巴基斯坦公共卫生设施的幼儿发展护理是否有效? 一个集群随机对照试验
Nida Khan1, Muhammad Amir Khan2, Muhammad Ahmar Khan2
1Association for Social Development, Islamabad, Pakistan. nidakhan@asd.com.pk.
Global health, science and practice
|October 30, 2023
概括
通过女医生 (LHVs) 整合幼儿发展 (ECD) 护理,显著减少了巴基斯坦农村12-24个月龄段儿童的发育迟缓. 这种干预改善了ECD结果和人类测量测量.
科学领域:
- 儿科 儿科 儿科
- 公共卫生 公共卫生
- 发展心理学 发展心理学
背景情况:
- 早期的大脑发育 (出生至2岁) 是至关重要的,并受到环境因素的影响.
- 早期儿童发育 (ECD) 刺激干预已被证明是有效的.
- 将ECD护理纳入现有卫生系统可以增强儿童的发展.
研究的目的:
- 评估女性健康访客 (LHVs) 提供的ECD护理整合的可行性和有效性.
- 评估这种综合护理对巴基斯坦农村早期儿童发展的影响.
主要方法:
- 一个集群随机对照试验,涉及巴基斯坦旁遮普省22个集群.
- 干预组从LHV获得了ECD咨询;对照组接受了例行护理.
- 804对母婴对 (入学时11-12个月的儿童) 参与了这项研究,结果在24个月后进行评估.
主要成果:
- 干预组显示,患有两种或更多发育迟缓的儿童比例明显较低 (13%对比41%).
- 干预手臂中发育迟缓的几率比为0.21 (95% CI=0.11,0.42).
- 干预组的儿童在24个月后表现出明显更好的人类测量测量结果.
结论:
- 公共卫生设施的LHV提供集成的ECD护理,对12-24个月的儿童有效.
- 该干预成功增强了ECD,并减少了全球发展延迟.
- 这个模型显示了改善资源有限的环境中的儿童发展结果的希望.
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