The millennium development goals and the inverse care law: no progress where it is most needed?
The millennium development goals and the inverse care law: no progress where it is most needed?
复制标题
千年发展目标和逆护理法：在最需要的地方没有进展？
DOI：
10.1136/jech.2008.081653
复制
发表时间：
2008
影响因子：
6.3
通讯作者：
C. Victora
中科院分区：
文献类型：
--
作者：
C. Victora
2000 年，来自 192 个国家的全球领导人承诺实现八项千年发展目标 (MDG) (www.un.org/millenniumgoals)。这些目标包括 1990 年至 2015 年期间要实现的目标，其中四个目标与健康直接相关。第一个目标是消除贫困和饥饿，其关键目标之一是将低年龄体重儿童的比例减少一半。第四个千年发展目标是将五岁以下儿童死亡率降低三分之二，第五个目标是将孕产妇死亡率降低四分之三。最后，第六个千年发展目标是“抗击艾滋病毒/艾滋病、疟疾和其他疾病”。其他四项千年发展目标也具有相关性，因为它们涉及更广泛的健康决定因素，包括普及教育、性别平等、环境可持续性和全球伙伴关系的需要。
我将具体讨论千年发展目标 4 和 5，即降低 5 岁以下儿童死亡率和孕产妇死亡率。据估计，每年有 50 万名孕产妇死亡，近 1000 万 5 岁以下儿童死亡。1 在 2003 年发表的《柳叶刀》儿童生存系列的闭幕论文中，我们呼吁建立一个机制来监测儿童生存方面的进展，并让各国和国际合作伙伴承担责任。 ……
In 2000, global leaders from 192 countries pledged to achieve eight millennium development goals, or MDGs (www.un.org/millenniumgoals). These goals include targets to be achieved in the period from 1990 to 2015, four of which relate directly to health. The first goal—eradicate poverty and hunger—has as one of its key targets the reduction by half of the proportion of children with low weight-for-age. The fourth MDG is to reduce the mortality of children under 5 years by two-thirds, and the fifth to reduce maternal mortality by three-quarters. Finally, the sixth MDG is to “combat HIV/AIDS, malaria and other diseases”. The other four MDGs are also relevant, as they address broader determinants of health, including universal education, gender equality, environmental sustainability and the need for global partnerships.
I will deal specifically with MDGs 4 and 5, the reduction in the mortality rate of children under 5 and maternal mortality. It is estimated that there are half a million maternal deaths and almost 10 million deaths of children under 5 every year.1 In the closing paper of the Lancet ’s Child Survival Series published in 2003, we called for a mechanism to monitor progress in child survival and to hold countries and international partners accountable. …
DOI：
--
发表时间：
--
期刊：
--
影响因子：
--
作者：
G. Jones;R. Steketee;G. Jones;R. Steketee;R. Black;Z. Bhutta;S. Morris;Bellagio Child;Survival Study Group
通讯作者：
G. Jones;R. Steketee;G. Jones;R. Steketee;R. Black;Z. Bhutta;S. Morris;Bellagio Child;Survival Study Group