The current state of newborn health in low income countries and the way forward

The current state of newborn health in low income countries and the way forward
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DOI:
10.1016/j.siny.2005.10.005
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发表时间:
2006-02-01
影响因子:
3
通讯作者:
Paul, VK
Paul, VK
中科院分区:
医学3区
文献类型:
--
作者:
Paul, VK

文献摘要

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全世界每年有400万新生儿死亡,其中99%发生在发展中国家。南亚和撒哈拉以南非洲地区占全球负担的三分之二。在南亚,熟练的专业人员仅占35%,在撒哈拉以南非洲地区占41%。通过合理组合外展、家庭/社区和临床服务提供已知的、负担得起的干预措施,可以减少70%以上的新生儿死亡。千年发展目标是到2015年将5岁以下儿童的死亡率从1990年的基线降低三分之二,这就要求在今后十年内大幅度降低新生儿死亡率。为此,中低收入国家必须紧急审查其现有方案,并设计和实施改进的孕产妇、新生儿和儿童健康综合行动计划。国际社会,包括发达国家的学术界、机构和专业团体,可发挥关键作用,使这一使命取得成功。(c)2005爱思唯尔有限公司保留所有权利。
Of the 4 million neonatal deaths that occur worldwide each year 99% of these occur in developing countries. South Asia and sub-Saharan Africa regions account for two thirds of the global burden. Skilled professionals attend only 35% deliveries in South Asia and 41% in sub-Saharan Africa. Known, affordable interventions delivered through a rational mix of outreach, family/community and clinical services can reduce over 70% of all neonatal deaths. The Millennium Development Goat of reducing the mortality of children under 5 years by two thirds by the year 2015 from the 1990 baseline would require a substantial reduction in neonatal mortality in the next decade. For this, the tow and middle-income countries must urgently review their existing programs, and design and implement improved, integrated action plans for maternal, newborn and child health. International community, including the academics, institutions and professional bodies in developed countries can play a crucial role to make this mission a success. (c) 2005 Elsevier Ltd. All rights reserved.