Hernández-Prado Bernardo, Kestler Edgar, Díaz Juan, Walker Dilys, Langer Ana, Lewis Sarah, De la Vara-Salazar Elvia, Melo-Zurita María del Carmen, Iriarte Emma, Danel Isabella, Donnay France, Alemán Denis, Serrano Roselyn, Morales Evelyn, Largaespada Natalia, González José Douglas Jarquín, Hernández Ma Del Carmen, Mejía Claudia E Quiroz, González Geneva, Carrera Yadira, Valverde Clelia, Luna Rufino, Valencia-Mendoza Atanacio, Sosa-Rubí Sandra G, Hernández-Prado Bernardo, Kestler Edgar, Díaz Juan, Walker Dilys, Langer Ana, Lewis Sarah, De la Vara-Salazar Elvia, Melo-Zurita María Del Carmen
Instituto Nacional de Salud Pública, Institute of Health Metrics and Evaluation, Universidad of Washington, Washington, Seattle, Washington, USA.
Salud Publica Mex. 2011;53 Suppl 3:S312-22.
To present the main results of the regional situation diagnosis and intervention plan developed in 2010 as part of the planning activities of the Mesoamerican Health System by the Working Group on Maternal, Reproductive and Neonatal Health. A group of experts and representatives from countries in the region (Central America and nine southern Mexican states) conducted an exhaustive review of available data to construct a situational analysis and a review of effective practices for improving maternal, reproductive and neonatal health. Finally, the group proposed a regional action plan, defining regional goals and specific interventions. The situational diagnosis suggests that, although there has been progress in the last 10 years, maternal and neonatal mortality rates are still unnaceptably high in the region, with a substantial variability across countries. The group proposed as a regional goal the reduction of maternal and neonatal mortality in accordance with the Millenium Development Goals. The regional plan recommends specific maternal and neonatal health interventions emphasizing obstetric and neonatal emergency care, skilled birth attendance and family planning. The plan also includes a five year implementation strategy, along with training and evaluation strategies. The regional plan for maternal, neonatal and reproductive health has the potential to be successful, provided it is effectively implemented.
介绍2010年制定的区域形势诊断和干预计划的主要成果，该计划是中美洲卫生系统孕产妇、生殖和新生儿健康问题工作组规划活动的一部分。一组来自该区域各国（中美洲和墨西哥南部九个州）的专家和代表对现有数据进行了详尽审查，以构建一份形势分析报告并审视改善孕产妇、生殖和新生儿健康的有效做法。最后，该小组提出了一项区域行动计划，明确了区域目标和具体干预措施。形势诊断表明，尽管在过去十年中取得了进展，但该区域的孕产妇和新生儿死亡率仍然高得令人无法接受，各国之间存在很大差异。该小组提议将按照千年发展目标降低孕产妇和新生儿死亡率作为区域目标。区域计划建议采取具体的孕产妇和新生儿健康干预措施，重点是产科和新生儿急诊护理、熟练接生和计划生育。该计划还包括一项五年实施战略以及培训和评估战略。孕产妇、新生儿和生殖健康区域计划只要得到有效实施就有可能取得成功。
