The Impact of a Family Based Intervention on Child Health Outcomes

2008 ◽  
Author(s):  
Ruby Ann Natale ◽  
Sarah Messiah ◽  
Jennifer Barth ◽  
Gabriela Lopez-Mitnik ◽  
Lee Sanders
Keyword(s):  
Child Health ◽  
Health Outcomes ◽  
Child Health Outcomes ◽  
Family Based ◽  
The Impact

scholarly journals The impact of primary healthcare in reducing inequalities in child health outcomes, Bogotá – Colombia: an ecological analysis

2012 ◽  
Vol 11 (1) ◽  
pp. 66 ◽  
Author(s):  
Paola A Mosquera ◽  
Jinneth Hernández ◽  
Román Vega ◽  
Jorge Martínez ◽  
Ronald Labonte ◽  
...  
Keyword(s):  
Child Health ◽  
Health Outcomes ◽  
Primary Healthcare ◽  
Ecological Analysis ◽  
Child Health Outcomes ◽  
The Impact

scholarly journals Conditional cash transfers, uptake of maternal and child health services, and health outcomes in western rural China

2020 ◽  
Author(s):  
Huan Zhou ◽  
Yuju Wu ◽  
Chengfang Liu ◽  
Chang Sun ◽  
Yaojiang Shi ◽  
...  
Keyword(s):  
Child Health ◽  
Health Outcomes ◽  
Breast Feeding ◽  
Maternal And Child Health ◽  
Rural Areas ◽  
Cash Transfers ◽  
Conditional Cash Transfers ◽  
Child Health Outcomes ◽  
The Impact ◽  
And Child Health

Abstract Background: Empirical evidence suggests that the uptake of maternal and child health (MCH) services is still low in poor rural areas of China. There is concern that the low uptake of MCH services may detrimentally affect child health outcomes. Previous studies have not yet identified the exact nature of the impact that conditional cash transfers (CCT) have on the uptake of MCH services and ultimately, on child health outcomes. The objective of this study is to examine the relationship between CCT, uptake of MCH services, and health outcomes among children in poor rural areas of western China.Methods: We designated two different sets of comparison villages and households that were used as comparison against which outcomes of the treated households could be assessed. In 2014 we conducted a large-scale survey of 1,522 households at 75 villages (including 25 treatment and 50 comparison) from nine nationally-designated poverty counties in two provinces of China. In each village, 21 households were selected based on their eligibility status for the CCT program. Difference-in-difference analyses were used to assess the impact of CCT on outcomes in terms of both Intention-to-treat (ITT) and average-treatment-effects-on-the-treated (ATT). Results: Overall, the uptake of MCH services in the sample households were low, especially in terms of post-partum care visits, early breast feeding, exclusive breast feeding, and physical examination of the baby. The uptake of the seven types of MCH services in the CCT treatment villages were significantly higher than that in the comparison villages. Results from both the ITT and ATT analyses showed the CCT program had a positive, although small, impact on the uptake of MCH services and the knowledge of mothers about MCH health issues. Nonetheless, the CCT program had no noticeable effect on child health outcomes.Conclusions: The CCT program generated modest improvements in the uptake of MCH services and mothers' knowledge of MCH services in poor rural areas of Western China. These improvements, however, did not translate into substantial improvements in child health outcomes for two possible reasons: poor CCT implementation and the low quality of rural health facilities.

scholarly journals COVID-19 and Health Sector Development Plans in Africa: The Impact on Maternal and Child Health Outcomes in Uganda

2021 ◽  
Vol Volume 14 ◽  
pp. 4353-4360
Author(s):  
Mary Gorret Atim ◽  
Violet Dismas Kajogoo ◽  
Demeke Amare ◽  
Bibie Said ◽  
Melka Geleta ◽  
...  
Keyword(s):  
Child Health ◽  
Health Outcomes ◽  
Maternal And Child Health ◽  
Health Sector ◽  
Child Health Outcomes ◽  
Development Plans ◽  
The Impact ◽  
And Child Health

scholarly journals Community health workers impact on maternal and child health outcomes in rural South Africa – a non-randomized two-group comparison study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Karl W. le Roux ◽  
Ellen Almirol ◽  
Panteha Hayati Rezvan ◽  
Ingrid M. le Roux ◽  
Nokwanele Mbewu ◽  
...  
Keyword(s):  
Child Health ◽  
Health Outcomes ◽  
Maternal And Child Health ◽  
Home Visiting ◽  
Health Workers ◽  
Group Comparison ◽  
Comparison Study ◽  
Child Health Outcomes ◽  
The Impact ◽  
And Child Health

