一个集群随机对照实验的设计和方法论现金加上干预措施,以防止索马里儿童浪费
Shelley Walton1, Kemish Kenneth Alier1, Sydney Garretson1
1Johns Hopkins University, Department of International Health, Baltimore, Maryland, USA.
这项在索马里进行的研究评估了防止儿童营养不良的现金援助干预措施. 适应性混合方法显示,在复杂的人道主义环境中改善营养结果是有希望的.
科学领域:
- 公共卫生 公共卫生
- 营养科学 营养科学
- 人道主义研究 人道主义研究
背景情况:
- 索马里因冲突,洪水和干旱而面临高水平的粮食不安全和儿童浪费.
- 救助儿童和约翰霍普金斯大学合作评估营养不良预防策略.
- 该研究的重点是孕妇和哺乳期妇女 (PLW) 和五岁以下的儿童 (CU5).
研究的目的:
- 估计和比较各种现金援助干预措施的有效性和成本效益,以预防急性营养不良.
- 分析各种干预武器的成本和成本效益.
- 了解受益人的经验,并监测市场的功能.
主要方法:
- 实施了一个集群随机对照试验 (RCT),采用了自适应设计方法.
- 混合方法方法结合了定量数据 (人体测量测量,调查) 和定性见解.
- 在为期六个月的人道主义计划中,数据在三个时间点收集.
主要成果:
- 该研究成功实施了适应性的混合方法设计,以评估现金援助干预措施.
- 适应性方法允许对运营挑战进行调整,并保持了研究的严谨性.
- 研究结果强调了在复杂的人道主义环境中适应性设计和混合方法的价值.
结论:
- 适应性的混合方法设计对于评估在复杂的人道主义环境中的干预是有价值的.
- 灵活的试验设计和强大的伙伴关系对于应对不可预测事件至关重要.
- 这种方法显示了改善弱势群体儿童营养结果的潜力.
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