实施研究扩大妇女和婴儿增长研究 (WINGS) 综合干预措施在希马查尔邦:准实验,混合方法研究的协议
Arun Singh Jadaun1, Jaideep Kumar1, Barsha Gadapani Pathak1,2
1Society for Applied Studies, New Delhi, India.
PloS one
|February 17, 2026
概括
这项研究调查了扩大印度综合性母婴健康干预措施的规模. 它的目的是通过在政府系统内专注于预先设想到早期儿童护理来减少低出生体重和衰老.
科学领域:
- 公共卫生 公共卫生
- 实施科学 实施科学
- 孕产妇和儿童的健康
背景情况:
- 孕产妇营养不良,贫血,低出生体重 (LBW) 和儿童发育迟缓是印度的重要公共卫生问题.
- 以前的研究表明,从怀孕前到幼儿时代的综合干预措施在减少LBW和衰老方面是有效的.
- 现有的国家计划主要侧重于怀孕和幼儿,仅限于对孕前护理和政府领导的规模化模型的证据.
研究的目的:
- 描述政府领导的实施研究协议,以扩大妇女和婴儿综合成长研究 (WINGS) 干预措施在希马查尔邦.
- 开发一个优化,可持续和可扩展的模型,以提供高质量的综合健康,营养,心理社会和水,环境卫生和卫生 (WaSH) 干预措施.
- 为在现有的政府卫生系统中整合孕前至幼儿干预措施的可行性和可扩展性提供证据.
主要方法:
- 一项为期36个月的混合方法研究,采用实施科学原则和理论驱动的流程评估,以"实施研究综合框架" (CFIR),RE-AIM和COM-B模型为基础.
- 间断时间序列 (ITS) 设计用于评估,涉及孕前妇女,孕妇,产后母亲,24个月以下的儿童和前线卫生工作者 (ASHAs,AWWs,ANMs).
- 在综合儿童发展服务 (ICDS) 和国家卫生任务平台中集成的干预措施,使用细分回归分析定量数据,使用框架分析分析定性数据.
主要成果:
- 该研究旨在评估结果,包括贫血,低BMI和妇女和儿童的不充分体重增加.
- 过程指标将评估干预合规性和实施忠实性.
- 经济评估将估计增量成本效益.
结论:
- 这项实施研究预计将提供关键证据,证明整合全面的预先概念到幼儿干预措施的可行性和可扩展性.
- 结果将为国家政策制定提供信息,以扩大有效的母婴健康计划.
- 该研究将有助于优化政府系统,以持续影响公共卫生.
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