预防性干预的共同覆盖和对儿童生存策略的影响:来自国家调查的证据
Cesar G Victora1, Bridget Fenn, Jennifer Bryce
1Universidade Federal de Pelotas, CP 464, 96001-970 Pelotas, RS, Brazil. cvictora@terra.com.br
Lancet (London, England)
|October 26, 2005
概括
儿童生存干预措施分布不均,贫困儿童通常获得的服务较少. 儿童健康干预措施的这种聚类可能会加剧不平等现象,尤其是在引入新计划时.
科学领域:
- 全球儿童健康 儿童健康
- 卫生公平研究 卫生公平研究
- 公共卫生干预分析 公共卫生干预分析
背景情况:
- 在低收入国家实施多项儿童生存干预措施.
- 评估这些干预措施在个体儿童水平上的聚类对于了解覆盖率差距至关重要.
研究的目的:
- 分析9个低收入国家的儿童生存干预措施的共同覆盖率.
- 调查干预分配中的社会经济不平等.
主要方法:
- 分析了来自九个国家的数据 (孟加拉国,贝宁,巴西,柬埔寨,厄立特里亚,海地,马拉维,尼泊尔,尼加拉瓜).
- 根据每个孩子接受的干预措施计算了共同覆盖率得分.
- 通过主要组件分析和度指数评估社会经济地位.
主要成果:
- 各国观察到干预覆盖和集群的显著差异.
- 没有接受任何干预的儿童的百分比在0.3%至18.8%之间.
- 发现了大量的社会经济不平等,最贫困的五分之一获得的干预措施较少,特别是在覆盖率较低的国家.
结论:
- 干预措施的聚类可能会加剧不平等现象,可能会使已经覆盖的儿童更受益.
- 针对多种干预措施的单一交付策略可能会增加不平等,如果总体人口覆盖率不高.
- 共同覆盖分析是评估干预权益的一个有价值的工具.
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