下一代孕产妇健康：外部冲击与卫生系统创新
Next generation maternal health: external shocks and health-system innovations.
作者信息
Kruk Margaret E, Kujawski Stephanie, Moyer Cheryl A, Adanu Richard M, Afsana Kaosar, Cohen Jessica, Glassman Amanda, Labrique Alain, Reddy K Srinath, Yamey Gavin
机构信息
Department of Global Health and Population, School of Public Health, Harvard T H Chan, Boston, Boston, MA, USA.
Department of Epidemiology, Mailman School of Public Health, Columbia University, NY, USA.
出版信息
Lancet. 2016 Nov 5;388(10057):2296-2306. doi: 10.1016/S0140-6736(16)31395-2. Epub 2016 Sep 16.
Abstract
In this Series we document the substantial progress in the reduction of maternal mortality and discuss the current state of science in reducing maternal mortality. However, maternal health is also powerfully influenced by the structures and resources of societies, communities, and health systems. We discuss the shocks from outside of the field of maternal health that will influence maternal survival including economic growth in low-income and middle-income countries, urbanisation, and health crises due to disease outbreaks, extreme weather, and conflict. Policy and technological innovations, such as universal health coverage, behavioural economics, mobile health, and the data revolution, are changing health systems and ushering in new approaches to affect the health of mothers. Research and policy will need to reflect the changing maternal health landscape.
摘要
在本系列中，我们记录了在降低孕产妇死亡率方面取得的重大进展，并讨论了降低孕产妇死亡率的当前科学状况。然而，孕产妇健康也受到社会、社区和卫生系统的结构及资源的有力影响。我们讨论了孕产妇健康领域之外的冲击因素，这些因素将影响孕产妇生存，包括低收入和中等收入国家的经济增长、城市化以及疾病爆发、极端天气和冲突引发的健康危机。政策和技术创新，如全民健康覆盖、行为经济学、移动健康和数据革命，正在改变卫生系统，并带来影响母亲健康的新方法。研究和政策需要反映不断变化的孕产妇健康状况。
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