Campbell O, Koblinsky M, Taylor P
Maternal and Child Epidemiology Unit, London School of Hygiene and Tropical Medicine, UK.
Int J Gynaecol Obstet. 1995 Jun;48 Suppl:S33-52. doi: 10.1016/0020-7292(95)02319-8.
Enthusiasm for 'doing something about Safe Motherhood' has been expressed in many developing countries, but priorities for action cannot be identified without adequately assessing a country's maternal mortality situation. It is also important, however, to avoid embarking on time-consuming research measuring indicators which are not essential to developing programs. After presenting an overview of ideal Safe Motherhood program components, the paper lists a series of questions which serve as an assessment tool for collecting useful information and for identifying data sources on maternal mortality and health. The framework for these questions centers around the following steps: (1) gaining an overview of health policy relevant to maternal mortality and morbidities; (2) assessing the magnitude and causes of maternal mortality and morbidity, and the characteristics of groups at particular risk; and (3) assessing the available inputs in terms of services (access, quality, providers, what is provided at various tiers, etc.) and in terms of the culture and existing resources and groups.
许多发展中国家都表达了对“采取行动保障孕产妇安全”的热情，但如果没有对一个国家的孕产妇死亡率情况进行充分评估，就无法确定行动的优先事项。然而，同样重要的是要避免开展耗时的研究，去衡量那些对制定项目并非至关重要的指标。在概述了理想的孕产妇安全项目组成部分之后，本文列出了一系列问题，这些问题可作为一种评估工具，用于收集有用信息以及确定有关孕产妇死亡率和健康状况的数据来源。这些问题的框架围绕以下步骤展开：（1）全面了解与孕产妇死亡率和发病率相关的卫生政策；（2）评估孕产妇死亡率和发病率的规模及原因，以及特定风险群体的特征；（3）从服务方面（可及性、质量、提供者、不同层级提供的服务等）以及文化、现有资源和群体方面评估可用投入。
