Evaluating a Large-Scale Community-Based Intervention to Improve Pregnancy and Newborn Health Among the Rural Poor in India.
Objectives. We evaluated the effectiveness of the Sure Start project, which was implemented in 7 districts of Uttar Pradesh, India, to improve maternal and newborn health. Methods. Interventions were implemented at 2 randomly assigned levels of intensity. Forty percent of the areas received a more i...
| Publicado en: | American Journal of Public Health Vol. 105; no. 1; pp. 144 - 153 |
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| Autores principales: | , , , , , , , , , |
| Formato: | Journal Article |
| Publicado: |
American Public Health Association
Jan2015
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=103926680&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 103926680 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00900036 APH jtl: American Journal of Public Health issn: 00900036 maglogo: N pubinfo: dt: Jan2015 vid: 105 iid: 1 pid: 44 pub: American Public Health Association artinfo: ui: 103926680 10.2105/AJPH.2014.302092 ppf: 144 ppct: 9 formats: tig: atl: Evaluating a Large-Scale Community-Based Intervention to Improve Pregnancy and Newborn Health Among the Rural Poor in India. aug: au: Acharya, Arnab Lalwani, Tanya Dutta, Rahul Knoll Rajaratnam, Julie Ruducha, Jenny Varkey, Leila Caleb Wunnava, Sita Menezes, Lysander Taylor, Catharine Bernson, Jeff su: India Health planning Poor people Rural health Socioeconomic factors Chi-squared test Confidence intervals Research funding T-test (Statistics) Logistic regression analysis Data analysis software Descriptive statistics sug: subj: Health planning Poor people Rural health Socioeconomic factors India Chi-squared test Confidence intervals Research funding T-test (Statistics) Logistic regression analysis Data analysis software Descriptive statistics ab: Objectives. We evaluated the effectiveness of the Sure Start project, which was implemented in 7 districts of Uttar Pradesh, India, to improve maternal and newborn health. Methods. Interventions were implemented at 2 randomly assigned levels of intensity. Forty percent of the areas received a more intense intervention, including community-level meetings with expectant mothers. A baseline survey consisted of 12 000 women who completed pregnancy in 2007; a follow-up survey was conducted for women in 2010 in the same villages. Our quantitative analyses provide an account of the project’s impact. Results. We observed significant health improvements in both intervention areas over time; in the more intensive intervention areas, we found greater improvements in care-seeking and healthy behaviors. The more intensive intervention areas did not experience a significantly greater decline in neonatal mortality. Conclusions. This study demonstrates that community-based efforts, especially mothers’ group meetings designed to increase care-seeking and healthy behaviors, are effective and can be implemented at large scale. pubtype: Academic Journal doctype: Journal Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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