Abstract Background Home visits by paraprofessional community health workers (CHWs) has been shown to improve maternal and child health outcomes in research studies in many countries. Yet, when these are scaled or replicated, efficacy disappears. An effective CHW home visiting program in peri-urban Cape Town found maternal and child health benefits over the 5 years point but this study examines if these benefits occur in deeply rural communities. Methods A non-randomized, two-group comparison study evaluated the impact of CHW in the rural Eastern Cape from August 2014 to May 2017, with 1310 mother-infant pairs recruited in pregnancy and 89% were reassessed at 6 months post-birth. Results Home visiting had limited, but important effects on child health, maternal wellbeing and health behaviors. Mothers reported fewer depressive symptoms, attended more antenatal visits and had better baby-feeding practices. Intervention mothers were significantly more likely to exclusively breastfeed for 6 months (OR: 1.8; 95% CI: 1.1, 2.9), had lower odds of mixing formula with baby porridge (regarded as detrimental) (OR: 0.4; 95% CI: 0.2, 0.8) and were less likely to consult traditional healers. Mothers living with HIV were more adherent with co-trimoxazole prophylaxis (p < 0.01). Intervention-group children were significantly less likely to be wasted (OR: 0.5; 95% CI 0.3–0.9) and had significantly fewer symptoms of common childhood illnesses in the preceding two weeks (OR: 0.8; 95% CI: 0.7,0.9). Conclusion The impact of CHWs in a rural area was less pronounced than in peri-urban areas. CHWs are likely to need enhanced support and supervision in the challenging rural context.

scholarly journals Health Interventions and Child Health in Sub-Saharan Africa: Assessing the Impact of the Millennium Development Goal

2016 ◽  
Vol 9 (1) ◽  
pp. 187 ◽  
Author(s):  
Oluwatomisin M. Ogundipe ◽  
Oluranti I. Olurinola ◽  
Adeyemi A. Ogundipe
Keyword(s):  
Child Health ◽  
Health Outcomes ◽  
Basic Education ◽  
Immunization Coverage ◽  
Health Interventions ◽  
Sub Saharan Africa ◽  
Intervention Programme ◽  
Under Five ◽  
Child Health Outcomes ◽  
The Impact

The study investigates the role of health interventions on child health in developing Africa for the period 1990-2013 using a dynamic panel approach. Among others, the study examines the effect of millennium development intervention programme on child health outcomes. Our analysis reveals MDG intervention as extremely pertinent in reducing the incidence of child mortality in Africa. It implies that introduction of MDGs culminates into increasing the rate of child survival in Africa. Similarly, maternal literacy, maternal health and other child protective measures adopted were found to be statistically significant in improving child health outcomes. The proportion of under-five mortality (proxy for child health) responds more strongly and negatively to immunization coverage, exclusive breastfeeding and DPT vaccines. On the other hand, the quality of institution contributively impact under-five mortality in Africa. Finally, there is need to strengthen institutional arrangement, ensure compulsory basic education for women and strengthen the health system to achieve full packages of intervention, curtain the rising incidence of child deaths and attain the MDGs.

scholarly journals The Impact of Panel Composition and Topic on Stakeholder Perspectives: Generating Hypotheses from Online Maternal and Child Health Modified-Delphi Panels

2021 ◽  
Author(s):  
Dmitry Khodyakov ◽  
Sujeong Park ◽  
Jennifer Hutcheon ◽  
Sara Parisi ◽  
Lisa Bodnar
Keyword(s):  
Child Health ◽  
Health Outcomes ◽  
Maternal And Child Health ◽  
Stakeholder Engagement ◽  
Child Health Outcomes ◽  
Modified Delphi ◽  
Multi Stakeholder ◽  
The Impact ◽  
And Child Health ◽  
Do So

