Reduction in maternal and child mortality in sub-Saharan Africa: the yo-yo effect in delivering on the promises.
Identifieur interne : 001B76 ( PubMed/Curation ); précédent : 001B75; suivant : 001B77Reduction in maternal and child mortality in sub-Saharan Africa: the yo-yo effect in delivering on the promises.
Auteurs : Philip Mwalali [États-Unis] ; Emmanuel NguiSource :
- Journal of health care for the poor and underserved [ 1548-6869 ] ; 2009.
Descripteurs français
- KwdFr :
- Afrique subsaharienne (épidémiologie), Coopération internationale, Disparités de l'état de santé, Développement économique, Enfant d'âge préscolaire, Facteurs socioéconomiques, Femelle, Grossesse, Humains, Infections à VIH (), Mortalité de l'enfant (tendances), Mortalité maternelle (tendances), Mâle, Nourrisson, Participation communautaire, Politique de santé, Santé mondiale, Services de planification familiale (économie), Services de santé maternelle (économie), Services de santé pour enfants (économie), Soins de santé primaires (organisation et administration).
- MESH :
- organisation et administration : Soins de santé primaires.
- tendances : Mortalité de l'enfant, Mortalité maternelle.
- économie : Services de planification familiale, Services de santé maternelle, Services de santé pour enfants.
- épidémiologie : Afrique subsaharienne.
- Coopération internationale, Disparités de l'état de santé, Développement économique, Enfant d'âge préscolaire, Facteurs socioéconomiques, Femelle, Grossesse, Humains, Infections à VIH, Mâle, Nourrisson, Participation communautaire, Politique de santé, Santé mondiale.
English descriptors
- KwdEn :
- Africa South of the Sahara (epidemiology), Child Health Services (economics), Child Mortality (trends), Child, Preschool, Community Participation, Economic Development, Family Planning Services (economics), Female, Global Health, HIV Infections (prevention & control), Health Policy, Health Status Disparities, Humans, Infant, International Cooperation, Male, Maternal Health Services (economics), Maternal Mortality (trends), Pregnancy, Primary Health Care (organization & administration), Socioeconomic Factors.
- MESH :
- economics : Child Health Services, Family Planning Services, Maternal Health Services.
- epidemiology : Africa South of the Sahara.
- organization & administration : Primary Health Care.
- prevention & control : HIV Infections.
- trends : Child Mortality, Maternal Mortality.
- Child, Preschool, Community Participation, Economic Development, Female, Global Health, Health Policy, Health Status Disparities, Humans, Infant, International Cooperation, Male, Pregnancy, Socioeconomic Factors.
Abstract
Trends in maternal and child mortality (MCM) in sub-Saharan Africa do not follow the patterns seen in developed nations or match the funds and effort invested so far. This paper critically explores trends in MCM, global efforts to reduce MCM, and some of the underlying policies and programmatic issues that have shaped the slow progress or failure in reducing MCM in sub-Saharan Africa. We describe a "yo-yo" effect in policies and funding of Maternal and Child Health, Family Planning, and HIV/AIDS/STI programs in the region, and how this yo-yo effect may limit sustained community level reductions in MCM. We conclude by highlighting how renewed interest in the Alma-Ata declaration, particularly its primary health care concepts with their strong emphasis on horizontally integrated linkage of programs and resources, greater community involvement in program design and implementation, and economic development can contribute to sustainable reductions in MCM in the region.
DOI: 10.1353/hpu.0.0224
PubMed: 20168039
Links toward previous steps (curation, corpus...)
