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基于社区的降低孕产妇死亡率干预措施——尼日利亚三角州专业卫生协会、非政府组织和社区组织的作用

Community based interventions for the reduction of maternal mortality - the role of professional health associations, non-governmental organisations and community-based organisations in delta state, Nigeria.

作者信息

Oseji Mininim, Ogu Rosemary

机构信息

Department of Primary Health Care and Disease Control, Delta State Ministry of Health, Asaba, Nigeria.

出版信息

Niger Postgrad Med J. 2014 Dec;21(4):343-9.

PMID:25633455
Abstract

AIMS AND OBJECTIVES

This study was conducted to examine the contributions of professional health associations, non-governmental organisations, government ministries, and community-based organisations in implementing community-based interventions for the reduction of maternal mortality in Delta State Nigeria. It also seeks to demonstrate the challenge of coordinating activities of several stakeholders and quantifying the impact on reduction of maternal mortality.

MATERIALS AND METHODS

Various publications, reports, public presentations and policy documents on activities of professional health associations, non- governmental organisations, government ministries, and community-based organisations in Delta State of Nigeria were collected and analysed by the authors.

RESULTS

Professional health associations, non-governmental organisations and community-based organisations in Delta State have contributed to the reduction of maternal mortality through advocacy, awareness creation, and sensitisation programmes on reproductive health using behaviour change communication materials. Participation in programmes organised by the Delta State Ministry of Health has also contributed to some positive outcomes. These include the successful implementation of Delta State Free Maternal Health Care Programme since November 2007 and increase in contraceptive utilisation.

CONCLUSION

Professional health associations, non-governmental organisations, government ministries and community-based organisations have impacted positively in the quest for reduction of maternal mortality. The challenge is in coordination of interventions and tracking indicators to measure desired impact.

摘要

目的

本研究旨在探讨专业卫生协会、非政府组织、政府部门和社区组织在尼日利亚三角州实施基于社区的干预措施以降低孕产妇死亡率方面的贡献。它还试图展示协调多个利益相关者活动以及量化对降低孕产妇死亡率影响的挑战。

材料与方法

作者收集并分析了关于尼日利亚三角州专业卫生协会、非政府组织、政府部门和社区组织活动的各种出版物、报告、公开演讲和政策文件。

结果

三角州的专业卫生协会、非政府组织和社区组织通过倡导、提高认识以及使用行为改变宣传材料开展生殖健康宣传方案,为降低孕产妇死亡率做出了贡献。参与三角州卫生部组织的方案也取得了一些积极成果。这些成果包括自2007年11月以来成功实施三角州免费孕产妇保健方案以及避孕药具使用率的提高。

结论

专业卫生协会、非政府组织、政府部门和社区组织在降低孕产妇死亡率的努力中产生了积极影响。挑战在于协调干预措施并跟踪指标以衡量预期影响。

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