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金砖国家的母婴健康成果:千年发展目标和可持续发展目标时期分析

Maternal and child health outcomes in BRICS countries: Analysis of MDGs and SDGs periods.

作者信息

Wang Xin, Liu Yuting, Yue Haifeng

机构信息

Administrative management, Paichai University, Daegu City, 35368, South Korea.

College of Marxism, Dalian Maritime University, Dalian,116026, Liaoning, China.

出版信息

Afr J Reprod Health. 2025 May 30;29(5):88-102. doi: 10.29063/ajrh2025/v29i1.8.

Abstract

This study examines maternal-child health outcomes, specifically infant, under-5, and maternal mortality rates in BRICS countries (Brazil, Russia, India, China, and South Africa) between 2000 and 2022, segmented into Millennium Development Goals (MDGs) and Sustainable Development Goals (SDGs) periods. Using Panel Corrected Standard Errors (PCSE) and Panel Quantile Regression estimators, the analysis identifies significant improvements in child mortality outcomes from the MDGs to the SDGs era, reflecting advancements in healthcare infrastructure and enhanced health policies. However, quantile regression results highlight persistent inequalities, with disproportionately poorer outcomes in nations with higher maternal mortality rates. The findings underline the continuing health disparities across BRICS nations, emphasising the importance of inclusive and equitable healthcare systems. Policymakers are encouraged to design targeted health interventions that address socioeconomic determinants, such as education, healthcare expenditure, immunisation coverage, and urbanisation, to improve maternal-child health outcomes. Strengthening healthcare delivery, particularly among vulnerable populations such as low-income families and children, is essential for reducing mortality rates and achieving broader health objectives within the SDGs framework. Ultimately, the study advocates integrated public health strategies that support sustainable progress towards equitable maternal and child health across the BRICS region.

摘要

本研究考察了金砖国家(巴西、俄罗斯、印度、中国和南非)在2000年至2022年期间的母婴健康成果,特别是婴儿、5岁以下儿童和孕产妇死亡率,并将其划分为千年发展目标(MDGs)和可持续发展目标(SDGs)时期。通过使用面板校正标准误差(PCSE)和面板分位数回归估计量,分析确定了从千年发展目标到可持续发展目标时代儿童死亡率成果的显著改善,这反映了医疗基础设施的进步和卫生政策的加强。然而,分位数回归结果突出了持续存在的不平等现象,孕产妇死亡率较高的国家的结果差得不成比例。研究结果强调了金砖国家之间持续存在的健康差距,强调了包容性和公平的医疗体系的重要性。鼓励政策制定者设计有针对性的健康干预措施,以解决社会经济决定因素,如教育、医疗支出、免疫接种覆盖率和城市化,以改善母婴健康成果。加强医疗服务,特别是在低收入家庭和儿童等弱势群体中,对于降低死亡率和在可持续发展目标框架内实现更广泛的健康目标至关重要。最终,该研究倡导综合公共卫生战略,以支持金砖地区在公平的母婴健康方面取得可持续进展。

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