School of Public Health, Fudan University.
Duke Global Health Institute, Duke University.
Biosci Trends. 2018 May 13;12(2):211-214. doi: 10.5582/bst.2018.01034. Epub 2018 Apr 15.
China has made impressive achievements in improving maternal and child health (MCH) over the past few decades. This paper uses a policy lens to examine reasons for these achievements as well as barriers to further success. We found that strong governmental commitment and leadership, effective coordination, proactive participation of different stakeholders, and the provision of adequate resources were associated with China's success in improving MCH outcomes. Other low- and middle-income countries can learn valuable lessons from China's experience. These lessons include i) prioritizing MCH on the national development agenda, ii) keeping national ownership over health development cooperation, and iii) establishing effective monitoring, evaluation and accountability mechanisms for MCH programs.
中国在过去几十年中在改善母婴健康方面取得了令人瞩目的成就。本文运用政策视角探讨了这些成就的原因以及进一步成功的障碍。我们发现,政府的坚定承诺和领导力、有效的协调、不同利益相关方的积极参与以及充足资源的提供与中国改善母婴健康结果的成功密切相关。其他中低收入国家可以从中国的经验中吸取宝贵的经验教训。这些经验教训包括:(一)将母婴健康置于国家发展议程的优先地位;(二)保持国家对卫生发展合作的自主权;(三)为母婴健康方案建立有效的监测、评价和问责机制。