Bottlenecks, barriers, and solutions: results from multicountry consultations focused on reduction of childhood pneumonia and diarrhoea deaths

被引:66
作者
Gill, Christopher J. [1 ]
Young, Mark [2 ]
Schroder, Kate [3 ]
Carvajal-Velez, Liliana [2 ]
McNabb, Marion [1 ]
Aboubaker, Samira [4 ]
Qazi, Shamim [4 ]
Bhutta, Zulfiqar A. [5 ]
机构
[1] Boston Univ, Sch Publ Hlth, Boston, MA 02118 USA
[2] UNICEF, New York, NY USA
[3] Clinton Hlth Access Initiat, Boston, MA USA
[4] WHO, Dept Maternal Newborn Child & Adolescent Hlth, CH-1211 Geneva, Switzerland
[5] Aga Khan Univ, Karachi, Pakistan
基金
比尔及梅琳达.盖茨基金会;
关键词
INTEGRATED MANAGEMENT; ZINC SUPPLEMENTATION; MORTALITY; HEALTH; MORBIDITY; DISEASE; PREVENTION; COUNTRIES; COUNTDOWN; NEWBORN;
D O I
10.1016/S0140-6736(13)60314-1
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
Millions of children still die unnecessarily from pneumonia and diarrhoea, mainly in resource-poor settings. A series of collaborative consultations and workshops involving several hundred academic, public health, governmental and private sector stakeholders were convened to identify the key barriers to progress and to issue recommendations. Bottlenecks impairing access to commodities included antiquated supply management systems, insufficient funding for drugs, inadequate knowledge about interventions by clients and providers, health worker shortages, poor support for training or retention of health workers, and a failure to convert national policies into action plans. Key programmatic barriers included an absence of effective programme coordination between and within partner organisations, scarce financial resources, inadequate training and support for health workers, sporadic availability of key commodities, and suboptimal programme management. However, these problems are solvable. Advocacy could help to mobilise needed resources, raise awareness, and prioritise childhood pneumonia and diarrhoea deaths in the coming decade.
引用
收藏
页码:1487 / 1498
页数:12
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