- to stream PubMed, to step Corpus: Pour aller vers cette notice dans l'étape Curation :001B76
Links to Exploration step
pubmed:20168039Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Reduction in maternal and child mortality in sub-Saharan Africa: the yo-yo effect in delivering on the promises.</title>
<author><name sortKey="Mwalali, Philip" sort="Mwalali, Philip" uniqKey="Mwalali P" first="Philip" last="Mwalali">Philip Mwalali</name>
<affiliation wicri:level="1"><nlm:affiliation>Africa Economic Foundation Inc. in Durham, North Carolina, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Africa Economic Foundation Inc. in Durham, North Carolina</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Ngui, Emmanuel" sort="Ngui, Emmanuel" uniqKey="Ngui E" first="Emmanuel" last="Ngui">Emmanuel Ngui</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PubMed</idno>
<date when="2009">2009</date>
<idno type="RBID">pubmed:20168039</idno>
<idno type="pmid">20168039</idno>
<idno type="doi">10.1353/hpu.0.0224</idno>
<idno type="wicri:Area/PubMed/Corpus">001B76</idno>
<idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001B76</idno>
<idno type="wicri:Area/PubMed/Curation">001B76</idno>
<idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001B76</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en">Reduction in maternal and child mortality in sub-Saharan Africa: the yo-yo effect in delivering on the promises.</title>
<author><name sortKey="Mwalali, Philip" sort="Mwalali, Philip" uniqKey="Mwalali P" first="Philip" last="Mwalali">Philip Mwalali</name>
<affiliation wicri:level="1"><nlm:affiliation>Africa Economic Foundation Inc. in Durham, North Carolina, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Africa Economic Foundation Inc. in Durham, North Carolina</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Ngui, Emmanuel" sort="Ngui, Emmanuel" uniqKey="Ngui E" first="Emmanuel" last="Ngui">Emmanuel Ngui</name>
</author>
</analytic>
<series><title level="j">Journal of health care for the poor and underserved</title>
<idno type="eISSN">1548-6869</idno>
<imprint><date when="2009" type="published">2009</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Africa South of the Sahara (epidemiology)</term>
<term>Child Health Services (economics)</term>
<term>Child Mortality (trends)</term>
<term>Child, Preschool</term>
<term>Community Participation</term>
<term>Economic Development</term>
<term>Family Planning Services (economics)</term>
<term>Female</term>
<term>Global Health</term>
<term>HIV Infections (prevention & control)</term>
<term>Health Policy</term>
<term>Health Status Disparities</term>
<term>Humans</term>
<term>Infant</term>
<term>International Cooperation</term>
<term>Male</term>
<term>Maternal Health Services (economics)</term>
<term>Maternal Mortality (trends)</term>
<term>Pregnancy</term>
<term>Primary Health Care (organization & administration)</term>
<term>Socioeconomic Factors</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Afrique subsaharienne (épidémiologie)</term>
<term>Coopération internationale</term>
<term>Disparités de l'état de santé</term>
<term>Développement économique</term>
<term>Enfant d'âge préscolaire</term>
<term>Facteurs socioéconomiques</term>
<term>Femelle</term>
<term>Grossesse</term>
<term>Humains</term>
<term>Infections à VIH ()</term>
<term>Mortalité de l'enfant (tendances)</term>
<term>Mortalité maternelle (tendances)</term>
<term>Mâle</term>
<term>Nourrisson</term>
<term>Participation communautaire</term>
<term>Politique de santé</term>
<term>Santé mondiale</term>
<term>Services de planification familiale (économie)</term>
<term>Services de santé maternelle (économie)</term>
<term>Services de santé pour enfants (économie)</term>
<term>Soins de santé primaires (organisation et administration)</term>
</keywords>
<keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Child Health Services</term>
<term>Family Planning Services</term>
<term>Maternal Health Services</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Africa South of the Sahara</term>
</keywords>
<keywords scheme="MESH" qualifier="organisation et administration" xml:lang="fr"><term>Soins de santé primaires</term>
</keywords>
<keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Primary Health Care</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>HIV Infections</term>
</keywords>
<keywords scheme="MESH" qualifier="tendances" xml:lang="fr"><term>Mortalité de l'enfant</term>
<term>Mortalité maternelle</term>
</keywords>
<keywords scheme="MESH" qualifier="trends" xml:lang="en"><term>Child Mortality</term>
<term>Maternal Mortality</term>
</keywords>
<keywords scheme="MESH" qualifier="économie" xml:lang="fr"><term>Services de planification familiale</term>
<term>Services de santé maternelle</term>
<term>Services de santé pour enfants</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Afrique subsaharienne</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Child, Preschool</term>
<term>Community Participation</term>
<term>Economic Development</term>
<term>Female</term>
<term>Global Health</term>
<term>Health Policy</term>
<term>Health Status Disparities</term>
<term>Humans</term>
<term>Infant</term>
<term>International Cooperation</term>
<term>Male</term>
<term>Pregnancy</term>
<term>Socioeconomic Factors</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Coopération internationale</term>
<term>Disparités de l'état de santé</term>
<term>Développement économique</term>
<term>Enfant d'âge préscolaire</term>
<term>Facteurs socioéconomiques</term>
<term>Femelle</term>
<term>Grossesse</term>
<term>Humains</term>
<term>Infections à VIH</term>
<term>Mâle</term>
<term>Nourrisson</term>
<term>Participation communautaire</term>
<term>Politique de santé</term>
<term>Santé mondiale</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Trends in maternal and child mortality (MCM) in sub-Saharan Africa do not follow the patterns seen in developed nations or match the funds and effort invested so far. This paper critically explores trends in MCM, global efforts to reduce MCM, and some of the underlying policies and programmatic issues that have shaped the slow progress or failure in reducing MCM in sub-Saharan Africa. We describe a "yo-yo" effect in policies and funding of Maternal and Child Health, Family Planning, and HIV/AIDS/STI programs in the region, and how this yo-yo effect may limit sustained community level reductions in MCM. We conclude by highlighting how renewed interest in the Alma-Ata declaration, particularly its primary health care concepts with their strong emphasis on horizontally integrated linkage of programs and resources, greater community involvement in program design and implementation, and economic development can contribute to sustainable reductions in MCM in the region.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">20168039</PMID>
