Bell Jacqueline, Hussein Julia, Jentsch Birgit, Scotland Graham, Bullough Colin, Graham Wendy
Dugald Baird Centre for Research on Women's Health, University of Aberdeen, Aberdeen Maternity Hospital, Cornhill Road, Aberdeen AB25 2ZL, Scotland, United Kingdom.
Birth. 2003 Dec;30(4):227-34. doi: 10.1046/j.1523-536x.2003.00252.x.
Increasing the proportion of births with skilled attendance is advocated by international agencies as a key factor in reducing maternal and perinatal mortality and morbidity. The SAFE Strategy Development Tool is designed to enable policy makers and planners to gather and interpret information systematically to develop strategies for improving skilled attendance at birth.
Five modules were developed with partners in Bangladesh, Ghana, Jamaica, Malawi, and Mexico to guide the identification of problems related to skilled attendance, the collection of primary and secondary evidence, and the synthesis of this evidence to formulate strategies. The involvement of key players, including policy makers, is emphasized throughout the application of the tool and is vital to its success.
The SAFE Strategy Development Tool was field tested in five collaborating countries. The methods employed by this tool were found to be feasible and produced evidence that will be useful in the formulation of strategies. Application of the tool can be completed in 3 to 5 months, and was estimated to cost between US$12,938 and US$15,627 for applications at district or subdistrict level. The final strategy options developed from the findings were presented at an international workshop in Aberdeen, Scotland, in February 2003.
The SAFE Strategy Development Tool is now available to governments, organizations, and institutions involved in the implementation of maternal health programs.
国际机构倡导提高由专业人员接生的分娩比例，将其作为降低孕产妇及围产期死亡率和发病率的关键因素。安全战略制定工具旨在使政策制定者和规划者能够系统地收集和解读信息，以制定提高专业接生率的战略。
与孟加拉国、加纳、牙买加、马拉维和墨西哥的合作伙伴共同开发了五个模块，以指导识别与专业接生相关的问题、收集一级和二级证据，并综合这些证据来制定战略。在该工具的整个应用过程中，都强调关键参与者（包括政策制定者）的参与，这对其成功至关重要。
安全战略制定工具在五个合作国家进行了实地测试。发现该工具所采用的方法可行，并产生了有助于制定战略的证据。该工具的应用可在3至5个月内完成，据估计，在地区或分区层面应用时，成本在12,938美元至15,627美元之间。根据这些发现制定的最终战略选项在2003年2月于苏格兰阿伯丁举行的一次国际研讨会上进行了展示。
现在，参与孕产妇健康项目实施的政府、组织和机构均可使用安全战略制定工具。
