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传递改善妇女和新生儿健康的证据:《世界助产士状况》2014年报告

Delivering the evidence to improve the health of women and newborns: State of the World's Midwifery, report 2014.

作者信息

Day-Stirk Frances, McConville Frances, Campbell James, Laski Laura, Guerra-Arias Maria, Hoope-Bender Petra Ten, Michel-Schuldt Michaela, de Bernis Luc

机构信息

United Nations Population Fund (UNFPA), International Environment House, 11, Chemin des Anémones, CH-1219, Châtelaine, Geneva, Switzerland.

出版信息

Reprod Health. 2014 Dec 17;11:89. doi: 10.1186/1742-4755-11-89.

DOI:10.1186/1742-4755-11-89
PMID:25518862
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4326403/
Abstract

The State of the World's Midwifery Report 2014: A universal pathway, a women's right to health (SoWMy2014) was published in June 2014 and joins the ranks of a number of publications which contribute to the growing body of evidence about a global midwifery workforce that can improve maternal and child health.This editorial provides an overview of these publications that have been supported by global movements in the area of sexual, reproductive, maternal, and newborn and child health over the last four years. Background information is given on the methodology and data collection of SoWMy2014, the main findings cover the area of the availability, accessibility, acceptability and quality of midwifery services and a 2 page country brief shows the SRMNH data and workforce projections for each of the 73 "Countdown countries" that participated.SoWMy 2014 report shows that midwives can provide 87% of the needed essential care for women and newborns, when educated and trained to international standards. Midwives however, are most effective when they work within a functional health system and enabling environment.Also, a supportive team of auxiliaries, physicians and specialists is essential in order to ensure coverage of SRMNH services to women and newborns across the whole continuum of care, from pre-pregnancy through to pregnancy, childbirth and the post-natal period and from household to hospital.Based on these findings, the report puts forward a vision of Midwifery2030, a pathway for women's health and for midwifery policy and planning through the end of 2030. It promotes women-centered and midwife-led care to achieve the goal of universal health coverage for all women.

摘要

《2014年世界助产士状况报告:通用路径,妇女的健康权》(《2014年世界助产士状况报告》)于2014年6月发布,它加入了众多出版物的行列,这些出版物为日益增多的关于能够改善母婴健康的全球助产士队伍的证据做出了贡献。本社论概述了过去四年中在性健康、生殖健康、孕产妇健康、新生儿和儿童健康领域的全球运动所支持的这些出版物。给出了《2014年世界助产士状况报告》的方法和数据收集的背景信息,主要发现涵盖了助产服务的可获得性、可及性、可接受性和质量领域,一份两页的国家简报展示了参与的73个“倒计时国家”各自的性健康、生殖健康、孕产妇健康、新生儿和儿童健康数据及劳动力预测。《2014年世界助产士状况报告》显示,当按照国际标准接受教育和培训时,助产士能够提供87%的妇女和新生儿所需的基本护理。然而,助产士在功能完善的卫生系统和有利环境中工作时最为有效。此外,一支由辅助人员、医生和专家组成的支持团队至关重要,以确保从孕前到孕期、分娩和产后以及从家庭到医院的整个连续护理过程中,为妇女和新生儿提供性健康、生殖健康、孕产妇健康、新生儿和儿童健康服务。基于这些发现,该报告提出了“2030年助产愿景”,这是一条到2030年底实现妇女健康以及助产政策和规划的路径。它促进以妇女为中心且由助产士主导的护理,以实现为所有妇女提供全民健康覆盖的目标。