and perinatal mortality, incidence of complications). (c) 2006 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.