投资于坦桑尼亚母婴保健的效益

J. Mavole
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Recognizing the severity of this issue, the government of Tanzania through the Development Agenda 2025, Draft health policy 2020 and the current Health Sector strategic plan 2021-2026 plans to reduce infant and maternal mortality rates through mother and child healthcare investment. The Health Sector Strategic Plan focuses on strengthening the health systems in the country and aims to sustain the achievements made in enhancing the health of reproductive, maternal, newborn, children, and adolescent populations. This study sought to assess the benefits of investing on mother and child healthcare in Tanzania. The study was guided by the investment commodity theory developed by the economist John Maynard Keynes in 1936. 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引用次数: 0

摘要

目的:孕产妇和儿童保健在降低全球死亡率方面发挥关键作用,对总体疾病负担产生重大影响。可持续发展目标3旨在将全球孕产妇死亡率降至每10万例活产死亡70人以下,消除新生儿和5岁以下儿童可预防的死亡,所有国家的目标是到2030年将新生儿死亡率至少降至每1 000例活产死亡12人,5岁以下儿童死亡率至少降至每1 000例活产死亡25人。撒哈拉以南非洲,包括坦桑尼亚,背负着很高的死亡率负担,在孕产妇和儿童死亡中占很大比例,使全球数字恶化。根据Ahinkorah(2021年)的数据,2010年至2018年,SSA 5岁以下儿童死亡率的平均流行率为4.10%。坦桑尼亚政府认识到这一问题的严重性,计划通过《2025年发展议程》、《2020年卫生政策草案》和现行的《2021-2026年卫生部门战略计划》,通过母婴保健投资降低婴儿和孕产妇死亡率。卫生部门战略计划的重点是加强该国的卫生系统,旨在维持在增进生殖、孕产妇、新生儿、儿童和青少年人口健康方面取得的成就。本研究旨在评估坦桑尼亚母婴保健投资的效益。这项研究以经济学家约翰•梅纳德•凯恩斯(John Maynard Keynes)于1936年提出的投资商品理论为指导。该研究评估了母婴健康指标的现状、母婴健康投资对总体健康成果的益处,并确定了坦桑尼亚在母婴保健服务的提供、获取和利用方面存在的差距和挑战。方法学:本研究是一项基于桌面评论的研究,依赖于现有的已发表的信息、数据和文献。调查结果:研究发现,母婴健康指标的某些领域有所改善,但母婴死亡率仍然很高。疫苗接种计划、改善获得医疗保健服务的机会以及使用妇幼健康保险卡等卫生干预措施对降低儿童死亡率、改善儿童健康结果和提高孕产妇医疗保健的利用率产生了积极影响。在母婴保健服务的提供、获取和利用方面存在的重大差距和挑战包括:受教育程度和财富状况、保健基础设施不足、卫生设施距离远、社会文化障碍和财政限制等因素在获得保健服务方面存在差异。对理论、实践和政策的独特贡献:研究报告建议加强保健基础设施,增加特别是弱势群体获得妇幼保健服务的机会,促进保健教育和提高对妇幼保健做法的认识,解决熟练保健专业人员短缺的问题,改进数据收集和使用以及监测妇幼保健指标,解决阻碍获得和利用保健服务的社会文化障碍,通过分配充足的资源增加对妇幼保健方案的投资。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Benefits of Investing on Mother and Child Healthcare in Tanzania
Purpose: Maternal and child healthcare play crucial role in reducing global mortality rates, with a significant impact on the overall burden of disease. The Sustainable Development Goal 3 aims to reduce the global maternal mortality ratio to less than 70 per 100,000 live births, end preventable deaths of newborns and children under 5 years of age, with all countries aiming to reduce neonatal mortality to at least as low as 12 per 1,000 live births and under-5 mortality to at least as low as 25 per 1,000 live births by 2030. Sub-Saharan Africa, including Tanzania, carries a high burden of mortality rates and experiences a significant share of maternal and child deaths, exacerbating the global figures. The average prevalence of below 5 years mortality in SSA between 2010 and 2018 was 4.10% according to Ahinkorah (2021). Recognizing the severity of this issue, the government of Tanzania through the Development Agenda 2025, Draft health policy 2020 and the current Health Sector strategic plan 2021-2026 plans to reduce infant and maternal mortality rates through mother and child healthcare investment. The Health Sector Strategic Plan focuses on strengthening the health systems in the country and aims to sustain the achievements made in enhancing the health of reproductive, maternal, newborn, children, and adolescent populations. This study sought to assess the benefits of investing on mother and child healthcare in Tanzania. The study was guided by the investment commodity theory developed by the economist John Maynard Keynes in 1936. The study evaluated the current status of mother and child health indicators, the benefits of investing in mother and child health on overall health outcomes and identified the existing gaps and challenges in the provision, access and utilization of mother and child healthcare services in Tanzania. Methodology: The study was a desktop review-based study which relied on existing published information, data, and literature. Findings: The study found out that there have been improvements in certain areas of mother and child health indicators but maternal and child mortality rates remain high. Health interventions such as vaccination programs, improved access to healthcare services, and the use of maternal and child health insurance cards showed positive effects on reducing child mortality, improving child health outcomes, and enhancing maternal healthcare utilization. The significant gaps and challenges in the provision, access, and utilization of mother and child healthcare services include disparities in access to healthcare services based on factors such as education level and wealth status, inadequate healthcare infrastructure, long distances to health facilities, sociocultural barriers, and financial constraints. Unique contribution to theory, practice and policy: The study recommends strengthening of healthcare infrastructure, enhancing access to maternal and child healthcare services, especially for vulnerable populations, promoting health education and raising awareness about maternal and child healthcare practices, addressing the shortage of skilled healthcare professionals, improving data collection and use and monitoring of maternal and child health indicators, addressing socio-cultural barriers that hinder access and utilization of healthcare services and increasing investment in mother and child health care programs through allocate adequate resources.
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