Maine D
Center for Population and Family Health, Columbia University School of Public Health, New York, NY 10032, USA.
Int J Gynaecol Obstet. 1997 Nov;59 Suppl 2:S23-5. doi: 10.1016/s0020-7292(97)00144-6.
The projects of the PMM Network are based on a strategic model that focuses sharply on the interval between the obvious onset of a serious obstetric complication and the provision of emergency obstetric care (EmOC). The reason for this is that most of these complications cannot be predicted or prevented, but they can be successfully treated. The implications of this model for program design are profound. The emphasis is on improving the accessibility, quality and utilization of EmOC for women who develop such complications, rather than on having contact with all pregnant women.
孕产妇死亡率监测网络的项目基于一种战略模式,该模式高度关注严重产科并发症明显发作与提供紧急产科护理(EmOC)之间的时间间隔。原因在于,这些并发症大多无法预测或预防,但可以得到成功治疗。这种模式对项目设计的影响意义深远。重点在于提高患有此类并发症的妇女获得紧急产科护理的可及性、质量和利用率,而非与所有孕妇接触。