Improving Maternal and Newborn Health Using the HIV/AIDS Program Platform in Tanz

利用坦兹的艾滋病毒/艾滋病项目平台改善孕产妇和新生儿健康

• 批准号: 9032836
• 负责人: Margaret E. Kruk
• 金额: $ 39.24万
• 依托单位: HARVARD SCHOOL OF PUBLIC HEALTH
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-08-15 至 2016-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9032836
• 关键词: Improving; Maternal; Newborn; Health; Using

DESCRIPTION (provided by applicant): In response to PAR-10-038, we propose to test whether adapting an established HIV/AIDS program support platform to strengthen maternal and newborn health (MNH) services will increase uptake of these services and thus improve outcomes for both HIV-negative and HIV-positive women and their newborns. One of NIAID's key strategic priorities is to reduce health disparities and improve health by using translational research. Tanzania, the largest country in East Africa, has an HIV prevalence of 5.7% and some of the highest maternal and neonatal mortality rates in the world. With the support of the U.S. President's Emergency Plan for AIDS Relief (PEPFAR), Tanzania has made remarkable progress in providing HIV services, averting 7,500 newborn HIV infections in 2009 alone. In contrast, expanding uptake of basic maternal and newborn health (MNH) services needed to reduce maternal and newborn mortality has been less successful. Fewer than half of Tanzania's women and newborns utilize high-quality MNH services, despite the existence of well-defined policies and guidelines. Our preliminary data suggest that low service utilization may be due to poor quality of services. Poor quality of services in turn results in poor health outcomes. To succeed in the same weak health systems, HIV programs have pioneered an innovative approach to upgrade infrastructure, provide training and quality assurance, and work with local communities. Could this three-pronged health system support strategy originally developed for HIV programs be expanded to improve the quality and uptake of MNH services? Despite its clinical and

描述（由申请人提供）：为了响应PAR-10-038，我们提议测试是否调整一个已建立的艾滋病毒/艾滋病项目支持平台来加强孕产妇和新生儿健康（MNH）服务，从而增加这些服务的吸收，从而改善艾滋病毒阴性和艾滋病毒阳性妇女及其新生儿的结果。NIAID的关键战略重点之一是利用转化研究减少健康差距和改善健康。坦桑尼亚是东非最大的国家，艾滋病毒感染率为5.7%，是世界上孕产妇和新生儿死亡率最高的国家之一。在美国总统艾滋病紧急救援计划（PEPFAR）的支持下，坦桑尼亚在提供艾滋病毒服务方面取得了显著进展，仅2009年就避免了7500名新生儿感染艾滋病毒。相比之下，为降低孕产妇和新生儿死亡率而扩大接受基本孕产妇和新生儿保健服务的努力就不那么成功了。尽管存在明确的政策和指导方针，但坦桑尼亚只有不到一半的妇女和新生儿利用高质量的妇幼保健服务。我们的初步数据表明，服务利用率低可能是由于服务质量差。服务质量差又导致健康状况不佳。为了在同样薄弱的卫生系统中取得成功，艾滋病毒规划开创了一种创新方法，升级基础设施，提供培训和质量保证，并与当地社区合作。这种最初为艾滋病毒规划制定的三管齐下的卫生系统支持战略是否可以扩大，以提高MNH服务的质量和利用率？尽管它是临床的