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Assessing coverage of interventions for reproductive, maternal, newborn, child, and adolescent health and nutrition.
The BMJ ( IF 93.6 ) Pub Date : 2020-01-26 , DOI: 10.1136/bmj.l6915
Jennifer Requejo 1 , Theresa Diaz 2 , Lois Park 3, 4 , Doris Chou 2 , Allysha Choudhury 5 , Regina Guthold 2 , Debra Jackson 5, 6 , Ann-Beth Moller 2 , Jean-Pierre Monet 7 , Allisyn C Moran 2 , Lale Say 2 , Kathleen L Strong 2 , Anshu Banerjee 2, 8
Affiliation  

Progress has been made in priority interventions, but we need new measurement systems that include the whole life course and give better assessment of equity of coverage, argue Jennifer Requejo and colleagues Embedded within the framework of the United Nations sustainable development goals (SDG) for 2030 is the principle of equity, with the aim of reaching universal health coverage. Soon after the framework was adopted in 2015, the Every Woman Every Child global strategy for women’s, children’s and adolescents’ health was launched.12 The global strategy translates the SDG agenda into concrete guidance on how to accelerate progress in women’s, children’s and adolescents’ health through a multisectoral approach. It includes a monitoring framework with 60 indicators to help countries and their partners promote accountability in ending preventable deaths (survive), ensuring health and wellbeing (thrive), and expanding enabling environments, so that all women, children, and adolescents can reach their potential (transform).3 Previous assessments show mixed progress, with some indicators advancing more rapidly than others but with pervasive inequities between and within countries.4 The Countdown to 2030 initiative also regularly tracks progress in the countries experiencing the highest burdens of maternal and child mortality. Countdown’s 2017 report,5 together with those from Every Woman Every Child, highlight laudable reductions in maternal and child mortality over the past two decades, but many settings will need to increase efforts to achieve the 2030 goals. Coverage of essential health interventions is unacceptably low in many contexts and among specific populations; considerable policy and programmatic work is needed to shore up primary healthcare systems to make universal health coverage a reality.5 We combine the countdown and global strategy indicators to take stock of progress in all 138 low and middle income countries plus Panama, which was reclassified as a high income country …

中文翻译:

评估生殖,孕产妇,新生儿,儿童和青少年健康和营养干预措施的覆盖面。

詹妮弗·里克霍(Jennifer Requejo)及其同事认为,在优先干预措施方面已经取得了进展,但我们需要包括整个生命历程并能更好地评估覆盖范围公平性的新计量系统,并将其纳入联合国2030年可持续发展目标(SDG)框架这是公平原则,旨在实现全民健康覆盖。该框架于2015年获得通过后不久,就启动了“妇女,儿童和青少年健康的每个妇女每个孩子”全球战略。12该全球战略将可持续发展目标议程转化为关于如何加快妇女,儿童和青少年进步的具体指导。通过多部门方法实现健康。它包括一个带有60项指标的监测框架,以帮助各国及其合作伙伴提高责任感,以终结可预防的死亡(生存),确保健康和福祉(繁荣)并扩大有利的环境,以便所有妇女,儿童和青少年都能发挥其潜力(转变)。3先前的评估显示进展情况参差不齐,一些指标的进展比其他指标更快,但各国之间和国家内部普遍存在不平等现象。4“ 2030年倒计时”倡议还定期追踪孕产妇和儿童死亡率负担最大的国家的进展。Countdown的2017年报告[5]以及《每个女人每个孩子》的报告,着重强调了过去20年母婴死亡率的可喜降低,但许多环境将需要加大力度以实现2030年目标。在许多情况下和特定人群中,基本卫生干预措施的覆盖率低得令人无法接受。需要大量的政策和计划性工作来支撑基本医疗保健系统,以实现全民医疗覆盖。5我们结合倒计时和全球战略指标来评估所有138个低收入和中等收入国家以及巴拿马的进展,巴拿马被重新分类为高收入国家...
更新日期:2020-01-27
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