Donor aid mentioning newborns and stillbirths, 2002-19: an analysis of levels, trends, and equity.
Donor aid mentioning newborns and stillbirths, 2002-19: an analysis of levels, trends, and equity.
复制标题
DOI：
10.1016/s2214-109x(23)00378-9
复制
发表时间：
2023-11
影响因子：
34.3
通讯作者：
Pitt, Catherine
中科院分区：
文献类型：
--
作者：
Kumar, Meghan Bruce;Bath, David;Binyaruka, Peter;Novignon, Jacob;Lawn, Joy E.;Pitt, Catherine
近年来，全球对生殖、孕产妇、新生儿和儿童健康的援助停滞不前，涉及新生儿或死产的援助以前在生殖、孕产妇、新生儿和儿童健康援助中所占比例很小。78个国家制定了新生儿存活目标，30个国家制定了死产预防目标，以解决全球440万新生儿死亡和死产问题。我们的目标是对2002年至2019年期间新生儿和死产援助的当前水平和趋势进行新的估计，并评估援助金额是否与相关的死亡率负担相一致。为了进行这项分析，我们对2002年至2019年经济合作与发展组织（OECD）的债权人报告系统数据库进行了人工审查和编码，使用关键搜索词帮助提及新生儿和死产。我们将这些发现与基于Muskoka 2方法的2002- 2019年生殖、孕产妇、新生儿和儿童健康援助估计值进行了比较。调查结果根据经合组织发展援助委员会的平减指数以2019年美元表示，该指数考虑了捐助国汇率和通胀的变化。在2002-19年期间，我们确定了21957个独特的记录。提到新生儿和死产的援助约占2019年生殖、孕产妇、新生儿和儿童健康资金总额（159亿美元）的10%（16亿美元），2015年至2019年期间略有下降。在21957份记录中，有1284份（6%）和3.4%（5.35亿美元）的总价值提到援助只关注新生儿健康。2002- 2019年期间，10个捐助国贡献了新生儿和死胎援助总额的87%（137亿美元）。在最不发达国家（按照联合国的定义），涉及新生儿和死产的援助分配不公平，从安哥拉的每例死亡18美元到东帝汶的每例死亡1 389美元不等。在2002-09年的任何资助中没有提到死胎，在2010-19年的21957份记录中只有46份提到死胎，包括在此期间支付的4440万美元援助。涉及新生儿和死产的援助与其相应的死亡率负担不匹配（占生殖、孕产妇、新生儿和儿童健康总体援助的10%，但占5岁以下儿童死亡率的约50%），在受援国之间也不匹配（卫生和经济需求相似的国家之间，每例新生儿死亡和死产获得的援助金额差异很大）。我们的研究结果表明，援助需要更好地针对死亡率负担最高的人口，创造更大的影响潜力。John D and Catherine T麦克阿瑟Foundation、Bill & Melinda Gates Foundation、ELMA Philanthropies、Children's Investment Fund Foundation UK、Lemelson Foundation、Ting Tsung and Wei Fong Chao Foundation。摘要的法文翻译见补充材料部分。
Global aid for reproductive, maternal, newborn, and child health has stagnated in recent years, and aid mentioning newborns or stillbirths has previously represented a very small proportion of aid for reproductive, maternal, newborn, and child health. Neonatal survival targets have been set by 78 countries, and stillbirth prevention targets have been set by 30 countries, to address the 4·4 million newborn deaths and stillbirths globally. We aimed to generate novel estimates of current levels of, and trends in, aid mentioning newborns and stillbirths over 2002–19, and to assess whether the amount of aid disbursed aligns with the associated mortality burden. For this analysis, we did a manual review and coding of the Organisation for Economic Co-operation and Development (OECD)'s Creditor Reporting System database from 2002 to 2019 using key search terms for aid mentioning newborns and stillbirths. We compared these findings with estimates of aid for reproductive, maternal, newborn, and child health for 2002–19 based on the Muskoka2 method. Findings are presented in 2019 US$ according to the OECD's Development Assistance Committee deflators, which account for variation in exchange rates and inflation in donor countries. We identified 21 957 unique records in the 2002–19 period. Aid mentioning newborns and stillbirths comprised approximately 10% ($1·6 billion) of reproductive, maternal, newborn, and child health funding overall in 2019 ($15·9 billion), with a small decrease in value between 2015 and 2019. 1284 (6%) of 21 957 records and 3·4% ($535 million) of their total value mentioned aid focused only on newborn health. Ten donors contributed 87% ($13·7 billion) of the total value of aid mentioning newborns and stillbirths during 2002–19. Aid mentioning newborns and stillbirths was inequitably allocated in the least developed countries (as defined by the UN), ranging from $18 per death in Angola to $1389 per death in Timor-Leste. Stillbirths were not mentioned in any funding in 2002–09, and they were only mentioned in 46 of 21 957 records in 2010–19, comprising $44·4 million of aid disbursed during this period. Aid mentioning newborns and stillbirths is poorly matched to their corresponding mortality burden (representing 10% of aid for reproductive, maternal, newborn, and child health overall, yet accounting for approximately 50% of mortality in children <5 years) and across recipient countries (with substantial variation in the amount of aid received per newborn death and stillbirth between countries with similar health and economic needs). Our findings indicate that aid needs to be better targeted to populations with the highest mortality burdens, creating greater potential for impact. John D and Catherine T MacArthur Foundation, Bill & Melinda Gates Foundation, ELMA Philanthropies, Children's Investment Fund Foundation UK, Lemelson Foundation, and Ting Tsung and Wei Fong Chao Foundation. For the French translation of the abstract see Supplementary Materials section.
影响因子：
15.8
作者：
Pitt C;Lawn JE;Ranganathan M;Mills A;Hanson K
通讯作者：
Hanson K