The Impacts of the SBCC approach and Information About Child Anemic Status on Infant Anemia: Experimental Evidence From Ghana
The Impacts of the SBCC approach and Information About Child Anemic Status on Infant Anemia: Experimental Evidence From Ghana
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DOI：
10.1093/cdn/nzac060.052
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发表时间：
2022-06-14
影响因子：
4.8
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中科院分区：
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本研究旨在评估/调查：(1) 加纳卫生服务局 (GHS) 与世界粮食计划署 (WFP) 合作实施的社会行为改变沟通 (SBCC) 计划的影响，(2) 向母亲/照顾者提供有关儿童贫血状况的信息对儿童贫血状况的影响，以及 (3) 两种干预措施的综合影响。数据来自我们自己于 2020 年 8 月和 2021 年 2 月至 3 月在加纳阿散蒂地区进行的调查。平衡小组的样本量为 238 对母子，儿童的基线年龄范围为 6 至 18 个月。选择了 11 个卫生机构/儿童福利诊所，其中 6 个用于 SBCC 计划，5 个用于对照。每个类别（SBCC 与非 SBCC）的 CWC 进一步分为两类。一组的母亲/照顾者获得了有关孩子贫血状况的客观信息，而另一组的母亲则没有收到此类信息。使用线性回归模型评估干预措施对儿童血红蛋白状态的影响。在控制结果变量的干预前状态后，同时接受 SBCC 和儿童贫血状况信息的儿童或母亲/照顾者的 Hb 平均增幅最高（+0.81g/dL；95% CI：0.33，1.29），贫血率最低（−28.8%；95% CI：−48.3，−9.3）。仅向母亲/照顾者提供 SBCC 可显着改善儿童的 Hb（+0.49g/dL；95% CI：-0.01，0.97），但对贫血状况没有改善（P = 0.28）。同样，仅提供对 Hb 水平（P = 0.28）和贫血状态（P = 0.42）的信息没有显着影响。 SBCC 干预显着增加了婴儿的 Hb 水平，而单独提供有关贫血的信息并没有对婴儿的贫血状况产生显着影响。然而，两种干预措施均显着提高了婴儿的 Hb 水平并降低了婴儿的贫血状况，表明两种干预措施具有协同作用。科学研究补助金 (KAKENHI) 拨款号 20K20575。
This study sought to evaluate/investigate: (1) the impact of Social Behavioral Change Communication (SBCC) program implemented by Ghana Health Service (GHS) in collaboration with World Food Programme (WFP), (2) the effect of information provision about child's anemic status to the mother/caregiver on child's anemia status, and (3) the combined effect of the two interventions. Data were from our own surveys conducted in August 2020 and February-March 2021 in Ashanti Region, Ghana. The sample size for the balanced panel are 238 mother-child pairs, with baseline ages of children ranging from 6 to 18 months. Eleven health facilities/Child Welfare Clinics were selected, six for the SBCC program and five for controls. The CWCs for each category (SBCC versus non-SBCC), were further grouped into two. Mothers/caregivers of one group were given objective information on her child's anemic status while mothers in the other group did not receive such information. Linear regression model was used to assess the effects of the interventions on children's Hb status. After controlling for pre-intervention status of the outcome variables, children or mothers/caregivers who received both SBCC and information on anemia status of their children had the highest mean increase in Hb (+0.81g/dL; 95% CI: 0.33, 1.29) and lowest rate of anemia (−28.8%; 95% CI: −48.3, −9.3). Provision of only SBCC to mothers/caregivers significantly improved Hb of children (+0.49g/dL; 95% CI: −0.01, 0.97) but not anemic status (P = 0.28). Likewise, there was no significant impact of provision of information only on Hb levels (P = 0.28) and anemic status (P = 0.42). SBCC intervention significantly increased infants’ Hb levels while provision of information on anemia alone did not significant impact on infants’ anemia status. However, conducting both interventions significantly increased infants’ Hb level and decreased infants’ anemia status, indicating that the two interventions have synergic effect. Grants-in-Aid for Scientific Research (KAKENHI) Grant Number 20K20575.