The multi-country evaluation of the integrated management of childhood illness strategy: Lessons for the evaluation of public health interventions
The multi-country evaluation of the integrated management of childhood illness strategy: Lessons for the evaluation of public health interventions
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DOI：
10.2105/ajph.94.3.406
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发表时间：
2004-03-01
影响因子：
12.7
通讯作者：
Black, RE
中科院分区：
文献类型：
--
作者：
Bryce, J;Victora, CG;Black, RE
儿童疾病综合管理多国评估包括对孟加拉国、巴西、秘鲁、坦桑尼亚和乌干达的儿童疾病综合管理战略的有效性、成本和影响进行研究。在设计评价时，解决了七个问题：由谁负责，儿童疾病综合管理可通过何种机制影响儿童健康，重点是功效还是效果，衡量哪些指标，作出何种推断，如何纳入成本，以及分析计划将包括哪些要素。我们描述了这些问题是如何回答的，在实施评估时遇到的挑战，以及5种研究设计。所获得的方法论见解可以改善未来对公共卫生项目的评估。
The Multi-Country Evaluation of the Integrated Management of Childhood Illness (IMCI) includes studies of the effectiveness, cost, and impact of the IMCI strategy in Bangladesh, Brazil, Peru, Tanzania, and Uganda.Seven questions were addressed when the evaluation was designed: who would be in charge, through what mechanisms IMCI could affect child health, whether the focus would be efficacy or effectiveness, what indicators would be measured, what types of inference would be made, how costs would be incorporated, and what elements would constitute the plan of analysis.We describe how these questions were answered, the challenges encountered in implementing the evaluation, and the 5 study designs. The methodological insights gained can improve future evaluations of public health programs.