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NAUNEHAL; Integrated immunization and MNCH interventions: A quasi-experimental study-Protocol.

Anushka Ataullahjan1, Amira Khan1, Muhammad Islam1

  • 1Centre for Global Child Health, Hospital for Sick Children, Toronto, Ontario, Canada.

Plos One
|June 29, 2023
PubMed
Summary
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Improving maternal and child health in Pakistan requires better access to immunization and nutrition services. This study tested community mobilization, mobile health teams, private sector engagement, and a health app to increase service uptake.

Area of Science:

  • Public Health
  • Global Health
  • Health Services Research

Background:

  • Maternal, newborn, and child deaths in Pakistan are largely preventable through essential health strategies like immunization and nutrition interventions.
  • Access to and demand for these crucial services remain significant barriers, exacerbated by the COVID-19 pandemic.
  • There is a pressing need for effective and feasible delivery of nutrition and immunization services to improve maternal and child health outcomes.

Purpose of the Study:

  • To enhance health service delivery and increase the uptake of maternal, newborn, and child health (MNCH) and immunization services in Pakistan.
  • To evaluate the effectiveness of a multi-pronged intervention including community mobilization, mobile health teams, private sector engagement, and a digital health application.
  • To assess the impact of these interventions on MNCH and COVID-19 related knowledge, attitudes, and practices within the community.

Related Experiment Videos

Main Methods:

  • A quasi-experimental study conducted over 12 months in three union councils (UCs) in Pakistan, selected using propensity score matching.
  • Intervention strategies included community mobilization, mobile MNCH and immunization services, private sector engagement, and the Sehat Nishani health app.
  • Data collection involved household baseline, midline, endline, and close-out assessments, with analysis using descriptive and inferential statistics and cost-effectiveness analysis.

Main Results:

  • The study aims to evaluate coverage of interventions and community knowledge, attitudes, and practices related to MNCH and COVID-19.
  • A detailed cost-effectiveness analysis will be performed to inform policymakers on the feasibility of the implemented model.
  • Hypotheses will be tested using descriptive and inferential statistics.

Conclusions:

  • The study will provide crucial data on the feasibility and cost-effectiveness of integrated MNCH and immunization service delivery models in Pakistan.
  • Findings will inform policy decisions and stakeholder engagement for improving maternal and child health outcomes.
  • The research addresses the critical need for accessible and demanded health services in resource-limited settings.