Maternal survival 5 - Maternal health in poor countries: the broader context and a call for action

被引:295
作者
Filippi, Veronique
Ronsmans, Carine
Campbell, Oona M. R.
Graham, Wendy J.
Mills, Anne
Borghi, Jo
Koblinsky, Marjorie
Osrin, David
机构
[1] Univ London London Sch Hyg & Trop Med, Maternal & Neonatal Hlth Grp, London WC1E 7HT, England
[2] Univ London London Sch Hyg & Trop Med, Dept Publ Hlth & Policy, London WC1E 7HT, England
[3] Univ Aberdeen, Dept Obstet & Gynaecol, Aberdeen, Scotland
[4] ICDDR B, Div Publ Hlth Sci, Reprod Hlth Unit, Dhaka, Bangladesh
[5] UCL, Ctr Int Hlth & Dev, Inst Child Hlth, London, England
关键词
D O I
10.1016/S0140-6736(06)69384-7
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In this paper, we take a broad perspective on maternal health and place it in its wider context. We draw attention to the economic and social vulnerability of pregnant women, and stress the importance of concomitant broader strategies, including poverty reduction and women's empowerment. We also consider outcomes beyond mortality, in particular, near-misses and long-term sequelae, and the implications of the close association between the mother, the fetus, and the child. We make links to a range of global survival initiatives, particularly neonatal health, HIV, and malaria, and to reproductive health. Finally, after examining the political and financial context, we call for action. The need for strategic vision, financial resources, human resources, and information are discussed.
引用
收藏
页码:1535 / 1541
页数:7
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