Alma-Ata: Rebirth and Revision 6 Interventions to address maternal, newborn, and child survival: what difference can integrated primary health care strategies make?
Lancet
; 372(9642): 972-89, 2008 Sep 13.
Article
em En
| MEDLINE
| ID: mdl-18790320
ABSTRACT
Several recent reviews of maternal, newborn, and child health (MNCH) and mortality have emphasised that a large range of interventions are available with the potential to reduce deaths and disability. The emphasis within MNCH varies, with skilled care at facility levels recommended for saving maternal lives and scale-up of community and household care for improving newborn and child survival. Systematic review of new evidence on potentially useful interventions and delivery strategies identifies 37 key promotional, preventive, and treatment interventions and strategies for delivery in primary health care. Some are especially suitable for delivery through community support groups and health workers, whereas others can only be delivered by linking community-based strategies with functional first-level referral facilities. Case studies of MNCH indicators in Pakistan and Uganda show how primary health-care interventions can be used effectively. Inclusion of evidence-based interventions in MNCH programmes in primary health care at pragmatic coverage in these two countries could prevent 20-30% of all maternal deaths (up to 32% with capability for caesarean section at first-level facilities), 20-21% of newborn deaths, and 29-40% of all postneonatal deaths in children aged less than 5 years. Strengthening MNCH at the primary health-care level should be a priority for countries to reach their Millennium Development Goal targets for reducing maternal and child mortality.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Atenção Primária à Saúde
/
Mortalidade Infantil
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Mortalidade Materna
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Agentes Comunitários de Saúde
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Mortalidade da Criança
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Países em Desenvolvimento
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Promoção da Saúde
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Serviços de Saúde Materna
Tipo de estudo:
Prognostic_studies
Limite:
Child, preschool
/
Female
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Humans
/
Newborn
Idioma:
En
Revista:
Lancet
Ano de publicação:
2008
Tipo de documento:
Article
País de afiliação:
Paquistão