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Integrated interventions for child survival--a case study

L Desai1, P Shah, S Sridhar

  • 1Society for Education Welfare and Action-Rural, Jhagadia, District-Bharuch, Gujarat.

Indian Journal of Pediatrics
|January 1, 1994
PubMed
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Community health interventions significantly reduced child mortality by addressing local needs and improving maternal and child health services. Further improvements are needed in neonatal and perinatal care.

Area of Science:

  • Community Health
  • Public Health Interventions
  • Child Survival

Background:

  • SEWA-Rural implemented integrated child survival interventions in Gujarat's tribal areas over a decade.
  • The project focused on overcoming field challenges through phased implementation.

Purpose of the Study:

  • To discuss integrated interventions for child survival.
  • To highlight field challenges and their solutions in community health projects.

Main Methods:

  • Development of local healthcare workforce.
  • Introduction of appropriate technologies (delivery packs, pictorial cards).
  • Establishing referral support and linkages with government agencies, including unprecedented PHC handover to a voluntary organization.

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Main Results:

  • High utilization of Maternal & Child Health services.
  • Near eradication of measles mortality and newborn tetanus.
  • Significant reduction in vitamin A deficiency, childhood tuberculosis complications, and dehydration deaths.
  • Childhood and infant mortality reduced by over half.

Conclusions:

  • While overall child mortality decreased, perinatal and neonatal mortality require further strengthening of care facilities.
  • Training for traditional birth attendants (TBAs) and nurses is crucial for improving rural delivery skills.
  • Development of simple, cost-effective technologies for diagnosing and managing low birth weight and birth asphyxia at the community level is needed.