Essential basic and emergency obstetric and newborn care: From education and training to service delivery and quality of care
Essential basic and emergency obstetric and newborn care: From education and training to service delivery and quality of care
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DOI：
10.1016/j.ijgo.2015.03.007
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发表时间：
2015-06-01
影响因子：
3.8
通讯作者：
Dao, Blami
中科院分区：
文献类型：
--
作者：
Otolorin, Emmanuel;Gomez, Patricia;Dao, Blami
全世界约有15%的预期分娩将在怀孕、分娩或产后期间导致危及生命的并发症。具备产科急诊和新生儿护理技能的提供者至关重要，特别是在孕产妇和新生儿死亡率高的国家。Jhpiego及其联盟合作伙伴已经实施了三个全球计划，以建立提供者的能力，为这些资源匮乏环境中的妇女和新生儿提供全面的EmONC服务。对服务提供者进行了教育，以便在更广泛的优质保健服务范围内提供高影响的孕产妇和新生儿保健干预措施，如预防和治疗产后出血和先兆子痫/子痫以及管理出生窒息。本文介绍了Jhpiego的编程工作的框架内的基本和扩展的信号功能，作为高质量的基本和紧急护理服务的指标。经验教训包括加强卫生设施、基于能力的提供者教育、全球领导以及强有力的政府自主权和协调的重要性，这些都是在资源匮乏的环境中扩大高影响力循证孕产妇和新生儿干预措施的重要前提。(C)2015由Elsevier爱尔兰有限公司代表国际妇产科联合会发布。这是CC BY-NC-ND许可下的开放获取文章。
Approximately 15% of expected births worldwide will result in life-threatening complications during pregnancy, delivery, or the postpartum period. Providers skilled in emergency obstetric and newborn care (EmONC) services are essential, particularly in countries with a high burden of maternal and newborn mortality. Jhpiego and its consortia partners have implemented three global programs to build provider capacity to provide comprehensive EmONC services to women and newborns in these resource-poor settings. Providers have been educated to deliver high-impact maternal and newborn health interventions, such as prevention and treatment of postpartum hemorrhage and pre-eclampsia/edampsia and management of birth asphyxia, within the broader context of quality health services. This article describes Jhpiego's programming efforts within the framework of the basic and expanded signal functions that serve as indicators of high-quality basic and emergency care services. Lessons learned include the importance of health facility strengthening, competency-based provider education, global leadership, and strong government ownership and coordination as essential precursors to scale-up of high impact evidence-based maternal and newborn interventions in low-resource settings. (C) 2015 Published by Elsevier Ireland Ltd. on behalf of International Federation of Gynecology and Obstetrics. This is an open access article under the CC BY-NC-ND license.