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培育下一代:亚洲和非洲婴幼儿面临的健康挑战。

Nurturing the Next Generation: Health Challenges in Infants and Children Across Asia and Africa.

作者信息

Agrawal Shreyash, Kumar Mayank, Chakole Swarupa

机构信息

Department of Community Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2023 Jul 27;15(7):e42573. doi: 10.7759/cureus.42573. eCollection 2023 Jul.

Abstract

Over the past 20 years, there has been a global improvement in the health of the world's population. For instance, the number of illnesses among children under five years old has been reduced by half in the last 40 years. Unfortunately, in the past decade, these positive trends have reversed in many parts of sub-Saharan Africa and some areas of South Asia. Asia and Africa carry the highest disease burden worldwide. The lack of adequately trained healthcare professionals in the public sector, as well as inequalities based on social, financial, and geographical factors, contribute to high mortality rates in Asian and African countries. Infants and children in lower-middle-income countries are particularly vulnerable to these healthcare system inequities. While the global under-five mortality rate has decreased by half in the last two decades, this progress is not observed in African and Asian countries, where the situation may even be worse in some cases. Mortality indicators, although crucial for assessing health status and making global comparisons, fail to fully capture the disease burden and healthcare utilization. Morbidity indicators, which provide insights into the prevalence of diseases, are underutilized due to limited data availability, ineffective reporting, and gaps in data storage and analysis. This article explores the morbidity data from two Asian and two African countries in an attempt to understand the most common health challenges faced by infants and children in these regions.

摘要

在过去20年里,全球人口健康状况有所改善。例如,五岁以下儿童的患病数量在过去40年里减少了一半。不幸的是,在过去十年中,撒哈拉以南非洲的许多地区以及南亚的一些地区,这些积极趋势发生了逆转。亚洲和非洲承担着全球最高的疾病负担。公共部门缺乏训练有素的医疗保健专业人员,以及基于社会、经济和地理因素的不平等,导致亚洲和非洲国家的高死亡率。中低收入国家的婴儿和儿童尤其容易受到这些医疗体系不平等现象的影响。虽然全球五岁以下儿童死亡率在过去二十年中下降了一半,但在非洲和亚洲国家并未看到这一进展,在某些情况下,那里的情况甚至可能更糟。死亡率指标虽然对于评估健康状况和进行全球比较至关重要,但未能充分反映疾病负担和医疗保健利用情况。发病率指标能够洞察疾病的流行情况,但由于数据可用性有限、报告效率低下以及数据存储和分析存在差距,其使用不足。本文探讨了两个亚洲国家和两个非洲国家的发病率数据,试图了解这些地区婴儿和儿童面临的最常见健康挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d22/10460265/1a3d893931d6/cureus-0015-00000042573-i01.jpg

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