UN Population Fund, Geneva, Switzerland.
Save the Children, Saving Newborn Lives, Edgemead, South Africa.
Lancet. 2016 Feb 13;387(10019):703-716. doi: 10.1016/S0140-6736(15)00954-X. Epub 2016 Jan 19.
Efforts to achieve the new worldwide goals for maternal and child survival will also prevent stillbirth and improve health and developmental outcomes. However, the number of annual stillbirths remains unchanged since 2011 and is unacceptably high: an estimated 2.6 million in 2015. Failure to consistently include global targets or indicators for stillbirth in post-2015 initiatives shows that stillbirths are hidden in the worldwide agenda. This Series paper summarises findings from previous papers in this Series, presents new analyses, and proposes specific criteria for successful integration of stillbirths into post-2015 initiatives for women's and children's health. Five priority areas to change the stillbirth trend include intentional leadership; increased voice, especially of women; implementation of integrated interventions with commensurate investment; indicators to measure effect of interventions and especially to monitor progress; and investigation into crucial knowledge gaps. The post-2015 agenda represents opportunities for all stakeholders to act together to end all preventable deaths, including stillbirths.
努力实现新的全球母婴生存目标,也将预防死产并改善母婴健康和发育结局。然而,自 2011 年以来,每年的死产数量仍保持不变,而且高得令人无法接受:据估计,2015 年有 260 万例。在 2015 年后的倡议中,未能始终将全球死产目标或指标纳入其中,表明死产问题在全球议程中被忽视了。本系列论文总结了本系列中以前论文的研究结果,提出了新的分析,并为将死产成功纳入 2015 年后妇女和儿童健康倡议提出了具体标准。改变死产趋势的五个优先领域包括:有计划的领导力;增加发言权,特别是妇女的发言权;实施相应投资的综合干预措施;用于衡量干预效果、特别是监测进展的指标;以及对关键知识空白的调查。2015 年后议程为所有利益攸关方提供了共同行动的机会,以结束所有可预防的死亡,包括死产。