An Educational Program to Address Maternal Health Disparities and High Infant Mortality in North Carolina [7M]

2018 ◽  
Vol 131 ◽  
pp. 142S
Author(s):  
Reena Patel ◽  
Rebecca Jones ◽  
Jill Sutton

1999 ◽  
Author(s):  
Kathryn Surles ◽  
Paul A. Buescher ◽  
Robert Meyer




2015 ◽  
Vol 9 (3) ◽  
pp. e0003581 ◽  
Author(s):  
Hubert Barennes ◽  
Khouanheuan Sengkhamyong ◽  
Jean Pascal René ◽  
Maniphet Phimmasane


1995 ◽  
Vol 177 (3) ◽  
pp. 57-69 ◽  
Author(s):  
Kriste Lindenmeyer

Early in the twentieth century, a growing child welfare movement led to the establishment of the first federal agency in the world, the U.S. Children's Bureau, designated to investigate and report on the circumstances of children. Appointed in 1912, the agency's first director, Julia Lathrop, focused on infant mortality, beginning with a year's study in Johnstown, Pennsylvania. The work stimulated a national effort to “save babies.” The Bureau's efforts led to the Sheppard-Towner Act of 1921, which funded educational and diagnostic work to lower the nation's high infant mortality rate. But this type of effort was short-lived. The article describes the course of the agency's work in the Progressive Era and evaluates its effect on current child welfare policy, a key area in the ongoing controversy over “welfare reform” and the role of the federal government in the provision of human services.



Author(s):  
J. Kisabuli ◽  
J. Ong'ala ◽  
E. Odero

Infant mortality is an important marker of the overall society health. The 3rd goal of the Sustainable Development Goals aims at reducing infant deaths that occur due to preventable causes by 2030. Due to increased infant mortality the Kenyan government introduced Free Maternal Health Care as an intervention towards reducing infant mortality through elimination of the cost burden of accessing medical care by the mother and the infant. The study examines the impact of Free Maternal Health Care on infant mortality using Intervention time series analysis particularly the intervention Box Jenkins ARIMA (Autoregressive Integrated Moving Average) model. There was significant support that Free Maternal Health Care had a significant impact on infant mortality which was estimated to be a decrease of 10.15% in infant deaths per month.



2018 ◽  
Vol 17 (4) ◽  
pp. 262-265
Author(s):  
Larisa E. Gorelova ◽  
Vera N. Shelkova

The article is devoted to the important course of the medicine development at the beginning of the 20th century — mother and infant protection. The contribution of pediatricians and obstetricians to prevention of high infant mortality in Moscow is represented. The activities of G.N. Speransky and other doctors in public benevolent institutions are reported.



2020 ◽  
Author(s):  
Antonio Pedro Ramos ◽  
Robert Weiss ◽  
Simeon Nietcher ◽  
Leiwen Gao

Background: Various studies suggest that corruption affects public health systems across the world. However, the extant literature lacks causal evidence about whether anti-corruption interventions can improve health outcomes. We examine the impact of randomized anti-corruption audits on early-life mortality in Brazil. Methods: The Brazilian government conducted audits in 1,949 randomly selected municipalities between 2003 and 2015. To identify the causal effect of anti-corruption audits on early-life mortality, we analyse data on health outcomes from individual- level vital statistics (DATASUS) collected by Brazil government before and after the random audits. Data on the audit intervention are from the Controladoria-Geral da Uniao, the government agency responsible for the anti-corruption audits. Outcomes are neonatal mortality, infant mortality, child mortality, preterm births, and prenatal visits. Analyses examine aggregate effects for each outcome, as well as effects by race, cause of death, and years since the intervention. Results: Anti-corruption audits significantly decreased early-life mortality in Brazil. Expressed in relative terms, audits reduced neonatal mortality by 6.7% (95% CI -8.3%, -5.0%), reduced infant mortality by 7.3% (-8.6%, -5.9%), and reduced child mortality by 7.3% (-8.5%, -6.0%). This reduction in early mortality was higher for nonwhite Brazilians, who face significant health disparities. Effects are greater when we look at deaths from preventable causes, and show temporal persistence with large effects even a decade after audits. In addition, analyses show that the intervention led to a 12.1% (-13.4%, -10.6%) reduction in women receiving no prenatal care, as well as a 7.4% (-9.4%, -5.5%) reduction in preterm births; these effects are likewise higher for nonwhites and are persistent over time. All effects are robust to various alternative specifications. Interpretation: Governments have the potential to improve health outcomes through anti-corruption interventions. Such interventions can reduce early-life mortality and mitigate health disparities. The impact of anti-corruption audits should be investigated in other countries, and further research should further explore the mechanisms by which combating corruption affects the health sector.



1994 ◽  
Vol 47 (2) ◽  
pp. 119-130 ◽  
Author(s):  
Robert Michielutte ◽  
Mary Lou Moore ◽  
Paul J. Meis ◽  
J.M. Ernest ◽  
H. Bradley Wells


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