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What interventions are effective on reducing inequalities in maternal and child health in low- and middle-income settings? A systematic review
Yuan, Beibei1,2; Malqvist, Mats3; Trygg, Nadja1; Qian, Xu4; Ng, Nawi5; Thomsen, Sarah1
刊名BMC PUBLIC HEALTH
2014-06-21
DOI10.1186/1471-2458-14-634
14
收录类别SCI
文章类型Review
WOS标题词Science & Technology
类目[WOS]Public, Environmental & Occupational Health
研究领域[WOS]Public, Environmental & Occupational Health
关键词[WOS]VITAMIN-A SUPPLEMENTATION ; RANDOMIZED CONTROLLED-TRIAL ; BRAZILIAN MUNICIPALITIES ; IMMUNIZATION COVERAGE ; NEONATAL-MORTALITY ; NORTHERN VIETNAM ; BIRTH-WEIGHT ; IMPACT ; EQUITY ; PROGRAM
英文摘要

Background: The deadline for achieving Millennium Development Goals 4 and 5 is approaching, but inequalities between disadvantaged and other populations is a significant barrier for progress towards achieving these goals. This systematic review aims to collect evidence about the differential effects of interventions on different sociodemographic groups in order to identify interventions that were effective in reducing maternal or child health inequalities.

Methods: We searched the PubMed, EMBASE and other relevant databases. The reference lists of included reviews were also screened to find more eligible studies. We included experimental or observational studies that assessed the effects of interventions on maternal and child health, but only studies that report quantitative inequality outcomes were finally included for analysis.

Results: 22 articles about the effectiveness of interventions on equity in maternal and child health were finally included. These studies covered five kinds of interventions: immunization campaigns, nutrition supplement programs, health care provision improvement interventions, demand side interventions, and mixed interventions. The outcome indicators covered all MDG 4 and three MDG 5 outcomes. None of the included studies looked at equity in maternal mortality, adolescent birth rate and unmet need for family planning. The included studies reported inequalities based on gender, income, education level or comprehensive socioeconomic status. Stronger or moderate evidence showed that all kinds of the included interventions may be more effective in improving maternal or child health for those from disadvantaged groups.

Conclusion: Studies about the effectiveness of interventions on equity in maternal or child health are limited. The limited evidence showed that the interventions that were effective in reducing inequity included the improvement of health care delivery by outreach methods, using human resources in local areas or provided at the community level nearest to residents and the provision of financial or knowledge support to demand side.

语种英语
WOS记录号WOS:000338950800003
资助机构Swedish International Development Cooperation Agency (Sida)
引用统计
被引频次:15[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/59441
专题北京大学中国卫生发展研究中心
作者单位1.Fudan Univ, Sch Publ Hlth, Shanghai 200032, Peoples R China
2.Karolinska Inst, Dept Publ Hlth, Div Global Hlth IHCAR, SE-17177 Solna Stockholm, Sweden
3.Peking Univ, China Ctr Hlth Dev Studies, Beijing 100191, Peoples R China
4.Uppsala Univ, Univ Hosp, Akad Sjukhuset, Int Maternal & Child Hlth,Dept Womens & Childrens, SE-75185 Uppsala, Sweden
5.Umea Univ, Fac Med, Dept Publ Hlth & Clin Med, Unit Epidemiol & Global Hlth, S-90187 Umea, Sweden
推荐引用方式
GB/T 7714
Yuan, Beibei,Malqvist, Mats,Trygg, Nadja,et al. What interventions are effective on reducing inequalities in maternal and child health in low- and middle-income settings? A systematic review[J]. BMC PUBLIC HEALTH,2014,14.
APA Yuan, Beibei,Malqvist, Mats,Trygg, Nadja,Qian, Xu,Ng, Nawi,&Thomsen, Sarah.(2014).What interventions are effective on reducing inequalities in maternal and child health in low- and middle-income settings? A systematic review.BMC PUBLIC HEALTH,14.
MLA Yuan, Beibei,et al."What interventions are effective on reducing inequalities in maternal and child health in low- and middle-income settings? A systematic review".BMC PUBLIC HEALTH 14(2014).
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