加纳婴儿死亡率:投资于医疗保健基础设施和系统

Danielle Poulin, Gloria Nimo, Dorian Royal, Paule Valery Joseph, Tiffany Nimo, Tyra Nimo, Kofi Sarkodee, Sharon Attipoe-Dorcoo
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引用次数: 0

摘要

儿童和婴儿死亡是一个全球性问题。五岁以下儿童的死亡几乎有一半发生在新生儿期,即生命的最初 28 天,2020 年全球将有 240 万新生儿死亡。撒哈拉以南非洲地区的新生儿死亡人数高得不成比例。加纳的新生儿死亡率为每千例活产 22.8 例,仍然落后于联合国可持续发展目标设定的指标。优质的产前护理、产后监测、母乳喂养支持和产后计划生育对于预防新生儿死亡非常重要。虽然加纳在使人们在经济上更容易获得医疗保健方面取得了进展,但在确保优质医疗保健所需的关键基础设施方面却没有相应的改善。这些改善并没有消除自付的医疗费用,这阻碍了在降低婴儿死亡率方面取得进展。政策制定者应考虑对医疗保健基础设施进行投资,包括扩大公私合作伙伴关系。还需要制定政策,改善劳动力发展计划、交通基础设施和医疗保险系统。
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Infant Mortality in Ghana:Investing in Healthcare Infrastructure & Systems
Child and infant mortality is a global problem. Almost half of deaths of children under age five occur in the neonatal period, the first 28 days of life, and 2.4 million neonatal deaths globally in 2020. Sub-Saharan Africa has disproportionately high numbers of neonatal deaths. Ghana’s neonatal mortality rate is 22.8 per 1,000 live births and remains behind targets set by the United Nations Sustainable Development Goals. Quality antenatal care, postnatal monitoring, breastfeeding support, and postnatal family planning are important in preventing neonatal deaths. While Ghana has made progress in making care more financially accessible, it has not been matched with the improvements in the critical infrastructure required to ensure quality healthcare. The improvements have alsonot eliminated out-of-pocket costs for care, which have hindered progress in decreasing infant mortality. Policymakers should consider investments in healthcare infrastructure, including expanding public-privatepartnerships. Policies that improve workforce development programs, transportation infrastructure, and health insurance systems improvements are needed.
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