PDF(Pubmed)
Abstract：
Since 2003, the Turkish Ministry of Health (TMOH) has activated a reformed system called Health Transformation Program (HTP) which has assertive goals. Health transformation program has brought about important improvements in many health topics. However, at the beginning of HTP, cesarean section (C-section) rate was approximately 30%, having exceeded 50% in 2013 which reflected the highest rate in Organization for Economic Cooperation and Development (OECD). Currently, most of the deliveries are carried out via C-section in Türkiye which started disputes about whether the high rate of C-section is Achilles\' heel of HTP. To overcome high C-section rate, TMOH has been making intensive efforts and taking serious measures in recent years including passing a law to ban elective C-sections. Despite the strict measures taken C-section rate didn\'t decrease instead increased gradually. The current situation shows that the problem is more complicated than the authorities figure out, and a whole new perspective on the issue is needed.
摘要：
自2003年以来，土耳其卫生部（TMOH）启动了一项名为“健康转型计划”（HTP）的改革体系，该体系具有坚定的目标。健康转型计划带来了许多健康主题的重要改进。然而,在HTP开始的时候,剖宫产(剖腹产)率约为30%，2013年超过50%，这反映了经济合作与发展组织(OECD)的最高比率。目前,大多数交付是通过Türkiye的剖腹产进行的，这引发了关于剖腹产率高是否是HTP致命弱点的争议。为了克服高C切断率，TMOH近年来一直在努力并采取严肃措施，包括通过一项法律禁止选择性剖腹产。尽管采取了严格的措施，但剖腹产率并没有下降，反而逐渐上升。从目前的情况看,这个问题比当局想的要复杂,需要对这个问题有一个全新的视角。
