Koblinsky M A, Tinker A, Daly P
MotherCare/John Snow Inc., Arlington.
Health Policy Plan. 1994 Sep;9(3):252-66. doi: 10.1093/heapol/9.3.252.
The Safe Motherhood Initiative has successfully stimulated much interest in reducing maternal mortality. To accelerate programme implementation, this paper reviews lessons learned from the experience of industrial countries and from demonstration projects in developing countries, and proposes intervention strategies of policy dialogue, improved services and behavioural change. A typological approach with three hypothetical settings from resource poor to resource rich environments is used to address the variability in health behaviours and infrastructure encountered when programming for safe motherhood.
安全孕产倡议已成功激发了人们对降低孕产妇死亡率的浓厚兴趣。为加快方案实施，本文回顾了从工业化国家的经验以及发展中国家的示范项目中吸取的教训，并提出了政策对话、改善服务和行为改变的干预策略。采用一种类型学方法，设定了从资源匮乏到资源丰富环境的三种假设情形，以应对为安全孕产制定方案时遇到的健康行为和基础设施方面的差异。
