| Enquikeveve | Дата: Суббота, 07.12.2013, 21:16 | Сообщение # 1 |
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| 5 deaths per 1000 live births, whereas in Niger and Equatorial Guinea it is around 87, a 173-times difference. So far, significant progress has been achieved in the developing world with countries like Botswana, China and Rwanda speeding up progress towards reducing child mortality, which suggests that the goals can be achieved if politicians are willing. In 1990 maternal mortality claimed 409,100 deaths decreasing to 273,500 deaths in 2011. Between 2005 and 2011maternal deaths where reduced by 73,700 deaths, 28. 6% of this decline occurred in India, with Ethiopia, Pakistan, Nigeria, Indonesia, China and Afghanistan accounting for a further 32. The authors say: The major hindrance to the use of resources effectively to scale up coverage of key interventions is health system bottlenecks such as in the health workforce health system infrastructure, health information systems, supply chain logistics, and managerial capacity. They acknowledge that altering figures may confuse authorities and advocates, however, they contend: To argue that we should use old data or forge premature consensus on methods and data sources for the sake of consensus could undermine real accountability for making progress. We must always use the best evidence for assessing trends in global health. An important antidote to policy concern over the robustness of measurement will be wider discussion of the results' strengths and limitations of different approaches to measurement.
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Peter Byass and Wendy J Graham from the Universities of Umea in Sweden and in Aberdeen, UK, say in a linked comment: The publication of various global estimates should be considered as public health actions, with effects modulated by the frequency of updates. Release of global estimates could usefully come within an agreed framework analogous in some respects to the Consolidated Standards of Reporting Trials guidelines for reporting randomized clinical trial outcomes. This idea warrants further investigation and debate in view of the probable deluge of global estimates as the 2015 deadline for achievement of the MDGs approaches. There is a need not only to judge overall achievements towards the MDGs, but also to learn lessons about the contribution of a different kind of public health intervention: measurement and publication. Written by Petra Rattue Children who did not receive enough iodine in the womb performed worse on literacy tests as 9-year-olds than their peers, according to a recent study accepted for publication in The Endocrine Society's Journal of Clinical Endocrinology & Metabolism (JCEM).
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