Williams Jennifer L, McCarthy Brian
National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.
J Midwifery Womens Health. 2005 Jul-Aug;50(4):e31-5. doi: 10.1016/j.jmwh.2005.02.009.
Afghanistan is believed to have one of the highest infant and maternal mortality rates in the world. As a result of decades of war and civil unrest, Afghan women and children suffer from poor access to health services, harsh living conditions, and insufficient food and micronutrient security. To address the disproportionately high infant and maternal mortality rates in Afghanistan, the US Department of Health and Human Services pledged support to establish a maternal health facility and training center. Rabia Balkhi Hospital in Kabul, Afghanistan, was selected because this hospital admits approximately 36,000 patients and delivers more than 14,000 babies annually. This article reports the initial observations at Rabia Balkhi Hospital and describes factors that influenced women's access, the quality of care, and the evaluation health care services. This observational investigation examined areas of obstetric, laboratory and pharmacy, and ancillary services. The investigators concluded that profound changes were needed in the hospital's health care delivery system to make the hospital a safe and effective health care facility for Afghan women and children and an appropriate facility in which to establish an Afghan provider training program for updating obstetric skills and knowledge.
阿富汗被认为是世界上婴儿和孕产妇死亡率最高的国家之一。由于数十年的战争和内乱，阿富汗妇女和儿童难以获得医疗服务，生活条件恶劣，食品和微量营养素安全不足。为解决阿富汗过高的婴儿和孕产妇死亡率问题，美国卫生与公众服务部承诺提供支持，以建立一个孕产妇保健设施和培训中心。阿富汗喀布尔的拉比娅·巴尔基医院被选中，因为该医院每年接纳约36000名患者，接生超过14000名婴儿。本文报告了在拉比娅·巴尔基医院的初步观察结果，并描述了影响妇女获得医疗服务、护理质量和医疗服务评估的因素。这项观察性调查考察了产科、实验室和药房以及辅助服务领域。调查人员得出结论，医院的医疗服务提供系统需要进行深刻变革，以使该医院成为阿富汗妇女和儿童安全有效的医疗保健设施，并成为开展阿富汗医疗服务提供者培训计划以更新产科技能和知识的合适场所。
