Global health systems strengthening: FIGO's strategic view on reducing maternal and newborn mortality worldwide.

Autor: Miranda J; Department of Obstetrics and Gynecology, Grupo de Investigación en Cuidado Intensivo y Obstetricia (GRICIO), Universidad de Cartagena, Cartagena de Indias, Colombia.; Centro Hospitalario Serena del Mar y Fundación Santa Fe de Bogotá, Bogotá, Colombia., Miller S; Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, California, USA., Alfieri N; Department of Obstetrics and Gynecology, San Paolo Hospital Medical School, University of Milano, Milano, Italy., Lalonde A; FIGO International Childbirth Initiative and Working Group, Ottawa, Ontario, Canada., Ivan-Ortiz E; Department of Obstetrics and Gynecology, Universidad del Valle, Cali, Colombia., Hanson C; Public Health Sciences - Global Health - Health Systems and Policy, Karolinska Institute, Stockholm, Sweden., Steinholt M; Helgeland Hospital Trust, Sandnessjøen, Norway.; Norwegian University of Science and Technology, Trondheim, Norway., Palshetkar N; Department of Reproductive Medicine, Patil Medical College, Mumbai, India., Suharjono H; Department of Obstetrics and Gynaecology, Sarawak General Hospital, Kuching, Sarawak, Malaysia., Gebhardt S; Department of Obstetrics and Gynaecology, Stellenbosch University, Stellenbosch, South Africa., Dossou JP; Centre de Recherche en Reproduction Humaine et en Démographie, Cotonou, Benin., Pascali-Bonaro D; International Childbirth Consultant, Trainer, and Speaker, River Vale, New Jersey, USA., Jacobsson B; Department of Obstetrics and Gynecology, Institute of Clinical Science, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.; Department of Obstetrics and Gynecology, Region Västra Götaland, Sahlgrenska University Hospital, Gothenburg, Sweden.; Department of Genetics and Bioinformatics, Domain of Health Data and Digitalization, Institute of Public Health, Oslo, Norway., Okong P; Department of Obstetrics and Gynecology, St Francis Hospital Nsambya, Kampala City, Uganda.
Jazyk: angličtina
Zdroj: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics [Int J Gynaecol Obstet] 2024 Jun; Vol. 165 (3), pp. 849-859. Date of Electronic Publication: 2024 Apr 23.
DOI: 10.1002/ijgo.15553
Abstrakt: Objective: To demonstrate that successful health systems strengthening (HSS) projects have addressed disparities and inequities in maternal and perinatal care in low-income countries.
Methods: A comprehensive literature review covered the period between 1980 and 2022, focusing on successful HSS interventions within health systems' seven core components that improved maternal and perinatal care.
Results: The findings highlight the importance of integrating quality interventions into robust health systems, as this has been shown to reduce maternal and newborn mortality. However, several challenges, including service delivery gaps, poor data use, and funding deficits, continue to hinder the delivery of quality care. To improve maternal and newborn health outcomes, a comprehensive HSS strategy is essential, which should include infrastructure enhancement, workforce skill development, access to essential medicines, and active community engagement.
Conclusion: Effective health systems, leadership, and community engagement are crucial for a comprehensive HSS approach to catalyze progress toward universal health coverage and global improvements in maternal and newborn health.
(© 2024 International Federation of Gynecology and Obstetrics.)
Databáze: MEDLINE
Externí odkaz: