scholarly journals Care groups and community-based approaches for improved maternal and child survival and development

2020 ◽  
Vol 11 (3) ◽  
pp. 153-156
Author(s):  
Roger Shrimpton
2012 ◽  
Vol 16 (9) ◽  
pp. 1614-1621 ◽  
Author(s):  
Kirsten Havemann ◽  
Pat Pridmore ◽  
Andrew Tomkins ◽  
Kristine Dandanell Garn

AbstractObjectiveTo investigate the nutritional impact of a community-based programme that focused on social cohesion and action.DesignThe change in nutritional status of children aged 12–60 months was examined over a period of 3 years in Makueni District in Eastern Province of Kenya in six communities in which an intervention programme of Participatory Learning and Action was introduced and in ten communities in which only basic preparations were made but no intervention was started.SettingThe intervention was part of the Government of Kenya Community Based Nutrition Programme and was supported by the Government of Denmark.SubjectsChildren aged 12–60 months.ResultsAmong communities without intervention there were similar levels of underweight (mean Z-score: −1·63 v. −1·50 (NS); % with Z-score < –2: 36·6 % v. 34·5 % (NS)) and stunting (mean Z-score: −2·0 v. −1·99 (NS); % with Z-score < –2: 44·3 % and 47·4 % (NS)) at baseline and after 3 years. By contrast, among communities who had received interventions, there were significant improvements after 3 years in the levels of underweight (mean Z-score: −1·66 v. −1·37 (P < 0·02); % with Z-score < –2: 42·9 % v. 31·4 % (P < 0·035)) and stunting (mean Z-score: −2·05 v. −1·59 (P < 0·05); % with Z-score < –2: 52·7 % v. 39·7 % (P < 0·02)).ConclusionsThe results indicate considerable potential for using Participatory Learning and Action as a community-based approach to effectively address child undernutrition. It is suggested that these interventions are developed, implemented and evaluated more widely as a mean of tackling childhood undernutrition and improving child survival and development.


1992 ◽  
Vol 6 (3) ◽  
pp. 153-155 ◽  
Author(s):  
R Chandra ◽  
V K Srivastava ◽  
S Nirupam

The Urban Basic Services (UBS) programme was launched in some of the urban slums in the major cities of India in the year 1986. The main objective of the Urban Basic Services (UBS) Program is to improve and upgrade the quality of life of the urban poor, particularly the women and children. The major thrust area under the UBS programme includes child survival and development, learning opportunities for women and children, water and sanitation, and community organization. The present study attempts to find out the impact of the UBS Program in terms of the immunization coverage carried out in slums covered by UBS and comparing it with non-UBS slums using the 30-cIuster sampling technique as suggested by WHO. The percentage of fully immunized children was higher (16.2%) in the UBS slums compared to 10.9% in non-UBS slums. The immunization coverage of children was slightly better in the UBS slums for BCG, DPT and Oral Polio Vaccines, while for measles it was 18.6% in UBS slums and 11.9% in non-UBS slums. The dropout rates for I to III doses of DPT was much higher (36.4%) in non-UBS slums as compared to 28% in UBS slums. The availability of immunization cards was found to be higher in both mothers (16.7%) and children (22.4%) in UBS slums compared to the non-UBS ones (5.2% and 8.6% respectively). The slums thus covered under the UBS program have done marginally better in immunization but it appears that to assess the overall impact of UBS, all the components of services and not merely immunization should be assessed.


2000 ◽  
Vol 20 (1) ◽  
pp. 59-81 ◽  
Author(s):  
William R. Brieger ◽  
Sam A. Orisasona ◽  
P. Bolade Ogunlade ◽  
U. Olu. Ayodele ◽  
Ayo Iroko

Basic Support for Institutionalizing Child Survival (BASICS) was given a mandate by USAID to find innovative ways to meet the child health needs of poor Nigerian urban communities. BASICS inventoried communities in the Lagos metropolitan area to identify community-based organizations (CBOs) and private health facilities (HFs) that could form coalitions that might plan and deliver child and family health services such as immunization and prompt treatment. Six Community Partners for Health (CPHs) coalitions formed in late 1995. In late 1997, a documentation of the progress and processes of CPH formation and functioning was carried out through a review of documents, interviews with CPH leaders, discussions with CBO members, and textual analysis of CPH board meeting minutes to define the CPH approach, the organizational structures that result from that approach, the achievements of the CPHs and the potential sustainability of the approach. All CPHs have developed a work plan and all have undertaken programmatic activities including child immunization campaigns, environmental clean-up, and awareness campaigns to alert the public on the dangers of HIV/AIDS. Most CPHs have also developed three main mechanisms for financial sustainability. Finally, CPHs have also been calling on each other for technical and management assistance. This augers well for future independent action and sustainability, and BASICS staff themselves have been promoting inter-CPH communication and activities among the Lagos CPHs.


Author(s):  
Ogar Rapinyana ◽  

Improving maternal and child survival it’s an important integral part of health care. A large number of deaths in Africa emanate from preventable diseases and largely in the first month of life. Majority of deaths were from preventable causes such as pneumonia, diarrhea and malaria and all accounting to 14.9%, 9.2% and 7.3% respectively. In an endeavour to the prevent and promote healthcare system, the government of Botswana came up with a special programme geared toward protecting the locals against common diseases. The government of Botswana, through the Ministry of Health (MoH), introduced the Accelerated Child Survival and Development (ACSD) strategic plan intervention with a specific focus on reducing the ‘under five mortality rate’ (U5MR). One of the high-impact interventions for reducing the U5MR is the Integrated Management of Childhood Illness (IMCI) strategy. The strategic goal of IMCI is to reduce death, illness, and disability and to promote improved growth and development among children under 5 years of age. Child welfare clinic and Nutrition has been discovered as one of the strategy to promote child’s growth and development. This strategy can be effective if it is implemented with IMCI and Immunisation.


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