在孟加拉国,埃塞俄比亚和越南实施计划后,随机干预和非干预地区的补充养计划中的不平等
Tina G Sanghvi1,2, Deepali Godha3, Edward A Frongillo4
1Alive & Thrive initiative, FHI 360, Family Health International, Washington, DC, United States.
Current developments in nutrition
|September 12, 2024
概括
大规模的补充养计划改善了实践,但有利于更富有的母亲. 需要有针对性的干预措施,以接触到处境不利的母亲,并确保公平的儿童营养结果.
科学领域:
- 儿童营养 儿童营养
- 公共卫生干预 公共卫生干预
- 社会经济差距社会经济差距
背景情况:
- 充足的能量和营养摄入对于6-23个月龄的儿童的生长和发育至关重要.
- 在全球范围内,这一年龄组仍然存在显著的营养缺陷.
- 大规模补充养计划在接触弱势母亲方面的有效性尚不清楚.
研究的目的:
- 评估补充养实践和计划覆盖范围中的社会经济不平等.
- 评估大规模干预措施对低收入和中等收入国家这些不平等的影响.
主要方法:
- 重新分析来自孟加拉国,埃塞俄比亚和越南的随机对照试验数据.
- 使用 Erreygers 指数计算社会经济不平等.
- 开发和比较不同方案组件 (通信,动员,农业,媒体) 的干预覆盖率指标.
主要成果:
- 补充养覆盖范围和实践在干预地区有所改善,但不成比例地受益于更富裕,更受过教育的母亲.
- 在孟加拉国和越南,很少有覆盖变量有利于处境不利的母亲.
- 埃塞俄比亚对处境不利的母亲显示出更有利的结果,但总体而言,计划倾向于有利于社会经济上有利的.
结论:
- 在儿童养实践和补充养计划的覆盖面上存在显著的不平等.
- 目前的计划往往有利于具有更高社会经济地位和教育程度的母亲.
- 需要进一步的研究来了解障碍,并为弱势群体量身定制干预措施.
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