一个创新的社区动员和社区激励在巴基斯坦农村儿童健康 (CoMIC):一个集群随机对照试验
Jai K Das1, Rehana A Salam2, Zahra Ali Padhani3
1Institute for Global Health and Development, Aga Khan University, Karachi, Pakistan; Department of Paediatrics and Child Health, Aga Khan University, Karachi, Pakistan.
社区的激励措施改善了巴基斯坦的儿童健康干预措施. 社区动员和社区激励 (CoMIC) 试验显示免疫,卫生和口服补水溶液使用增加.
科学领域:
- 全球健康 全球健康
- 儿科 儿科 儿科
- 公共卫生干预 公共卫生干预
背景情况:
- 传染病是5岁以下儿童死亡的主要原因之一.
- 在获得和接受干预措施方面的差异导致儿童死亡率.
- 社区动员和社区激励 (CoMIC) 试验旨在解决巴基斯坦的这些问题.
研究的目的:
- 评估一个定制的社区动员和激励战略.
- 改善针对儿童健康的基于证据的干预措施的覆盖范围.
- 评估基于社区的激励措施对儿童健康结果的影响.
主要方法:
- 巴基斯坦农村的一个三臂集群随机对照试验.
- 干预武器包括单独的社区动员,或带有条件的,集体的,基于社区的激励措施 (C3I) 的社区动员.
- 测量的主要结果是免疫覆盖率,口服补水溶液的使用和24个月的卫生指数.
主要成果:
- 与对照组相比,社区动员和激励组在所有主要结果中都显示出显著的改善.
- 具体来说,有更高比例的完全免疫儿童 (RR 1·3),改善的卫生指数 (MD 1·3),并增加了口服补水溶液的使用 (RR 1·5).
- 与对照组相比,仅仅社区动员就没有显示出主要结果的显著差异.
结论:
- 社区的动员和激励有效地提高了对基本儿童健康干预措施的接受度和覆盖率.
- 研究结果表明,这种策略可以为行为改变倡议的政策和计划实施提供信息.
- 建议在不同的环境和各种结果中进行进一步的评估.
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