OFF TO A RAPID START - APPRAISING MATERNAL MORTALITY AND SERVICES
OFF TO A RAPID START - APPRAISING MATERNAL MORTALITY AND SERVICES
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DOI：
10.1016/0020-7292(95)02319-8
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发表时间：
1995-06-01
影响因子：
3.8
通讯作者：
TAYLOR, P
中科院分区：
文献类型：
--
作者：
CAMPBELL, O;KOBLINSKY, M;TAYLOR, P
许多发展中国家都表达了“为安全孕产做点什么”的热情，但如果不充分评估一个国家的孕产妇死亡率情况，就无法确定行动的优先事项。然而，避免开展耗时的研究来衡量对于制定计划并不重要的指标也很重要。在概述了理想的安全孕产计划组成部分之后，本文列出了一系列问题，这些问题可作为收集有用信息和确定孕产妇死亡率和健康数据来源的评估工具。这些问题的框架围绕以下步骤：(1) 全面了解与孕产妇死亡率和发病率相关的卫生政策； (2) 评估孕产妇死亡和发病的程度和原因，以及特定风险群体的特征； (3) 评估服务方面的可用投入（获取、质量、提供者、各级提供的内容等）以及文化和现有资源和群体。
Enthusiasm for 'doing something about Safe Motherhood' has been expressed in many developing countries, but priorities for action cannot be identified without adequately assessing a country's maternal mortality situation. It is also important, however, to avoid embarking on time-consuming research measuring indicators which are not essential to developing programs. After presenting an overview of ideal Safe Motherhood program components, the paper lists a series of questions which serve as an assessment tool for collecting useful information and for identifying data sources on maternal mortality and health. The framework for these questions centers around the following steps: (1) gaining an overview of health policy relevant to maternal mortality and morbidities; (2) assessing the magnitude and causes of maternal mortality and morbidity, and the characteristics of groups at particular risk; and (3) assessing the available inputs in terms of services (access, quality, providers, what is provided at various tiers, etc.) and in terms of the culture and existing resources and groups.