Evaluation of the effectiveness of care groups in expanding population coverage of Key child survival interventions and reducing under-5 mortality: a comparative analysis using the lives saved tool (LiST)
Evaluation of the effectiveness of care groups in expanding population coverage of Key child survival interventions and reducing under-5 mortality: a comparative analysis using the lives saved tool (LiST)
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DOI：
10.1186/s12889-015-2187-2
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发表时间：
2015-09-02
影响因子：
4.5
通讯作者：
Perry, Henry
中科院分区：
文献类型：
--
作者：
George, Christine Marie;Vignola, Emilia;Perry, Henry
背景资料：在全球范围内，不到一半的倒计时国家将实现到2015年将5岁以下儿童死亡率降低三分之二的千年发展目标。人们越来越关心以社区为基础的交付机制，以帮助加快进展。一个有希望的办法是利用一种称为护理小组的参与性母亲团体，扩大关键儿童生存干预措施的覆盖面，这是实现死亡率影响的一个基本特征。在这项研究中，我们评估了在非洲和亚洲的5个国家进行的护理小组项目的有效性，并与美国国际开发署的其他项目进行了比较。在扩大关键儿童生存干预措施的覆盖面和减少五岁以下儿童死亡率（使用拯救生命工具估计）方面，为儿童生存项目提供了资金。10个护理组和9个非护理组的项目相匹配的国家和一年的计划implementation.Results：在护理组项目领域，覆盖率的增加是两倍以上的非护理组项目领域的关键儿童生存干预措施（p = 0.0007）。在LiST中为护理组和非护理组项目建模的五岁以下儿童死亡率的平均年百分比变化分别为-4.80%和-3.14%（p = 0.09）。结论：我们的研究结果表明，护理组可能提供一种有前途的方法，以显著增加关键的儿童生存干预措施，并增加五岁以下儿童死亡率的降低。儿童生存计划的评估应该是全球卫生的首要任务，以便为有效的计划交付方法建立更大的证据基础。
Background: Globally, less than half of Countdown Countries will achieve the Millennium Development Goal of reducing the under-5 mortality rate (U5MR) by two-thirds by 2015. There is growing interest in community-based delivery mechanisms to help accelerate progress. One promising approach is the use of a form of participatory mothers' groups, called Care Groups, for expanding coverage of key child survival interventions, an essential feature for achieving mortality impact.Methods: In this study we evaluate the effectiveness of Care Group projects conducted in 5 countries in Africa and Asia in comparison to other United States Agency for International Development-funded child survival projects in terms of increasing coverage of key child survival interventions and reducing U5MR (estimated using the Lives Saved Tool, or LiST). Ten Care Group and nine non-Care Group projects were matched by country and year of program implementation.Results: In Care Group project areas, coverage increases were more than double those in non-Care Group project areas for key child survival interventions (p = 0.0007). The mean annual percent change in U5MR modelled in LiST for the Care Group and non-Care Group projects was -4.80 % and -3.14 %, respectively (p = 0.09).Conclusions: Our findings suggest that Care Groups may provide a promising approach to significantly increase key child survival interventions and increase reductions in U5MR. Evaluations of child survival programs should be a top priority in global health to build a greater evidence base for effective approaches for program delivery.