<DateCreated><Year>2010</Year>
<Month>02</Month>
<Day>19</Day>
</DateCreated>
<DateCompleted><Year>2010</Year>
<Month>04</Month>
<Day>01</Day>
</DateCompleted>
<DateRevised><Year>2016</Year>
<Month>11</Month>
<Day>25</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1548-6869</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>20</Volume>
<Issue>4 Suppl</Issue>
<PubDate><Year>2009</Year>
</PubDate>
</JournalIssue>
<Title>Journal of health care for the poor and underserved</Title>
<ISOAbbreviation>J Health Care Poor Underserved</ISOAbbreviation>
</Journal>
<ArticleTitle>Reduction in maternal and child mortality in sub-Saharan Africa: the yo-yo effect in delivering on the promises.</ArticleTitle>
<Pagination><MedlinePgn>149-69</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1353/hpu.0.0224</ELocationID>
<Abstract><AbstractText>Trends in maternal and child mortality (MCM) in sub-Saharan Africa do not follow the patterns seen in developed nations or match the funds and effort invested so far. This paper critically explores trends in MCM, global efforts to reduce MCM, and some of the underlying policies and programmatic issues that have shaped the slow progress or failure in reducing MCM in sub-Saharan Africa. We describe a "yo-yo" effect in policies and funding of Maternal and Child Health, Family Planning, and HIV/AIDS/STI programs in the region, and how this yo-yo effect may limit sustained community level reductions in MCM. We conclude by highlighting how renewed interest in the Alma-Ata declaration, particularly its primary health care concepts with their strong emphasis on horizontally integrated linkage of programs and resources, greater community involvement in program design and implementation, and economic development can contribute to sustainable reductions in MCM in the region.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Mwalali</LastName>
<ForeName>Philip</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>Africa Economic Foundation Inc. in Durham, North Carolina, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ngui</LastName>
<ForeName>Emmanuel</ForeName>
<Initials>E</Initials>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
</Article>
<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>J Health Care Poor Underserved</MedlineTA>
<NlmUniqueID>9103800</NlmUniqueID>
<ISSNLinking>1049-2089</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D017954" MajorTopicYN="N">Africa South of the Sahara</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002662" MajorTopicYN="N">Child Health Services</DescriptorName>
<QualifierName UI="Q000191" MajorTopicYN="Y">economics</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D046688" MajorTopicYN="N">Child Mortality</DescriptorName>
<QualifierName UI="Q000639" MajorTopicYN="Y">trends</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002675" MajorTopicYN="N">Child, Preschool</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003256" MajorTopicYN="N">Community Participation</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D057217" MajorTopicYN="N">Economic Development</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005193" MajorTopicYN="N">Family Planning Services</DescriptorName>
<QualifierName UI="Q000191" MajorTopicYN="N">economics</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D014943" MajorTopicYN="N">Global Health</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D015658" MajorTopicYN="N">HIV Infections</DescriptorName>
<QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006291" MajorTopicYN="Y">Health Policy</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D054624" MajorTopicYN="Y">Health Status Disparities</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007223" MajorTopicYN="N">Infant</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007391" MajorTopicYN="N">International Cooperation</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008427" MajorTopicYN="N">Maternal Health Services</DescriptorName>
<QualifierName UI="Q000191" MajorTopicYN="Y">economics</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008428" MajorTopicYN="N">Maternal Mortality</DescriptorName>
<QualifierName UI="Q000639" MajorTopicYN="Y">trends</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011247" MajorTopicYN="N">Pregnancy</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011320" MajorTopicYN="N">Primary Health Care</DescriptorName>
<QualifierName UI="Q000458" MajorTopicYN="N">organization & administration</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012959" MajorTopicYN="N">Socioeconomic Factors</DescriptorName>
</MeshHeading>
</MeshHeadingList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2010</Year>
<Month>2</Month>
<Day>20</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed"><Year>2010</Year>
<Month>2</Month>
<Day>20</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline"><Year>2010</Year>
<Month>4</Month>
<Day>2</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">20168039</ArticleId>
<ArticleId IdType="pii">S1548686909400378</ArticleId>
<ArticleId IdType="doi">10.1353/hpu.0.0224</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/SidaSubSaharaV1/Data/PubMed/Curation
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001B76 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/PubMed/Curation/biblio.hfd -nk 001B76 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Sante |area= SidaSubSaharaV1 |flux= PubMed |étape= Curation |type= RBID |clé= pubmed:20168039 |texte= Reduction in maternal and child mortality in sub-Saharan Africa: the yo-yo effect in delivering on the promises. }}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/PubMed/Curation/RBID.i -Sk "pubmed:20168039" \ | HfdSelect -Kh $EXPLOR_AREA/Data/PubMed/Curation/biblio.hfd \ | NlmPubMed2Wicri -a SidaSubSaharaV1
![]() | This area was generated with Dilib version V0.6.32. | ![]() |