Shetty Avinash K
Pediatric HIV Program, Pediatric Infectious Diseases, Global Health Education, Wake Forest School of Medicine, Brenner Children's Hospital, Medical Center Boulevard, Winston-Salem, NC 27157, USA.
Pediatr Clin North Am. 2016 Feb;63(1):1-18. doi: 10.1016/j.pcl.2015.08.001.
Considerable progress has been made towards reducing under-5 childhood mortality in the Millennium Development Goals era. Reduction in newborn mortality has lagged behind maternal and child mortality. Effective implementation of innovative, evidence-based, and cost-effective interventions can reduce maternal and newborn mortality. Interventions aimed at the most vulnerable group results in maximal impact on mortality. Intervention coverage and scale-up remains low, inequitable and uneven in low-income countries due to numerous health-systems bottle-necks. Innovative service delivery strategies, increased integration and linkages across the maternal, newborn, child health continuum of care are vital to accelerate progress towards ending preventable maternal and newborn deaths.
在千年发展目标时代，五岁以下儿童死亡率的降低已取得显著进展。新生儿死亡率的降低落后于孕产妇和儿童死亡率。有效实施创新、基于证据且具有成本效益的干预措施可降低孕产妇和新生儿死亡率。针对最弱势群体的干预措施对死亡率产生最大影响。由于众多卫生系统瓶颈，低收入国家的干预措施覆盖率及扩大规模仍然较低、不公平且不均衡。创新的服务提供策略、加强孕产妇、新生儿、儿童健康连续护理过程中的整合与联系对于加快实现消除可预防的孕产妇和新生儿死亡的目标至关重要。
