Evaluating the effect of child and maternal care policies on health and care using routine data from low - income settings

几十年来，改善儿童和孕产妇保健一直是低收入国家的一个优先事项，并且仍然是国际政策议程上的一个高度优先事项。低收入环境中的干预措施包括提供特定服务，或更广泛地加强当地卫生保健系统。事实上，在资源有限的情况下，生殖、孕产妇、新生儿、儿童和青少年健康（RMNCAH）与传染病一起，构成了初级和社区保健服务的主要内容，而最有效的干预措施依赖于初级保健设施活动的一部分。大多数举措都是单独评估的。关于这些因素如何共同作用，它们是相互竞争还是相互补充，以及它们最终如何影响医疗和健康的证据较少。最重要的是，进行定量评价的适当方法受到常规数据的限制，尽管这些数据在空间和时间上都足够广泛和详细，但它们的可用性在不断增加

Improving child and maternal health and care has been a priority in low -incomecountries for decades, and is still a high priority in the international policy agenda. Interventions in low-income settings have encompassed the provision of specific services,ormore broadlythestrengtheningoflocalhealth care systems. Indeed, in resource-constrained settings,Reproductive, Maternal, Newborn,Child and Adolescent Health (RMNCAH), alongside communicable diseases,representthe bulk ofprimary and community care provision, and the mosteffective interventions rely on integrationaspart ofprimary care facility activities[2][3].Most initiatives have been evaluated in isolation. Thereis less evidence on howthesemay act together, whether they compete or complement each other,and on howultimately,theyaffectcare andhealth.Most importantly,appropriate methodologies fordoing so with quantitative evaluations have been hampered by the limited, although growing,availability of routine data with a spatially and temporally extensive, and detailed enough coverage