Abstract Background: Multi-stakeholder engagement is crucial for conducting health services research. Delphi-based methodologies combining iterative rounds of questions with feedback on and discussion of group results are a well-documented approach to multi-stakeholder engagement. The aim of this study is to develop hypotheses about the impact of panel composition and topic on the propensity and meaningfulness of response changes in multi-stakeholder modified-Delphi panels.Methods: We conducted three online modified-Delphi multi-stakeholder panels using the same protocol. We assigned 60 maternal and child health professionals to a homogeneous (professionals-only) panel, 60 pregnant or postpartum women (patients) to a homogeneous panel, and 30 professionals and 30 patients to a mixed panel. In Round 1, participants rated seriousness of 11 maternal and child health outcomes using 0-100 scale and explained their ratings. In Round 2, participants saw Round 1 results and discussed them using anonymous, moderated online discussion boards. In Round 3, participants revised their original ratings. Our outcome measures included binary indicators of response changes to ratings of low, medium, and high severity maternal and child health outcomes and their meaningfulness, measured by a change of 10 or more points on a 0-100 scale.Results: Participants changed 55% of responses; the majority of response changes were meaningful. We developed three main hypotheses. First, stakeholders may be more likely to change their responses on preference-sensitive topics where there is a range of viable alternatives or perspectives. Second, patients may be more likely to change their responses and to do so meaningfully in mixed panels, whereas professionals may be more likely to do so in homogeneous panels. Third, the association between panel composition and response change may vary according to the topic.Conclusions: Results of our work not only helped generate empirically-derived hypotheses to be tested in future research, but also offer practical recommendations for designing multi-stakeholder online modified-Delphi panels.Registration: International Registered Report Identifier: DERR1-10.2196/16478

scholarly journals Impact of investment case on equitable access to maternal and child health services in Nepal: a quasi-experimental study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Janak Kumar Thapa ◽  
Doris Stöckl ◽  
Raj Kumar Sangroula ◽  
Dip Narayan Thakur ◽  
Suresh Mehata ◽  
...  
Keyword(s):  
Child Health ◽  
Health Outcomes ◽  
Maternal And Child Health ◽  
Regression Coefficient ◽  
Control Area ◽  
Child Health Outcomes ◽  
Intervention Area ◽  
Quasi Experimental ◽  
The Impact ◽  
And Child Health

Abstract Background Disparities in the use of maternal, neonatal and child health (MNCH) services remain a concern in Low- and Middle-Income countries such as Nepal. Commonly observed disparities exist in education, income, ethnic groups, administrative regions and province-level in Nepal. In order to improve equitable outcomes for MNCH and to scale-up quality services, an Investment Case (IC) approach was lunched in the Asia Pacific region. The study assessed the impact of the IC intervention package in maternal and child health outcomes in Nepal. Methods The study used a quasi-experimental design extracting data from the Nepal Demographic Health Surveys – 2011 (pre-assessment) and 2016 (post-assessment) for 16 intervention and 24 control districts. A Difference in Difference (DiD) analysis was conducted to assess the impact of the intervention on maternal and child health outcomes. The linear regression method was used to calculate the DiD, adjusting for potential covariates. The final models were arrived by stepwise backward method including the confounding variables significant at p < 0.05. Results The results of the DiD analyses showed at least four antenatal care visits (ANC) decreased in the intervention area (DiD% = − 4.8), while the delivery conducted by skilled birth attendants increased (DiD% = 6.6) compared to control area. However, the adjusted regression coefficient showed that these differences were not significant, indicating a null effect of the intervention. Regarding the child health outcomes, children with underweight (DiD% = 6.3), and wasting (DiD% = 5.4) increased, and stunting (DiD% = − 6.3) decreased in the intervention area compared to control area. The adjusted regression coefficient showed that the difference was significant only for wasting (β = 0.019, p = 0.002), indicating the prevalence of wasting increased in the intervention group compared to the control group. Conclusion The IC approach implemented in Nepal did not show improvements in maternal and child health outcomes compared to control districts. The use of the IC approach to improve MCH in Nepal should be discussed and, if further used, the process of implementation should be strictly monitored and evaluated.

scholarly journals Conditional cash transfers, uptake of maternal and child health services, and health outcomes in western rural China: A cluster controlled design

2019 ◽  
Author(s):  
Huan Zhou ◽  
Yuju Wu ◽  
Chengfang Liu ◽  
Chang Sun ◽  
Yaojiang Shi ◽  
...  
Keyword(s):  
Child Health ◽  
Health Outcomes ◽  
Breast Feeding ◽  
Maternal And Child Health ◽  
Rural Areas ◽  
Western China ◽  
Child Health Services ◽  
Child Health Outcomes ◽  
The Impact ◽  
And Child Health

