沙特阿拉伯Kamis Mushayt家庭新生儿护理计划建议-Dr。克里什纳维利·切蒂和玛丽·约翰逊

Johnson M
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引用次数: 0

摘要

全球新生儿死亡负担估计为260万,其中76万(超过四分之一)发生在印度。新生儿死亡率为每1000例活产26例,婴儿死亡率为每1000例活产39例,仅新生儿期就有2例死亡,占印度婴儿死亡的三分之二。即使在新生儿后期死亡(1-12个月)中,也有很大比例的死亡发生在生命的第二个月。因此,婴儿死亡率的任何进一步降低都与新生儿和幼儿(0-59天)死亡率的大幅降低密切相关。为在社区/家庭一级实施新生儿护理的创新办法作出了各种尝试。Cochrane对社区干预的回顾发现,通过社区动员和卫生工作者的产前和产后家访,新生儿死亡率显著降低约25%。《柳叶刀每个新生儿研究小组》估计,立即扩大各种社区和初级保健干预措施,到2017年可避免近三分之一的新生儿死亡,到2025年可避免五分之一。Khamis Mushait或Khamis Mushait城市位于沙特阿拉伯西南部,位于阿西尔省首府阿卜哈以东,是Shahran部落的首府。沙特阿拉伯第八大城市,人口约130万。婴儿死亡率是向人口提供的保健服务质量的一个重要指标,有助于了解影响健康的因素。根据千年发展目标4,尽量减少婴儿死亡率是一项重大挑战。要克服这些挑战,特别是在新生儿期,需要作出重大努力和投入大量资源,因为新生儿期是造成5岁以下儿童死亡率的主要原因。护理小组正在努力采取主动行动,尽可能地促进新生儿护理,以便在没有拟议护理计划的Khamis Mushait地区进一步降低发病率和死亡率,并促进新生儿的健康。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Proposed Plan of Home Based New Born Care in Kamis Mushayt, Saudi Arabia -Dr. Krishnavellie Chetty & Mary Johnson
The global burden of neonatal deaths is estimated to be 2.6 million, of which 0.76 million—more than a quarter—occur in India. With a neonatal mortality rate (NMR) of 26 per 1000 live births and infant mortality rate of 39 per 1000 live births,2 deaths in the neonatal period alone contribute to two-thirds of infant deaths in India. Even among postneonatal infant deaths (1–12 months), a major proportion of deaths occur in the second month of life. Any further reduction in infant mortality is therefore intricately linked to a major reduction of neonatal and young infant (0–59 days) deaths. Various attempts have been made to implement innovative approaches for newborn care at community/home level. The Cochrane review on community- based interventions found a significant reduction—by about 25%—in neonatal mortality with community mobilisation and antenatal and postnatal home visits by health workers. The Lancet Every Newborn Study Group estimated that immediate scaling up of various community-based and primary care interventions can avert almost a third of all neonatal deaths by 2017 and one-fifth by 2025. Khamis Mushayt or Khamis Mushait city in south-west Saudi Arabia, located east of Abha, the provincial seat of the Asir province, It is the capital of the Shahran tribe. 8th largest in Saudi Arabia with an estimated population of 1,300,000. The infant mortality rate is a significant indicator of the quality of the health care provided to the population and gives insight into the factors that influence health. According to Millennium Development Goal 4, minimizing the infant mortality rate is a major challenge. Substantial efforts and resources are necessary to overcome these challenges, especially during the neonatal period, which is the main contributor to mortality figures for children under age five.The nursing team is striving to take initiative in promoting the new born care to the best possible so that the morbidity and mortality rates can come down even further and the new born wellbeing will be promoted in the areas of Khamis Mushait where the proposed plan of care is not available.
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