Analysis on impact of community-based putreach activities on infant mortality rates in Zambia

本研究旨在分析赞比亚城市周边地区最接近受益人的外展卫生服务对降低婴儿死亡率和发病率以及照顾者健康行为的影响。采用队列调查方法分析干预区和对照区的死亡率和患病率。目标婴儿从6至11个月大，每月监测方法。采用KAP调查对两个地区的看护者行为变化进行评估。调查在干预开始时作为基线数据进行，并在干预结束时进行。干预区疟疾死亡率和发病率均有所改善。结果表明，外展保健活动是改善婴幼儿健康状况的有效干预措施。

This research aims to analyze impact of outreach health services that is located to closest to beneficiaries on the reduction of infant mortality and morbidity rates as well as health behavior of caretakers in peri-urban area in Zambia. Cohort survey was adopted to analyze the mortality and morbidity rates in intervention and control areas. The target infant was followed from 6 to 11 month-age with a monthly monitoring method. Behavioral change of the caretakers was assessed with KAP survey in both areas. The surveys were conducted in the beginning of the intervention as baseline data and the end of the intervention. The mortality rates and incident rated of malaria were improved in the intervention area. The result shows the outreach health activities are considered effective interventions to improve health condition of the infant.