Abstract Background: Empirical evidence suggests that the uptake of maternal and child health (MCH) services is still low in poor rural areas of China. There is concern that low uptake of MCH services may detrimentally affect child health outcomes. Previous studies have not yet identified the exact nature of the impact that conditional cash transfer (CCT) have on the uptake of MCH services and ultimately, on child health outcomes. The objective of this study is to examine the relationship between CCT, uptake of MCH services and health outcomes among children in poor rural areas of western China. Methods: We designated two different sets of comparison villages and households that were used as comparison against which outcomes of the treated households could be assessed. We conducted a large-scale survey of 1,522 households at 75 villages (including 25 treatment and 50 comparison) from nine nationally-designated poverty counties in two provinces of China in 2014. In each village, 21 households were selected based on their eligibility status for the CCT program. Propensity score matching analyses were used to assess the impact of CCT on outcomes in terms of both Intention-to-treat (ITT) and average-treatment-effects-on-the-treated (ATT). Results: Overall, the uptake of MCH services in the sample households were low, especially in terms of post-partum care visit, early breast feeding, exclusive breast feeding, and physical examination of the baby. The uptake of the seven types of MCH services in the CCT treatment villages was significantly higher than that in the comparison villages. Results from both the ITT and ATT analyses showed the CCT program had a positive, although small, impact on the uptake of MCH services and the knowledge of mothers about MCH health issues. Nonetheless, the CCT program had no noticeable effect on child health outcomes. Conclusions: The CCT program generated modest improvements in the uptake of MCH services and mothers’ knowledge of MCH services in poor rural areas of Western China. These improvements, however, did not translate into substantial improvements in child health outcomes for two possible reasons: poor CCT implementation and the low quality of the rural health facilities.

scholarly journals Conditional cash transfers, uptake of maternal and child health services, and health outcomes in western rural ChinaConditional cash transfers, uptake of maternal and child health services, and health outcomes in western rural China

2020 ◽  
Author(s):  
Huan Zhou ◽  
Yuju Wu ◽  
Chengfang Liu ◽  
Chang Sun ◽  
Yaojiang Shi ◽  
...  
Keyword(s):  
Child Health ◽  
Health Outcomes ◽  
Maternal And Child Health ◽  
Rural Areas ◽  
Cash Transfers ◽  
Western China ◽  
Child Health Services ◽  
Child Health Outcomes ◽  
The Impact ◽  
And Child Health

Abstract Background: Empirical evidence suggests that the uptake of maternal and child health (MCH) services is still low in poor rural areas of China. There is concern that the low uptake of MCH services may detrimentally affect child health outcomes. Previous studies have not yet identified the exact nature of the impact that conditional cash transfers (CCT) have on the uptake of MCH services and ultimately, on child health outcomes. The objective of this study is to examine the relationship between CCT, uptake of MCH services, and health outcomes among children in poor rural areas of western China.Methods: We designated two different sets of comparison villages and households that were used as comparison against which outcomes of the treated households could be assessed. In 2014 we conducted a large-scale survey of 1,522 households at 75 villages (including 25 treatment and 50 comparison) from nine nationally-designated poverty counties in two provinces of China. In each village, 21 households were selected based on their eligibility status for the CCT program. Difference-in-difference analyses were used to assess the impact of CCT on outcomes in terms of both Intention-to-treat (ITT) and average-treatment-effects-on-the-treated (ATT).Results: Overall, the uptake of MCH services in the sample households were low, especially in terms of post-partum care visits, early breast feeding, exclusive breast feeding, and physical examination of the baby. The uptake of the seven types of MCH services in the CCT treatment villages were significantly higher than that in the comparison villages. Results from both the ITT and ATT analyses showed the CCT program had a positive, although small, impact on the uptake of MCH services and the knowledge of mothers about MCH health issues. Nonetheless, the CCT program had no noticeable effect on child health outcomes.Conclusions: The CCT program generated modest improvements in the uptake of MCH services and mothers’ knowledge of MCH services in poor rural areas of Western China. These improvements, however, did not translate into substantial improvements in child health outcomes for two possible reasons: poor CCT implementation and the low quality of rural health facilities.

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