Your search found 2 Results
Pediatrics. 2008 Apr; 121(4):e984-92.Deficiencies in the quality of health care are major limiting factors to the achievement of the Millennium Development Goals for child and maternal health. Quality of patient care in hospitals is firmly on the agendas of Western countries but has been slower to gain traction in developing countries, despite evidence that there is substantial scope for improvement, that hospitals have a major role in child survival, and that inequities in quality may be as important as inequities in access. There is now substantial global experience of strategies and interventions that improve the quality of care for children in hospitals with limited resources. The World Health Organization has developed a toolkit that contains adaptable instruments, including a framework for quality improvement, evidence-based clinical guidelines in the form of the Pocket Book of Hospital Care for Children, teaching material, assessment, and mortality audit tools. These tools have been field-tested by doctors, nurses, and other child health workers in many developing countries. This collective experience was brought together in a global World Health Organization meeting in Bali in 2007. This article describes how many countries are achieving improvements in quality of pediatric care, despite limited resources and other major obstacles, and how the evidence has progressed in recent years from documenting the nature and scope of the problems to describing the effectiveness of innovative interventions. The challenges remain to bring these and other strategies to scale and to support research into their use, impact, and sustainability in different environments.
Achieving the millennium development goals for health and nutrition in Bangladesh: key issues and interventions--an introduction.
Journal of Health, Population, and Nutrition. 2008 Sep; 26(3):253-60.Among the mega-countries, Bangladesh stands out in terms of the density of population. As opposed to other countries with a population exceeding 100 million, the density of population in Bangladesh is more than twice the density of other populous countries, and the population continues to grow. Bangladesh is only half way up the population curve such that, during the next 50 years, the difference in density between Bangladesh and other countries will widen even further. Thus, the density of population, as well as poverty, and the rapid urbanization of the country are major constraints for Bangladesh while it attempts to achieve the Millennium Development Goals (MDGs). Hopefully, the fertility rate will continue to fall to levels less than needed for replacement, since this will ease one of these constraints. (excerpt)