assessment of the proportion of neonates and children in low and middle income countries with access to a healthcare facility a systematic review评估新生儿和儿童的比例在低收入和中等收入国家提供医疗设施系统回顾.pdfVIP

Chandran et al. BMC Research Notes 2011, 4:536 /1756-0500/4/536 RESEARCH ARTICLE Open Access Assessment of the proportion of neonates and children in low and middle income countries with access to a healthcare facility: A systematic review 1* 2 2 3 4 Aruna Chandran , Hadley K Herbert , Anne CC Lee , Igor Rudan and Abdullah H Baqui Abstract Background: Comprehensive antenatal, perinatal and early postnatal care has the potential to significantly reduce the 3.58 million neonatal deaths that occur annually worldwide. This paper systematically reviews data on the proportion of neonates and children 5 years of age that have access to health facilities in low and middle income countries. Gaps in available data by WHO region are identified, and an agenda for future research and advocacy is proposed. Methods: For this paper, “utilization” was used as a proxy for “access” to a healthcare facility, and the term “facility” was used for any clinic or hospital outside of a person’s home staffed by a “medical professional”. A systematic literature search was conducted for published studies of children up to 5 years of age that included the neonatal age group with an illness or illness symptoms in which health facility utilization was quantified. In addition, information from available Demographic and Health Surveys (DHS) was extracted. Results: The initial broad search yielded 2,239 articles, of which 14 presented relevant data. From the community- based neonatal studies conducted in the Southeast Asia region with the goal of enhancing care-seeking for neonates with sepsis, the 10-48% of sick neonates in the studies’ control arms utilized a healthcare facility. Data from cross-sectional surveys involving young