Effectiveness of Healthcare Interventions in Reducing Child Mortality
DOI:
https://doi.org/10.47941/ijdcs.2174Keywords:
Child Mortality, Healthcare Interventions, Maternal Health, Preventive Care, Social Determinants of HealthAbstract
Purpose: The general objective of this study was to investigate the effectiveness of healthcare interventions in reducing child mortality.
Methodology: The study adopted a desktop research methodology. Desk research refers to secondary data or that which can be collected without fieldwork. Desk research is basically involved in collecting data from existing resources hence it is often considered a low cost technique as compared to field research, as the main cost is involved in executive’s time, telephone charges and directories. Thus, the study relied on already published studies, reports and statistics. This secondary data was easily accessed through the online journals and library.
Findings: The findings reveal that there exists a contextual and methodological gap relating to the effectiveness of healthcare interventions in reducing child mortality. Preliminary empirical review revealed that a combination of preventive, curative, and rehabilitative healthcare interventions significantly reduced child mortality rates, particularly in low- and middle-income countries. It highlighted the critical role of maternal health, the effectiveness of vaccination programs, and the importance of tailored interventions that consider specific community needs. Additionally, the study underscored the necessity of addressing social determinants of health, such as poverty and access to clean water, to achieve sustainable reductions in child mortality. The findings emphasized the need for a comprehensive, context-specific, and multi-sectoral approach to improve child health outcomes.
Unique Contribution to Theory, Practice and Policy: The Health Benefit Model (HBM), Social Determinants of Health (SDOH) Framework and Ecological Systems Theory may be used to anchor future studies on healthcare interventions in reducing child mortality. The study recommended strengthening the integration of healthcare services across different levels of care and adopting a family-centered approach. It called for further research into the synergistic effects of combining multiple healthcare interventions and advocated for the scale-up of successful programs. The study emphasized the importance of community engagement, supportive health policies, and the allocation of sufficient resources to maternal and child health programs. It also recommended robust monitoring and evaluation systems, transparency, and accountability in healthcare programs. Lastly, the study underscored the importance of international collaboration and knowledge sharing to enhance the implementation of healthcare interventions and reduce child mortality globally.
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Bhutta, Z. A., Das, J. K., Bahl, R., Lawn, J. E., Salam, R. A., Paul, V. K., ... & Walker, N. (2013). Can available interventions end preventable deaths in mothers, newborn babies, and stillbirths, and at what cost? The Lancet, 382(9890), 347-370. https://doi.org/10.1016/S0140-6736(13)60648-0
Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., de Onis, M., ... & Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet, 382(9890), 427-451. https://doi.org/10.1016/S0140-6736(13)60937-X
Brazier, E., Tumusiime, P., Tavrow, P., & Kachur, P. (2017). Impact of community health worker-led home delivery of anti-malarial drugs on child mortality: A cluster-randomized trial in Malawi. Malaria Journal, 16(1), 258. https://doi.org/10.1186/s12936-017-1882-3
Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and design. Harvard University Press.
Cairncross, S., Hunt, C., Boisson, S., Bostoen, K., Curtis, V., Fung, I. C. H., & Schmidt, W. P. (2014). Water, sanitation and hygiene for the prevention of diarrhoea. International Journal of Epidemiology, 39(i1), i193-i205. https://doi.org/10.1093/ije/dyq035
Centers for Disease Control and Prevention. (2020). Infant Mortality. Retrieved from https://www.cdc.gov/reproductivehealth/maternalinfanthealth/infantmortality.htm
Glanz, K., Rimer, B. K., & Viswanath, K. (2015). Health behavior: Theory, research, and practice. John Wiley & Sons.
Horton, S., Shekar, M., McDonald, C., Mahal, A., & Brooks, J. K. (2016). Scaling up nutrition: What will it cost?. World Bank Publications. https://doi.org/10.1596/978-0-8213-8356-5
Ikeda, N., Shibuya, K., Hashimoto, H., Matsumura, Y., & Abe, K. (2011). Improving health equity in Japan: A challenge for achieving sustainable development goals. The Lancet, 378(9796), 1063-1072. https://doi.org/10.1016/S0140-6736(11)61341-7
Kotch, J. B. (2012). Maternal and child health: Programs, problems, and policy in public health. Jones & Bartlett Publishers.
