Laaser Ulrich, Broniatowski Raphael, Byepu Stephen, Bjegovic-Mikanovic Vesna
Section of International Public Health, School of Public Health, Bielefeld University, Bielefeld, Germany.
EPOS Health Management, Bad Homburg, Germany.
Front Public Health. 2019 Dec 13;7:386. doi: 10.3389/fpubh.2019.00386. eCollection 2019.
The Government of Liberia has set ambitious national health targets for 2021 to reduce the high maternal, newborn, and child mortality rate and to improve the related health services. Additionally, Sustainable Development Goal 3 provides a long-term target for 2030. The objective of this article is to analyze the gaps between the targets and collected data. Relevant national documents were scrutinized to identify targets and related indicators which can serve as benchmarks for future achievements in Liberia's maternal, newborn, and child health. For each indicator, progress observed will be compared with that needed to meet the target, based on the indicator value in a baseline year, a later observed value, and the expected value in 2021 and 2030, respectively. The Gap Analysis reveals achievements and serious delays for 21 health and health system indicators. Based on national data the reduction of the maternal mortality ratio will take an additional -8.2 years for the 2021 target and -12.5 years for the 2030 target. The Neonatal Mortality rate is experiencing similar delays of -7.9 years for 2021 and -12.9 for 2030 whereas the targets for the Under-5-Mortality rate can be achieved with small delays of -1.8 and -1.7 years. The Government of Liberia requires persistent efforts and international support to achieve its national targets and the Sustainable Development Goal 3 for health.
利比里亚政府为2021年设定了宏伟的国家卫生目标,以降低孕产妇、新生儿和儿童的高死亡率,并改善相关卫生服务。此外,可持续发展目标3为2030年设定了长期目标。本文的目的是分析目标与所收集数据之间的差距。对相关国家文件进行了审查,以确定可作为利比里亚孕产妇、新生儿和儿童健康未来成就基准的目标和相关指标。对于每个指标,将根据基准年份的指标值、后来观察到的值以及2021年和2030年的预期值,将观察到的进展与实现目标所需的进展进行比较。差距分析揭示了21项卫生和卫生系统指标的成就和严重延误。根据国家数据,孕产妇死亡率的降低在2021年目标方面还需要额外8.——年,在2030年目标方面还需要额外12.5年。新生儿死亡率在2021年有类似的7.9年延误,在2030年有12.9年延误,而5岁以下儿童死亡率目标可以在小幅度延误1.8年和1.7年的情况下实现。利比里亚政府需要持续努力并获得国际支持,以实现其国家目标和卫生领域的可持续发展目标3。