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孕期疟疾:非洲有效干预措施的获取情况

Malaria in pregnancy: access to effective interventions in Africa.

作者信息

Yartey J E

机构信息

Department of Making Pregnancy Safer, World Health Organization, Geneva, Switzerland.

出版信息

Int J Gynaecol Obstet. 2006 Sep;94(3):364-73. doi: 10.1016/j.ijgo.2006.04.026. Epub 2006 Aug 14.

Abstract

Malaria infection during pregnancy (MIP) poses substantial risks to the mother, her fetus and the newborn. Consequences of MIP include severe anemia, placental parasitemia and intrauterine growth retardation, which contribute to low birth weight, a principal cause of infant mortality in the African region. Effective interventions for the prevention and control of MIP include Intermittent preventive treatment (IPT), Insecticide treated nets (ITNs), and case management, and are being deployed by countries. The global political and fiscal environment is favorable with increasing resources to support the scale-up of interventions. What is needed at country level is strong collaboration among malaria and reproductive health programs and partners, to maximize the use of available resources for scaling-up to achieve the Millennium Development Goals. Equally important is the need for continuous advocacy at all levels to keep malaria high on the global agenda and maintain the current global commitment and momentum.

摘要

孕期疟疾感染(MIP)对母亲、胎儿及新生儿构成重大风险。孕期疟疾感染的后果包括严重贫血、胎盘寄生虫血症和宫内发育迟缓,这些都会导致低体重出生,而低体重出生是非洲地区婴儿死亡的主要原因。预防和控制孕期疟疾感染的有效干预措施包括间歇性预防治疗(IPT)、经杀虫剂处理的蚊帐(ITN)和病例管理,各国正在实施这些措施。全球政治和财政环境有利,用于支持扩大干预措施规模的资源不断增加。国家层面需要疟疾防治项目与生殖健康项目及合作伙伴之间大力协作,以最大限度地利用现有资源进行扩大规模,从而实现千年发展目标。同样重要的是,需要在各级持续开展宣传,使疟疾问题始终处于全球议程的重要位置,并维持当前的全球承诺和发展势头。

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