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印度国家农村卫生使命:其对孕产妇、新生儿及婴儿死亡率的影响。

The National Rural Health Mission in India: its impact on maternal, neonatal, and infant mortality.

作者信息

Nagarajan Shyama, Paul Vinod K, Yadav Namrata, Gupta Shuchita

机构信息

Health Sector, Ernst & Young LLP, Gurgaon, India.

Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Semin Fetal Neonatal Med. 2015 Oct;20(5):315-20. doi: 10.1016/j.siny.2015.06.003. Epub 2015 Sep 15.

Abstract

The National Rural Health Mission (NRHM) has been a watershed in the history of India's health sector. As a previously unattempted investment, governance, and mobilization effort, the NRHM succeeded in injecting new energy into India's public health system. A huge expansion of infrastructure and human resources is the hallmark of the NRHM action. Demand-side initiatives led to enhanced utilization of public health facilities, especially for facility births. The impact is visible. The Mission has brought Millennium Development Goals 4 and 5 within India's grasp. Acceleration in infant and neonatal mortality reduction is especially notable. The NRHM has created conditions for the country to move toward universal health coverage.

摘要

国家农村卫生使命(NRHM)是印度卫生部门历史上的一个分水岭。作为一项此前未尝试过的投资、治理和动员努力,NRHM成功地为印度的公共卫生系统注入了新的活力。基础设施和人力资源的大规模扩张是NRHM行动的标志。需求侧举措提高了公共卫生设施的利用率,尤其是在机构分娩方面。影响显而易见。该使命已使印度有望实现千年发展目标4和5。婴儿和新生儿死亡率加速下降尤其显著。NRHM为该国迈向全民健康覆盖创造了条件。

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