Filippi Véronique, Ronsmans Carine, Campbell Oona M R, Graham Wendy J, Mills Anne, Borghi Jo, Koblinsky Marjorie, Osrin David
Maternal and Neonatal Health Group, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK.
Lancet. 2006 Oct 28;368(9546):1535-41. doi: 10.1016/S0140-6736(06)69384-7.
In this paper, we take a broad perspective on maternal health and place it in its wider context. We draw attention to the economic and social vulnerability of pregnant women, and stress the importance of concomitant broader strategies, including poverty reduction and women's empowerment. We also consider outcomes beyond mortality, in particular, near-misses and long-term sequelae, and the implications of the close association between the mother, the fetus, and the child. We make links to a range of global survival initiatives, particularly neonatal health, HIV, and malaria, and to reproductive health. Finally, after examining the political and financial context, we call for action. The need for strategic vision, financial resources, human resources, and information are discussed.
在本文中，我们从广泛的视角审视孕产妇健康，并将其置于更广阔的背景下。我们提请关注孕妇在经济和社会方面的脆弱性，并强调包括减贫和妇女赋权在内的相关更广泛战略的重要性。我们还考虑了死亡率之外的结果，特别是接近死亡情况和长期后遗症，以及母亲、胎儿和儿童之间紧密联系所带来的影响。我们将其与一系列全球生存倡议联系起来，特别是新生儿健康、艾滋病毒和疟疾以及生殖健康。最后，在审视了政治和财政背景之后，我们呼吁采取行动。文中讨论了对战略眼光、财政资源、人力资源和信息的需求。
