Maternal and Newborn Health, Independent Consultant Global Health, 5 Newcroft Road, Liverpool, L25 6EP, United Kingdom.
Best Pract Res Clin Obstet Gynaecol. 2022 Apr;80:25-38. doi: 10.1016/j.bpobgyn.2021.10.007. Epub 2021 Nov 15.
In low-and middle-income countries, the burden of disease related to pregnancy and childbirth remains high. The health of the mother is intricately linked to that of the baby. Neonatal mortality is most likely to occur in the first week of life accounting for almost half of all deaths among children under 5-year old. Many babies are stillborn each year. It is important that healthcare is accessible, available, and of good quality. This requires a functioning health system with motivated, competent healthcare providers who were able to provide the continuum of care for mothers and babies. Pre- and in-service training is effective if it uses adult learning approaches, includes all members of the maternity team, and is focused on the core content of the care packages that are agreed for each setting. Most programmes that seek to build the capacity of the health system include training as one of the interventions to be implemented.
在中低收入国家，与妊娠和分娩相关的疾病负担仍然很高。母亲的健康与婴儿的健康息息相关。新生儿死亡最有可能发生在生命的第一周，占所有 5 岁以下儿童死亡人数的近一半。每年仍有许多婴儿胎死腹中。医疗保健能够获得、提供且质量良好非常重要。这需要一个运作良好的卫生系统，其中有积极进取且有能力的医疗保健提供者，他们能够为母婴提供连续的护理。如果岗前和在职培训采用成人学习方法，包括产科团队的所有成员，并侧重于为每个环境商定的护理包的核心内容，那么培训将是有效的。大多数旨在增强卫生系统能力的方案都将培训作为要实施的干预措施之一。
