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

几十年来，改善儿童和产妇保健和护理一直是低收入国家的优先事项，而且仍然是国际政策议程中的高度优先事项。在低收入环境中采取的干预措施包括提供具体服务，或者更广泛地说，是加强当地的保健系统。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)和传染病一起构成了初级保健和社区保健提供的大部分，最有效的干预措施依赖于将其作为初级保健机构活动的一部分[2][3]。关于它们如何共同行动，无论它们是竞争还是互补，以及它们最终如何影响保健和健康，证据较少。最重要的是，通过定量评估来做到这一点的适当方法受到了常规数据的有限的、尽管不断增加的可获得性的阻碍，这些数据在空间和时间上具有广泛的覆盖范围，并且足够详细

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