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

Datos Bibliográficos

ID19550456
AutoresHenry B Perry (0000-0003-0561-0492, Johns Hopkins University, autor de correspondencia), Emma Sacks (0000-0003-0743-7208, Johns Hopkins University), Meike Schleiff (0000-0001-6492-3718, Johns Hopkins University), Richard Kumapley (0000-0002-5850-4629, United Nations Children's Fund), Sundeep Gupta, Bahie Mary Rassekh (0000-0003-0504-2851, World Bank), Paul Freeman (0000-0001-9162-5943, University of Washington), Paul A Freeman
Año2017
Volumen7
Número1
Páginas010906-010906
Fecha de publicación2017-06-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaJournal of Global Health (JOURNAL)
Identificadores de la revistaISSN: 2047-2978 • E-ISSN: 2047-2986
EditorialInternational Society of Global Health (PUBLISHER • GB)
DOI10.7189/jogh.07.010906
PMID28685044
OpenAlexW2730449391
IdiomaEN
Citas recibidas22
Referencias citadas52

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 A total of 700 assessments, including 148 reports from other publicly available sources (mostly unpublished evaluation reports and books) met the criteria for inclusion and were reviewed using a data extraction form.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

Business · Community health · Facilitator · Family medicine · General partnership · Outreach · Program evaluation · Public health · Referral · Service delivery framework · Child and Adolescent Health · Global Maternal and Child Health · Health Policy Implementation Science · Medicine · Nursing · Psychology