通过政府卫生系统提供的多组件儿童发展干预措施的评估:可行性研究
Jesmin Sultana1, Helen O Pitchik2, Abul Kasham Shoab1
1Environmental Health and WASH, Health Systems and Population Studies Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
BMJ global health
|July 20, 2025
概括
一项大规模的干预措施通过增加儿童的玩具和书籍以及护理人员对预防暴露的知识,改善了孟加拉国的早期儿童发展. 参加两次或两次以上的会议为儿童丰富和安全教育带来了最好的结果.
科学领域:
- 儿童发展 儿童发展
- 公共卫生干预 公共卫生干预
- 全球健康 全球健康
背景情况:
- 针对儿童早期发育的多元干预措施的有效性是在小型试验中确立的.
- 政府卫生工作者在资源有限的环境中大规模实施此类计划仍未得到充分研究.
- 评估大规模交付对于为公共卫生政策和实践提供信息至关重要.
研究的目的:
- 评估政府卫生工作者在孟加拉国农村地区大规模实施多组分干预的情况.
- 评估干预对早期儿童发展指标和护理人员知识的影响.
- 确定以儿童丰富和健康知识为基础的小组会议的有效性.
主要方法:
- 在孟加拉国农村地区进行了基于群体的多组分干预 (2019年8月 - 2020年3月).
- 课程包括响应式育儿,护理人员心理健康,防暴露,水,环境卫生,卫生和营养.
- 一个纵向队列 (n=517) 和一个补充的横截面样本 (n=1179) 的护理人员与6-24个月的孩子被评估.
主要成果:
- 参加两次或两次以上会议的护理人员显示,玩具材料 (AMD: 0.58) 和儿童书籍 (aPD: 0.26) 的可用性增加.
- 参加2个以上的会议与护理人员对的意识提高 (aPD:0.13) 和预防方法 (aPD:0.13) 相联系.
- 在照顾者抑郁症状中没有观察到显著差异;儿童游戏活动和营养知识与出席相关.
结论:
- 由卫生工作者提供的多元干预措施成功增强了儿童的游戏资源和照顾者领导知识,在家庭中具有一致的出席率.
- 研究结果表明,有可能扩大此类干预措施,以改善儿童发展结果.
- 可能需要进一步的调整和交付策略,以扩大干预的范围和影响.
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