欢迎来到我们SDG编辑委员会成员博客集合。我们正在听到BMC系列期刊编辑委员会成员的消息，他们的工作与实现可持续发展目标相符。在这里，您可以在此集合中找到其他帖子，并与标签“ SDG编辑董事会成员”分组。

我是一个埃及的产科和Gynec教授ology. I work as a consultant of Obstetrics and Gynecology at a University Hospital, one of the largest maternity hospitals in the Middle East and Africa, with more than 16,500 births per year. A decade ago, I established the Egyptian Center of Evidence-Based Medicine (ECEBM) to produce and disseminate high quality synthesis of research evidence, to support guideline development, and to strengthen research capacity in developing countries. I am a Senior Editorial Board Member ofBMC Pregnancy and Childbirth. I am grateful for the opportunity to be part of the editorial board to help the research community and to learn from them. I have particular interest in research related to high-risk pregnancy, preterm birth, and reproductive health. I contribute as a member of Guideline Development Groups of several international organizations to produce synthesized evidence and develop evidence-based clinical practice guidelines. Recently I contributed as a regional coordinator for the WHO Global Maternal Sepsis Study. Currently, I contribute as a principal investigator to an international multi-country multi-center randomized trial for women with severe pre-eclampsia. Further, I lead a group of research fellows at the ECEBM in collaboration with the WHO in multiple research projects related to women’s reproductive span, maternal age at first and last birth, and finally the indicators of fertility care. Recently, we havepublisheda synthesis of research evidence regarding the effects of self-administered versus healthcare provider-administered subcutaneous medroxy progesterone for improving continuation of contraceptive use. We have shown that self-administration, compared to provider-administration, increased continuation of contraceptive use. Self-injection appears to be making more of an impact on continuation for younger compared to older women and on women living in low- and middle-income compared to high-income countries.

Self-care contributes to reproductive healthcare by enhancing health literacy, empowering women and lowering pressure on health systems.

链接到西班牙

我们最近发表的证据综合和当前工作与至少两个可持续发展目标直接相关，即目标3（身体健康和福祉）和5（性别平等）。这项工作将有助于降低孕产妇死亡率，确保获得性和生殖医疗服务的普遍接触，包括计划生育，并实现性别平等并赋予所有妇女和女孩的能力。

Self-care refers to the ability of individuals, families and communities to promote health, prevent disease, maintain health, and to cope with illness and disability with or without the support of a healthcare provider. Self-care contributes to reproductive healthcare by enhancing health literacy, empowering women and lowering pressure on health systems. The value of self-care goes beyond its impact on resource constraints. Self-care interventions give women greater choice, access, control, satisfaction and affordable options to manage their reproductive health needs. This will help achieve health-related SDGs and cost savings to health systems. The COVID-19 pandemic has highlighted the unique and critical role that self-care interventions have played in mitigating disease and saving lives through personal self-care actions such as wearing masks and physical distancing, and prioritization at national levels of self-care interventions such as smoking cessation, exercise, healthy diet, personal hygiene, etc., that people can use during period of lockdown.

Challenges and future directions

我们需要共同努力以减少研究浪费。临床研究的设计，行为和分析的每个步骤都必须严格，以避免误导结果并浪费宝贵的资源。我们需要要求公众提供详细的书面协议，并要求提交出版的每个手稿。全球存在一些挑战。其中包括从一开始就没有参与知识渊博的方法学家，以及未能培训临床研究人员，他们通常被其临床工作量和职责所淹没。对研究可重复性问题的更加关注是必不可少的。最后，奖励系统激励数量远远超过质量，新颖性比可靠性更多，导致大量出版物可能在方法论上有缺陷，误导性或至少不错但没有用。如果我们愿意减少研究浪费，则需要纠正。

我们必须使科学研究公平（可访问，可互操作和可重复使用）。使用研究数据的（重新）的第一步是找到它们。对于人类和计算机，元数据和数据都应该很容易找到。一旦找到所需的数据，我们就需要知道如何访问它们。数据需要与应用程序或工作流程进行分析，存储和处理。目标是优化数据的重复使用。为此，应对元数据和数据进行充分描述，以便可以使用不同的证据合成方法复制和/或组合它们。

我们需要扩展我们的实施研究，以解决实施瓶颈，确定特定环境的最佳方法，并促进研究结果的吸收。对于产科医生而言，了解从研究到实际应用的最有效途径至关重要。实施研究是系统的，多学科的，背景和复杂的，在妇产科和妇科中至关重要，因为它解决了现实世界中的知识差距以及实现民族和全球健康目标的实用性。

简而言之，我相信我们需要更好的研究，不仅需要更多的研究。