Article
| 第191期
| 2022-05-06
Lancet：行动起来，促进儿童青少年健康（综述）
Lancet
[IF:98.4]
要点总结
1
目前的证据支持对新生儿和5岁以下的儿童开展干预策略，但需要进一步扩大规模并与学龄儿童的干预措施联系起来；
2
从孕前到婴幼儿早期的系列护理干预措施对儿童存活率、分娩结果以及改善生长发育轨迹具有积极的影响；
3
相比于低龄儿童，对学龄儿童进行干预的证据较少，但其中一些干预措施（包括疫苗接种、伤害预防、心理健康、生殖健康干预等）确实有效；
4
强大的卫生系统和关键平台对于母亲、儿童、青少年的健康至关重要。
主编推荐语
Epi汪
加强儿童青少年的健康干预，提高其健康水平是一项复杂、多方位的工程。本综述阐述了在此过程中可以施行的干预策略，为进一步在中低等收入国家开展全民健康干预项目提供科学依据。
通讯作者
第一作者
关键词
evidence-based interventionsdelivery strategieshealthhuman developmentbefore conception20 yearscoveragematernalnewbornearly childhoodlow-incomemiddle-income countrieschild mortalitymorbidityinequitieslife-saving carenurturing carecost-effectivenesssurvivalvulnerableeffectivenessessential interventionsemerging interventionsadulthoodgrowdevelop optimallywellbeingdevelopmental potentialscaling upchild mortality ratesschool-age childrenevidence gaps
原文信息
What can work and how? An overview of evidence-based interventions and delivery strategies to support health and human development from before conception to 20 years 10.1016/S0140-6736(21)02725-2
Lancet
[IF: 98.4]
2022-05-27
Abstract
Progress has been made globally in improving the coverage of key maternal, newborn, and early childhood interventions in low-income and middle-income countries, which has contributed to a decrease in child mortality and morbidity. However, inequities remain, and many children and adolescents are still not covered by life-saving and nurturing care interventions, despite their relatively low costs and high cost-effectiveness. This Series paper builds on a large body of work from the past two decades on evidence-based interventions and packages of care for survival, strategies for delivery, and platforms to reach the most vulnerable. We review the current evidence base on the effectiveness of a variety of essential and emerging interventions that can be delivered from before conception until age 20 years to help children and adolescents not only survive into adulthood, but also to grow and develop optimally, support their wellbeing, and help them reach their full developmental potential. Although scaling up evidence-based interventions in children younger than 5 years might have the greatest effect on reducing child mortality rates, we highlight interventions and evidence gaps for school-a
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