政策与实践之间的差距：伊朗克尔曼孕产妇死亡率报告的案例研究
A gap between policy and practice: a case study on maternal mortality reports, kerman, iran.
作者信息
Zolala Farzaneh, Haghdoost Ali Akbar
机构信息
Kerman University of Medical Science, Faculty of Health, Haftbagh-Alavi Highway, Kerman, Iran.
出版信息
Int J Prev Med. 2011 Apr;2(2):88-93.
Abstract
OBJECTIVES
Maternal mortality, a preventable tragedy, is an indicator of development, poverty and democracy. Therefore, prevention of maternal deaths is one of the main goals in many countries. Iran is one of the developing countries which aim to reduce maternal mortality through introduction of a new policy at national level. This study aimed to explore the extent to which this policy is practiced at peripheral levels.
METHODS
The data were collected through interviews with relevant people, observation, and review of the documents.
RESULTS
The results showed that there is a gap between policy and practice which can be explained by inadequate training programs, inadequate collaboration, lack of guidelines and instigation of a specific investigation into maternal deaths.
CONCLUSIONS
This study suggests a number of considerations such as an initiative to collaborate, developing a guideline and presenting training programs before such policies are launched.
摘要
目标
孕产妇死亡是一场可预防的悲剧，是发展、贫困和民主的一项指标。因此，预防孕产妇死亡是许多国家的主要目标之一。伊朗是致力于通过在国家层面推行新政策来降低孕产妇死亡率的发展中国家之一。本研究旨在探讨该政策在基层实施的程度。
方法
通过与相关人员访谈、观察和查阅文件收集数据。
结果
结果表明政策与实践之间存在差距，这可以通过培训项目不足、协作不足、缺乏指导方针以及对孕产妇死亡未开展专项调查来解释。
结论
本研究提出了一些注意事项，例如在出台此类政策之前主动开展协作、制定指导方针并提供培训项目。
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