Quality maternity care for every woman, everywhere: a call to action
Quality maternity care for every woman, everywhere: a call to action
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DOI：
10.1016/s0140-6736(16)31333-2
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发表时间：
2016-11-05
期刊：
影响因子：
168.9
通讯作者：
Langer, Ana
中科院分区：
文献类型：
--
作者：
Koblinsky, Marjorie;Moyer, Cheryl A.;Langer, Ana
为了改善孕产妇健康，需要采取行动，确保所有妇女和女童获得优质孕产妇保健服务，并保证系统外的人获得护理。在本文中，我们重点介绍了孕产妇健康方面一些最紧迫的问题，并提出问题：未来 5 年内可以采取哪些步骤来促进采取行动，以实现到 2030 年每 10 万例活产中孕产妇死亡人数低于 70 人的可持续发展目标，且没有一个国家超过 140 人？可以采取哪些措施来确保世界各地的每一位妇女和女童优先获得高质量的孕产妇保健服务？我们呼吁所有利益相关者共同努力，确保所有妇女拥有健康、繁荣的未来。国家和地方政府必须得到发展伙伴、民间社会和私营部门的支持，带头努力改善孕产妇围产期健康。这项努力意味着投入所需的政策和资源，并持续实施，以解决影响孕产妇保健提供和使用的许多因素。为所有合作伙伴制定了五项优先行动：优先考虑满足当地特殊需求并应对新出现的挑战的优质孕产妇保健服务；通过普遍覆盖优质孕产妇保健服务，包括针对最弱势妇女，促进公平；通过优化卫生人力来提高卫生系统的弹性和实力，并提高设施能力；保证孕产妇和围产期健康的可持续资金；通过证据、宣传和问责加速进展。
To improve maternal health requires action to ensure quality maternal health care for all women and girls, and to guarantee access to care for those outside the system. In this paper, we highlight some of the most pressing issues in maternal health and ask: what steps can be taken in the next 5 years to catalyse action toward achieving the Sustainable Development Goal target of less than 70 maternal deaths per 100 000 livebirths by 2030, with no single country exceeding 140? What steps can be taken to ensure that high-quality maternal health care is prioritised for every woman and girl everywhere? We call on all stakeholders to work together in securing a healthy, prosperous future for all women. National and local governments must be supported by development partners, civil society, and the private sector in leading efforts to improve maternal-perinatal health. This effort means dedicating needed policies and resources, and sustaining implementation to address the many factors influencing maternal health-care provision and use. Five priority actions emerge for all partners: prioritise quality maternal health services that respond to the local specificities of need, and meet emerging challenges; promote equity through universal coverage of quality maternal health services, including for the most vulnerable women; increase the resilience and strength of health systems by optimising the health workforce, and improve facility capability; guarantee sustainable finances for maternal-perinatal health; and accelerate progress through evidence, advocacy, and accountability.