Retrospective comparative evaluation of the lasting impact of a community-based primary health care programme on under-5 mortality in villages around Jamkhed, India
OBJECTIVE: To conduct the first rigorous evaluation of the long-term effect of the Comprehensive Rural Health Project on childhood mortality in rural Maharashtra. METHODS: Background information and full birth histories were collected by conducting household surveys and interviewing women. Control v...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
The World Health Organization
2010-10-01
|
| Series: | Bulletin of the World Health Organization |
| Online Access: | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862010001000009&lng=en&tlng=en |
| _version_ | 1827337504970244096 |
|---|---|
| author | Vera Mann Alex Eble Chris Frost Ramaswamy Premkumar Peter Boone |
| author_facet | Vera Mann Alex Eble Chris Frost Ramaswamy Premkumar Peter Boone |
| author_sort | Vera Mann |
| collection | DOAJ |
| description | OBJECTIVE: To conduct the first rigorous evaluation of the long-term effect of the Comprehensive Rural Health Project on childhood mortality in rural Maharashtra. METHODS: Background information and full birth histories were collected by conducting household surveys and interviewing women. Control villages resembling project villages in terms of population size were randomly selected from an area enclosed by two ellipses centred around, but not including, the project area. An equal number of villages and approximately equal numbers of households and women were randomly sampled from both areas. Cox models with robust standard errors were used to compare the hazard of death among children under 5 years of age in project and control villages. FINDINGS: The hazard of death was reduced by 30% (95% confidence interval, CI: 6% to 48%) after the neonatal period in the project villages compared with control villages after adjustment for caste and religion of subjects and for availability of irrigation in the villages. During the neonatal period there was an increase of 3% in the hazard of death, but it was not statistically significant (95% CI: -18% to 29%). CONCLUSION: Our methods provide useful tools for evaluating long-running community-based primary health care programmes. Our findings add to the growing debate on the long-term sustainability of community-based interventions designed to reduce child mortality. |
| first_indexed | 2024-03-07T18:57:04Z |
| format | Article |
| id | doaj.art-1a259b78b1a2484393ecbb1218b61a87 |
| institution | Directory Open Access Journal |
| issn | 0042-9686 |
| language | English |
| last_indexed | 2024-03-07T18:57:04Z |
| publishDate | 2010-10-01 |
| publisher | The World Health Organization |
| record_format | Article |
| series | Bulletin of the World Health Organization |
| spelling | doaj.art-1a259b78b1a2484393ecbb1218b61a872024-03-02T00:14:39ZengThe World Health OrganizationBulletin of the World Health Organization0042-96862010-10-018810727736S0042-96862010001000009Retrospective comparative evaluation of the lasting impact of a community-based primary health care programme on under-5 mortality in villages around Jamkhed, IndiaVera Mann0Alex Eble1Chris Frost2Ramaswamy Premkumar3Peter Boone4London School of Hygiene and Tropical MedicineLondon School of EconomicsLondon School of Hygiene and Tropical MedicineResearch and Leprosy CentreLondon School of EconomicsOBJECTIVE: To conduct the first rigorous evaluation of the long-term effect of the Comprehensive Rural Health Project on childhood mortality in rural Maharashtra. METHODS: Background information and full birth histories were collected by conducting household surveys and interviewing women. Control villages resembling project villages in terms of population size were randomly selected from an area enclosed by two ellipses centred around, but not including, the project area. An equal number of villages and approximately equal numbers of households and women were randomly sampled from both areas. Cox models with robust standard errors were used to compare the hazard of death among children under 5 years of age in project and control villages. FINDINGS: The hazard of death was reduced by 30% (95% confidence interval, CI: 6% to 48%) after the neonatal period in the project villages compared with control villages after adjustment for caste and religion of subjects and for availability of irrigation in the villages. During the neonatal period there was an increase of 3% in the hazard of death, but it was not statistically significant (95% CI: -18% to 29%). CONCLUSION: Our methods provide useful tools for evaluating long-running community-based primary health care programmes. Our findings add to the growing debate on the long-term sustainability of community-based interventions designed to reduce child mortality.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862010001000009&lng=en&tlng=en |
| spellingShingle | Vera Mann Alex Eble Chris Frost Ramaswamy Premkumar Peter Boone Retrospective comparative evaluation of the lasting impact of a community-based primary health care programme on under-5 mortality in villages around Jamkhed, India Bulletin of the World Health Organization |
| title | Retrospective comparative evaluation of the lasting impact of a community-based primary health care programme on under-5 mortality in villages around Jamkhed, India |
| title_full | Retrospective comparative evaluation of the lasting impact of a community-based primary health care programme on under-5 mortality in villages around Jamkhed, India |
| title_fullStr | Retrospective comparative evaluation of the lasting impact of a community-based primary health care programme on under-5 mortality in villages around Jamkhed, India |
| title_full_unstemmed | Retrospective comparative evaluation of the lasting impact of a community-based primary health care programme on under-5 mortality in villages around Jamkhed, India |
| title_short | Retrospective comparative evaluation of the lasting impact of a community-based primary health care programme on under-5 mortality in villages around Jamkhed, India |
| title_sort | retrospective comparative evaluation of the lasting impact of a community based primary health care programme on under 5 mortality in villages around jamkhed india |
| url | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862010001000009&lng=en&tlng=en |
| work_keys_str_mv | AT veramann retrospectivecomparativeevaluationofthelastingimpactofacommunitybasedprimaryhealthcareprogrammeonunder5mortalityinvillagesaroundjamkhedindia AT alexeble retrospectivecomparativeevaluationofthelastingimpactofacommunitybasedprimaryhealthcareprogrammeonunder5mortalityinvillagesaroundjamkhedindia AT chrisfrost retrospectivecomparativeevaluationofthelastingimpactofacommunitybasedprimaryhealthcareprogrammeonunder5mortalityinvillagesaroundjamkhedindia AT ramaswamypremkumar retrospectivecomparativeevaluationofthelastingimpactofacommunitybasedprimaryhealthcareprogrammeonunder5mortalityinvillagesaroundjamkhedindia AT peterboone retrospectivecomparativeevaluationofthelastingimpactofacommunitybasedprimaryhealthcareprogrammeonunder5mortalityinvillagesaroundjamkhedindia |