Foord F
Medical Research Council, Dunn Nutrition Unit, Keneba, Gambia.
World Health Stat Q. 1995;48(1):18-22.
A project to improve the quality of maternal health services was carried out over a 3-year period in West Kiang district, Gambia. Coverage of maternal care was strengthened through upgrading of personnel, TBA training, improved treatment and referral schemes, and increased numbers of visits to rural outreach areas. A control district was used to compare the impact of the interventions. During the project period of 3 years a single maternal death was registered in the intervention district, and 5 in the control area. While improved staffing and service provision led to higher degrees of coverage of maternal care services, reductions in maternal morbidity could not be documented in the intervention area. Given concern over the quality of the data possibly influencing this result, further research is necessary to determine the relationship between improved mobile maternal care services and their impact on maternal morbidity and perinatal outcome.
在冈比亚的西江区开展了一项为期三年的改善孕产妇保健服务质量的项目。通过人员升级、传统接生员培训、改进治疗和转诊方案以及增加对农村偏远地区的探访次数，加强了孕产妇护理的覆盖范围。设立了一个对照区来比较干预措施的影响。在为期三年的项目期间，干预区记录了1例孕产妇死亡，对照区记录了5例。虽然人员配备和服务提供的改善导致孕产妇护理服务的覆盖程度更高，但在干预区并未记录到孕产妇发病率的降低。鉴于对可能影响这一结果的数据质量的担忧，有必要进行进一步研究，以确定改善的流动孕产妇护理服务与其对孕产妇发病率和围产期结局的影响之间的关系。
