Comprehensive review of the evidence regarding the effectiveness of community–based primary health care in improving maternal, neonatal and child health: 6. strategies used by effective projects
BACKGROUND: As part of our review of the evidence of the effectiveness of community–based primary health care (CBPHC) in improving maternal, neonatal and child health (MNCH), we summarize here the common delivery strategies of projects, programs and field research studies (collectively referred to a...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Edinburgh University Global Health Society
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5491945/ https://www.ncbi.nlm.nih.gov/pubmed/28685044 http://dx.doi.org/10.7189/jogh.07.010906 |
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author | Perry, Henry B Sacks, Emma Schleiff, Meike Kumapley, Richard Gupta, Sundeep Rassekh, Bahie M Freeman, Paul A |
author_facet | Perry, Henry B Sacks, Emma Schleiff, Meike Kumapley, Richard Gupta, Sundeep Rassekh, Bahie M Freeman, Paul A |
author_sort | Perry, Henry B |
collection | PubMed |
description | BACKGROUND: As part of our review of the evidence of the effectiveness of community–based primary health care (CBPHC) in improving maternal, neonatal and child health (MNCH), we summarize here the common delivery strategies of projects, programs and field research studies (collectively referred to as projects) that have demonstrated effectiveness in improving child mortality. Other articles in this series address specifically the effects of CBPHC on improving MNCH, while this paper explores the specific strategies used. METHODS: We screened 12 166 published reports in PubMed of community–based approaches to improving maternal, neonatal and child health in high–mortality, resource–constrained settings from 1950–2015. A total of 700 assessments, including 148 reports from other publicly available sources (mostly unpublished evaluation reports and books) met the criteria for inclusion and were reviewed using a data extraction form. Here we identify and categorize key strategies used in project implementation. RESULTS: Six categories of strategies for program implementation were identified, all of which required working in partnership with communities and health systems: (a) program design and evaluation, (b) community collaboration, (c) education for community–level staff, volunteers, beneficiaries and community members, (d) health systems strengthening, (e) use of community–level workers, and (f) intervention delivery. Four specific strategies for intervention delivery were identified: (a) recognition, referral, and (when possible) treatment of serious childhood illness by mothers and/or trained community agents, (b) routine systematic visitation of all homes, (c) facilitator–led participatory women’s groups, and (d) health service provision at outreach sites by mobile health teams. CONCLUSIONS: The strategies identified here provide useful starting points for program design in strengthening the effectiveness of CBPHC for improving MNCH. |
format | Online Article Text |
id | pubmed-5491945 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Edinburgh University Global Health Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-54919452017-07-06 Comprehensive review of the evidence regarding the effectiveness of community–based primary health care in improving maternal, neonatal and child health: 6. strategies used by effective projects Perry, Henry B Sacks, Emma Schleiff, Meike Kumapley, Richard Gupta, Sundeep Rassekh, Bahie M Freeman, Paul A J Glob Health Research Theme 5: Evidence for community-based PHC in improving MNCH BACKGROUND: As part of our review of the evidence of the effectiveness of community–based primary health care (CBPHC) in improving maternal, neonatal and child health (MNCH), we summarize here the common delivery strategies of projects, programs and field research studies (collectively referred to as projects) that have demonstrated effectiveness in improving child mortality. Other articles in this series address specifically the effects of CBPHC on improving MNCH, while this paper explores the specific strategies used. METHODS: We screened 12 166 published reports in PubMed of community–based approaches to improving maternal, neonatal and child health in high–mortality, resource–constrained settings from 1950–2015. A total of 700 assessments, including 148 reports from other publicly available sources (mostly unpublished evaluation reports and books) met the criteria for inclusion and were reviewed using a data extraction form. Here we identify and categorize key strategies used in project implementation. RESULTS: Six categories of strategies for program implementation were identified, all of which required working in partnership with communities and health systems: (a) program design and evaluation, (b) community collaboration, (c) education for community–level staff, volunteers, beneficiaries and community members, (d) health systems strengthening, (e) use of community–level workers, and (f) intervention delivery. Four specific strategies for intervention delivery were identified: (a) recognition, referral, and (when possible) treatment of serious childhood illness by mothers and/or trained community agents, (b) routine systematic visitation of all homes, (c) facilitator–led participatory women’s groups, and (d) health service provision at outreach sites by mobile health teams. CONCLUSIONS: The strategies identified here provide useful starting points for program design in strengthening the effectiveness of CBPHC for improving MNCH. Edinburgh University Global Health Society 2017-06 2017-06-29 /pmc/articles/PMC5491945/ /pubmed/28685044 http://dx.doi.org/10.7189/jogh.07.010906 Text en Copyright © 2017 by the Journal of Global Health. All rights reserved. http://creativecommons.org/licenses/by/4.0/ This work is licensed under a Creative Commons Attribution 4.0 International License. |
spellingShingle | Research Theme 5: Evidence for community-based PHC in improving MNCH Perry, Henry B Sacks, Emma Schleiff, Meike Kumapley, Richard Gupta, Sundeep Rassekh, Bahie M Freeman, Paul A Comprehensive review of the evidence regarding the effectiveness of community–based primary health care in improving maternal, neonatal and child health: 6. strategies used by effective projects |
title | Comprehensive review of the evidence regarding the effectiveness of community–based primary health care in improving maternal, neonatal and child health: 6. strategies used by effective projects |
title_full | Comprehensive review of the evidence regarding the effectiveness of community–based primary health care in improving maternal, neonatal and child health: 6. strategies used by effective projects |
title_fullStr | Comprehensive review of the evidence regarding the effectiveness of community–based primary health care in improving maternal, neonatal and child health: 6. strategies used by effective projects |
title_full_unstemmed | Comprehensive review of the evidence regarding the effectiveness of community–based primary health care in improving maternal, neonatal and child health: 6. strategies used by effective projects |
title_short | Comprehensive review of the evidence regarding the effectiveness of community–based primary health care in improving maternal, neonatal and child health: 6. strategies used by effective projects |
title_sort | comprehensive review of the evidence regarding the effectiveness of community–based primary health care in improving maternal, neonatal and child health: 6. strategies used by effective projects |
topic | Research Theme 5: Evidence for community-based PHC in improving MNCH |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5491945/ https://www.ncbi.nlm.nih.gov/pubmed/28685044 http://dx.doi.org/10.7189/jogh.07.010906 |
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