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#肯尼亚 #东非 #非洲
在世界人口日,我们经常被要求关注各种数字,例如我们有多少人口、我们增长的速度有多快,以及未来几年我们的总人口会有怎样的需求。这些数字应当帮助我们理解人们出生时的生活条件、塑造他们健康与机遇的体制,以及他们所能构建的未来。\n\n在肯尼亚,有一些数字让我们触目惊心。每天,我们大约有15位母亲因妊娠相关原因离世,92名新生儿夭折,并有93起死产记录。这些死亡绝大多数是可以预防的。在过去十年中,该国在孕产妇和新生儿健康方面取得了显著进展。医疗机构分娩率从2014年的62%上升到2022年的89%。如今,几乎所有孕妇都至少进行一次产前检查,近五分之四的...\n\n尽管如此,产妇和新生儿即使抵达医疗机构,也可能无法获得挽救生命的护理。导致孕产妇死亡的主要原因众所周知,即产后出血、高血压疾病、败血症、梗阻性分娩和贫血。新生儿死亡的原因则包括早产、出生窒息(呼吸并发症)、呼吸窘迫、新生儿败血症和黄疸。通过及时、负担得起且经过验证的干预措施,这些病症是可以预防和治疗的。问题在于...\n\n在WhatsApp和LinkedIn上获取最新头条新闻\n\n肯尼亚孕产妇和新生儿死亡主要由三个延迟造成:决定寻求护理的延迟、抵达正确医疗机构的延迟,以及一旦进入该机构后未能获得及时、优质护理的延迟。第三种延迟目前是最紧迫的问题之一,因为数据表明,医疗机构内部的延迟占孕产妇死亡原因的近一半(45%)。\n\n2024年肯尼亚医疗机构服务质量评估发现,孕产妇和新生儿服务准备情况存在重大差距。只有37%提供分娩服务的医疗机构能够提供所有基本紧急产科和新生儿护理服务。三分之一的第四级和第五级医疗机构不具备剖腹产和输血服务,只有12%提供产妇护理的医疗机构具备提供新生儿护理服务的能力。\n\n正如2026年世界人口日鼓励我们审视不断增长的人口状况一样,卫生部仍然致力于建立一个卫生系统,在任何紧急情况发生之前,保护家庭和子孙后代免受并发症的侵害。这也是2026至2028年每一个妇女、每一个新生儿、每一个地方加速计划背后的雄心。\n\n该计划于一个月前启动,是肯尼亚为消除可预防的孕产妇、新生儿死亡和死产而采取的最具针对性的国家行动。它将国家和郡级政府、医疗机构、社区和合作伙伴聚集在一起,围绕一个共同目标,即在每个郡使孕产妇和新生儿护理变得及时、受人尊敬、高质量且可靠。其目标是90-90-80-80:90%的孕妇接受四次或以上的产前检查;90%的熟练接生分娩;80%的...
中文导读
尽管如此,产妇和新生儿即使抵达医疗机构,也可能无法获得挽救生命的护理。导致产妇死亡的主要原因众所周知,即产后出血、妊娠期高血压疾病、脓毒症、难产和贫血。新生儿则死于早产、出生窒息(呼吸并发症)、呼吸窘迫、新生儿脓毒症和黄疸。这些病症通过及时、可负担且行之有效的干预措施,是可以预防和治疗的。然而,问题在于,这些干预措施并非总能在需要时惠及每一位产妇和每一位新生儿。
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原文原文 / Original TextOn World Population Day, we are often asked to look at numbers such as how many people we are, how fast we are growing, and what our population will need in the years ahead. They should help us understand the conditions into which people are born, the systems that shape their health and opportunity, and the futures they are able to build.
In Kenya, there are a few numbers that stop us in our tracks. Every single day, we lose an estimated 15 mothers to pregnancy-related causes, 92 newborns die and 93 stillbirths are recorded. The majority of these deaths are preventable. Over the past decade, the country has made significant gains in maternal and newborn health. Facility deliveries increased from 62 percent in 2014 to 89% percent in 2022. Almost all pregnant women now have at least one antenatal care visit and nearly four out of f
Despite this, a woman and newborn may reach a facility and still not receive the care that can save their lives. The leading causes of maternal deaths are well-known, i.e., bleeding after childbirth, hypertensive disorders, sepsis, obstructed labour, and anaemia. Newborns die from prematurity, birth asphyxia (breathing complications) , respiratory distress, neonatal sepsis, and jaundice. These conditions are preventable and treatable with timely, affordable, and proven interventions. The problem
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Kenya's maternal and newborn deaths are driven by three delays: delays in deciding to seek care, delays in reaching the right facility, and delays in receiving timely, quality care once inside that facility. The third delay is now one of the most urgent as the data shows us that delays within health facilities contribute to almost half (45 percent) of maternal deaths.
The Kenya Quality of Care Health Facility Assessment 2024 found major gaps in maternal and newborn service readiness. Only 37 percent of facilities that offer delivery services provide all basic emergency obstetric and newborn care services. One third of Level 4 and Level 5 facilities do not have caesarean section and blood transfusion services and o nly 12 percent of facilities that provide maternity care are equipped to offer newborn care services.
As World Population Day 2026 encourages us to look at the conditions of our growing demographics, the Ministry of Health remains committed to building a health system that protects families and future generations from complications before any emergencies even happen. This is the ambition behind the Every Woman Every Newborn Everywhere Acceleration Plan 2026–2028.
Launched one month ago, the plan is Kenya's most focused national effort to end preventable maternal and newborn deaths and stillbirths. It brings together national and county governments, health facilities, communities, and partners around a shared goal of making maternal and newborn care timely, respectful, high-quality, and reliable in every county. The goal is 90–90–80–80 : 90 percent of pregnant women attending four or more antenatal care visits; 90 percent skilled deliveries; 80 percent of
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来源:AllAfrica (https://allafrica.com/)
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