Kuruvilla, S., Schweitzer, J., Bishai, D., Chowdhury, S., Caramani, D., Frost, L., ... & Bustreo, F. (2014). Success factors for reducing maternal and child mortality. Bulletin of the World Health Organization, 92(7), 533-544. https://doi.org/10.2471/BLT.14.138131
Lawn, J. E., Blencowe, H., Oza, S., You, D., Lee, A. C., Waiswa, P., ... & Cousens, S. N. (2014). Every Newborn: Progress, priorities, and potential beyond survival. The Lancet, 384(9938), 189-205. https://doi.org/10.1016/S0140-6736(14)60496-7
Marmot, M., Friel, S., Bell, R., Houweling, T. A., & Taylor, S. (2012). Closing the gap in a generation: health equity through action on the social determinants of health. The Lancet, 372(9650), 1661-1669. https://doi.org/10.1016/S0140-6736(08)61690-6
Obudho, W., Bosire, R., Okiya, J., & Mwaliko, E. (2017). Beyond Zero Campaign in Kenya: A myth or a reality? International Journal of Health Sciences & Research, 7(1), 224-233.
Office for National Statistics. (2020). Child and infant mortality in England and Wales: 2019. Retrieved from https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/bulletins/childhoodinfantandperinatalmortalityinenglandandwales/2019
Okoli, U., Morris, L., & Nweke, K. (2014). Nigeria's Saving One Million Lives Initiative: Catalyzing the scale-up of maternal and child health interventions. Journal of Global Health, 4(2), 020310. https://doi.org/10.7189/jogh.04.020310
Perry, H., Zulliger, R., & Rogers, M. M. (2014). Community health workers in low-, middle-, and high-income countries: An overview of their history, recent evolution, and current effectiveness. Annual Review of Public Health, 35(1), 399-421. https://doi.org/10.1146/annurev-publhealth-032013-182354
Rasella, D., Aquino, R., Santos, C. A., Paes-Sousa, R., & Barreto, M. L. (2013). Effect of a conditional cash transfer programme on childhood mortality: A nationwide analysis of Brazilian municipalities. The Lancet, 382(9886), 57-64. https://doi.org/10.1016/S0140-6736(13)60715-1
Stephen, C. R., Bamford, L. J., Patrick, M. E., & Wittenberg, D. F. (2011). Saving children 2009: Five years of data. A sixth survey of child healthcare in South Africa. South African Medical Journal, 101(8), 534-538.
Taylor-Robinson, D., Pearce, A., Whitehead, M., Smyth, R., & Law, C. (2013). The impact of child poverty on health and inequalities in early years. Archives of Disease in Childhood, 98(10), 772-777. https://doi.org/10.1136/archdischild-2012-302896
UNICEF. (2018). Levels and Trends in Child Mortality. Retrieved from https://www.unicef.org/reports/levels-and-trends-child-mortality-report-2018
UNICEF. (2020). Levels and trends in child mortality report 2020. Retrieved from https://www.unicef.org/reports/levels-and-trends-child-mortality-report-2020
Victora, C. G., Requejo, J. H., Barros, A. J., Berman, P., Bhutta, Z. A., Boerma, T., ... & Bryce, J. (2012). Countdown to 2015: A decade of tracking progress for maternal, newborn, and child survival. The Lancet, 379(9832), 2000-2005. https://doi.org/10.1016/S0140-6736(12)60639-2
Victora, C. G., Requejo, J. H., Barros, A. J., Berman, P., Bhutta, Z. A., Boerma, T., ... & Bryce, J. (2016). Countdown to 2015: A decade of tracking progress for maternal, newborn, and child survival. The Lancet, 387(10032), 2040-2056. https://doi.org/10.1016/S0140-6736(15)00519-X
Walker, N., Tam, Y., & Friberg, I. K. (2013). Overview of the Lives Saved Tool (LiST). BMC Public Health, 13(3), S1. https://doi.org/10.1186/1471-2458-13-S3-S1
World Bank. (2020). Mortality rate, under-5 (per 1,000 live births). Retrieved from https://data.worldbank.org/indicator/SH.DYN.MORT
World Health Organization. (2020). Sustainable Development Goals (SDGs): Goal 3. Ensure healthy lives and promote well-being for all at all ages. Retrieved from https://www.who.int/sdg/targets/en/
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