Human resources for maternal, newborn and child health: from measurement and planning to performance for improved health outcomes.
Human resources for maternal, newborn and child health: from measurement and planning to performance for improved health outcomes.
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DOI：
10.1186/1478-4491-9-16
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发表时间：
2011-06-24
影响因子：
4.5
通讯作者：
Daelmans B
中科院分区：
文献类型：
--
作者：
Gupta N;Maliqi B;França A;Nyonator F;Pate MA;Sanders D;Belhadj H;Daelmans B
全球和各国日益重视监测和处理阻碍或促进实现妇幼保健千年发展目标的卫生系统和人力资源投入、进程和产出。我们回顾了68个低收入和中等收入国家的卫生人力资源状况，这些国家的孕产妇和儿童死亡人数占所有孕产妇和儿童死亡人数的95%以上。我们收集和分析了来自新的和现有来源的关于HRH可用性、分布、作用和功能的跨国可比数据，以及来自对卫生服务提供和人口健康结果产生积极影响的HRH干预措施的国家审查的信息。来自68个国家的调查结果表明，医生、护士和助产士的提供与熟练助产护理的覆盖率呈正相关。大多数目标国家（78%）面临高技能卫生人员严重短缺的问题，而且各国内部和各国之间在劳动力分布、技能组合和技能利用方面存在很大差异。很少有国家适当规划、授权和支持护士、助产士和社区卫生工作者提供可挽救生命的必要孕产妇、新生儿和儿童保健干预措施。尽管数据和调查结果存在一定的局限性，但我们确定了一些关键领域，各国政府、国际合作伙伴和其他利益攸关方可以在这些领域做出努力，以确保有足够、公平分布和有效利用的卫生工作人员队伍，实现千年发展目标4和5。
There is increasing attention, globally and in countries, to monitoring and addressing the health systems and human resources inputs, processes and outputs that impede or facilitate progress towards achieving the Millennium Development Goals for maternal and child health. We reviewed the situation of human resources for health (HRH) in 68 low- and middle-income countries that together account for over 95% of all maternal and child deaths. We collected and analysed cross-nationally comparable data on HRH availability, distribution, roles and functions from new and existing sources, and information from country reviews of HRH interventions that are associated with positive impacts on health services delivery and population health outcomes. Findings from 68 countries demonstrate availability of doctors, nurses and midwives is positively correlated with coverage of skilled birth attendance. Most (78%) of the target countries face acute shortages of highly skilled health personnel, and large variations persist within and across countries in workforce distribution, skills mix and skills utilization. Too few countries appropriately plan for, authorize and support nurses, midwives and community health workers to deliver essential maternal, newborn and child health-care interventions that could save lives. Despite certain limitations of the data and findings, we identify some key areas where governments, international partners and other stakeholders can target efforts to ensure a sufficient, equitably distributed and efficiently utilized health workforce to achieve MDGs 4 and 5.
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影响因子：
168.9
作者：
Cavagnero, Eleonora;Daelmans, Bernadette;Shankar, Anuraj
通讯作者：
Shankar, Anuraj
影响因子：
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通讯作者：
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作者：
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