技术支持计划与妇女自助小组在催化健康和营养行为在比哈尔的有效性 - 一个多元组件分析分析
Sudipta Mondal1, Indu Bisht1, Santosh Akhauri1
1Project Concern International, New Delhi, India.
Frontiers in public health
|January 30, 2025
概括
比哈尔的JEEViKA计划通过自助小组 (SHG) 改善了孕产妇和新生儿健康状况. 通过 SHG 的健康和营养 (HN) 干预措施导致了更好的做法,如增加产前访问和改善婴儿护理.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 社区卫生计划 社区卫生计划
背景情况:
- 比哈尔农村生计促进会的JEEViKA计划利用自助小组 (SHG) 提高生计.
- 妇女自营小组通过意识,实践和服务获取,对成员的健康产生积极影响.
- 本研究评估了JEEViKA技术支持计划 (JTSP) 通过SHG提供的健康和营养 (HN) 干预措施的有效性.
研究的目的:
- 调查JTSP的HN干预措施对比哈尔农村地区母亲和新生儿健康和营养行为的影响.
- 分析SHG成员,JTSP干预和改善的母婴健康和营养 (MNCHN) 指标之间的关联.
主要方法:
- 利用比哈尔 (2016-2021) 的年度家庭调查和生殖年龄已婚妇女 (MWRA) 数据.
- 使用描述性分析和多变量后勤回归来评估干预的有效性.
- 检查了影响HN结果的个人,社区和程序因素.
主要成果:
- 增加的SHG成员数量 (32%至47%) 和JTSP HN干预范围 (101至349个区块) 与改善的MNCHN指标相关.
- 在关键实践中观察到的显著增加:≥3次产前护理访问 (9%分),机构分娩 (10%),皮肤护理 (17%),干带护理 (23%),早期开始母乳养 (19%) 和补充养 (9%).
- 调整后的分析表明,在JTSP区块中的SHG成员更有可能采用改进的做法,在多个指标上具有显著的调整赔率比率 (aOR).
结论:
- 在JEEViKA SHG平台中,JTSP成功地整合了HN干预措施,证明了在比哈尔农村的有效性.
- 该计划突出了政府系统内的成功合作,加强了多个层面的HN实施.
- 这种综合方法使可持续的HN实践成为可能,并支持全面的社会发展交付机制.
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