变化世界中的儿童健康与生存

Child Health and Survival in a Changing World.

作者信息

Denno Donna M, Paul Shadae L

机构信息

Department of Pediatrics, University of Washington School of Medicine, Box 354920, 6200 Northeast 74th Street, Suite 110, Seattle, WA 98115, USA; Department of Global Health, University of Washington School of Public Health, Box 357965, Harris Hydraulics Building, 1510 Northeast San Juan Road, Seattle, WA 98195, USA; Department of Health Services, University of Washington School of Public Health, Seattle, WA 98195, USA.

Department of Global Health, University of Washington School of Public Health, Box 357965, Harris Hydraulics Building, 1510 Northeast San Juan Road, Seattle, WA 98195, USA.

出版信息

Pediatr Clin North Am. 2017 Aug;64(4):735-754. doi: 10.1016/j.pcl.2017.03.013.

DOI:10.1016/j.pcl.2017.03.013

PMID:28734507

Abstract

Ninety-nine percent of the 5.9 million annual child deaths occur in low and middle-income countries. Undernutrition underlies 45% of deaths. Determinants include access to care, maternal education, and absolute and relative poverty. Socio-political-economic factors and policies tremendously influence health and their determinants. Most deaths can be prevented with interventions that are currently available and recommended for widespread implementation. Millennium Development Goal 4 was not achieved. Sustainable Development Goal 3.2 presents an even more ambitious target and opportunity to save millions of lives; and requires attention to scaling up interventions, especially among the poorest and most vulnerable children.

摘要

每年590万儿童死亡病例中有99%发生在低收入和中等收入国家。营养不良是45%死亡病例的根本原因。决定因素包括获得医疗服务的机会、孕产妇教育以及绝对贫困和相对贫困。社会政治经济因素及政策对健康及其决定因素有巨大影响。通过目前可用并建议广泛实施的干预措施，大多数死亡是可以预防的。千年发展目标4未实现。可持续发展目标3.2提出了一个更宏伟的目标和拯救数百万人生命的机会；这需要关注扩大干预措施的规模，特别是在最贫困和最脆弱的儿童中。