Lassi Zohra S, Mallick Dania, Das Jai K, Mal Lekho, Salam Rehana A, Bhutta Zulfiqar A
Reprod Health. 2014;11 Suppl 1(Suppl 1):S4. doi: 10.1186/1742-4755-11-S1-S4. Epub 2014 Aug 21.
Child health is a growing concern at the global level, as infectious diseases and preventable conditions claim hundreds of lives of children under the age of five in low-income countries. Approximately 7.6 million children under five years of age died in 2011, calculating to about 19,000 children each day and almost 800 every hour. About 80 percent of the world's under-five deaths in 2011 occurred in only 25 countries, and about half in only five countries: India, Nigeria, Democratic Republic of the Congo, Pakistan and China. The implications and burden of such statistics are huge and will have dire consequences if they are not corrected promptly. This paper reviews essential interventions for improving child health, which if implemented properly and according to guidelines have been found to improve child health outcomes, as well as reduce morbidity and mortality rates. It also includes caregivers and delivery strategies for each intervention. Interventions that have been associated with a decrease in mortality and disease rates include exclusive breastfeeding, complementary feeding strategies, routine immunizations and vaccinations for children, preventative zinc supplementation in children, and vitamin A supplementation in vitamin A deficient populations.
儿童健康日益成为全球关注的问题,因为在低收入国家,传染病和可预防疾病导致数百万五岁以下儿童死亡。2011年,约有760万五岁以下儿童死亡,相当于每天约1.9万名儿童死亡,每小时近800名。2011年,全球约80%的五岁以下儿童死亡仅发生在25个国家,约一半发生在仅五个国家:印度、尼日利亚、刚果民主共和国、巴基斯坦和中国。这些统计数据的影响和负担巨大,如果不及时纠正,将产生可怕的后果。本文回顾了改善儿童健康的基本干预措施,这些措施如果按照指南正确实施,已被发现可改善儿童健康状况,并降低发病率和死亡率。它还包括每种干预措施的护理人员和实施策略。与死亡率和疾病率下降相关的干预措施包括纯母乳喂养、辅食添加策略、儿童常规免疫接种和疫苗接种、儿童预防性补充锌以及在维生素A缺乏人群中补充维生素A。