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Perry HB, Sacks E, Schleiff M, et al. 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. J Glob Health. 2017;7(1):010906doi: 10.7189/jogh.07.010906.
Perry, H. B., Sacks, E., Schleiff, M., Kumapley, R., Gupta, S., Rassekh, B. M., & Freeman, P. A. (2017). 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. Journal of global health, 7(1), 010906. https://doi.org/10.7189/jogh.07.010906
Perry, Henry B, et al. "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." Journal of global health vol. 7,1 (2017): 010906. doi: https://doi.org/10.7189/jogh.07.010906
Perry HB, Sacks E, Schleiff M, Kumapley R, Gupta S, Rassekh BM, Freeman PA. 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. J Glob Health. 2017 Jun;7(1):010906. doi: 10.7189/jogh.07.010906. PMID: 28685044; PMCID: PMC5491945.
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J Glob Health. 2017 Jun;7(1):010906. doi: 10.7189/jogh.07.010906.

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.

Journal of global health

Henry B Perry, Emma Sacks, Meike Schleiff, Richard Kumapley, Sundeep Gupta, Bahie M Rassekh, Paul A Freeman

Affiliations

  1. Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
  2. UNICEF, New York, New York, USA.
  3. Medical epidemiologist, Lusaka, Zambia.
  4. The World Bank, Washington, District of Columbia, USA.
  5. Independent consultant, Seattle, Washington, USA.
  6. Department of Global Health, University of Washington, Seattle, Washington, USA.

PMID: 28685044 PMCID: PMC5491945 DOI: 10.7189/jogh.07.010906

Abstract

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.

Conflict of interest statement

Competing interests: All authors have completed the Unified Competing Interest Form at www.icmje.org/coi_disclosure.pdf (available upon request from the corresponding author), and declare no conflict

References

  1. Lancet. 2010 Apr 3;375(9721):1193-202 - PubMed
  2. J Glob Health. 2017 Jun;7(1):010904 - PubMed
  3. J Glob Health. 2017 Jun;7(1):010903 - PubMed
  4. PLoS One. 2013 Dec 11;8(12):e81304 - PubMed
  5. Lancet. 2008 Sep 13;372(9642):962-71 - PubMed
  6. Lancet. 2008 Feb 2;371(9610):417-40 - PubMed
  7. J Perinatol. 2005 Mar;25 Suppl 1:S108-22 - PubMed
  8. Glob Health Sci Pract. 2016 Mar 25;4(1):114-31 - PubMed
  9. J Health Popul Nutr. 2003 Dec;21(4):383-95 - PubMed
  10. Trop Med Int Health. 2010 Mar;15(3):296-305 - PubMed
  11. Int Health. 2015 Jan;7(1):26-31 - PubMed
  12. Health Policy Plan. 2014 Mar;29(2):204-16 - PubMed
  13. Lancet. 2013 May 18;381(9879):1736-46 - PubMed
  14. Soc Sci Med. 1988;26(9):931-40 - PubMed
  15. Am J Trop Med Hyg. 2012 Nov;87(5 Suppl):6-10 - PubMed
  16. J Glob Health. 2017 Jun;7(1):010907 - PubMed
  17. Contraception. 2005 Dec;72(6):402-7 - PubMed
  18. Lancet. 2016 Dec 3;388(10061):2811-2824 - PubMed
  19. Lancet. 2010 Feb 13;375(9714):572-82 - PubMed
  20. Glob Health Sci Pract. 2015 Sep 15;3(3):358-69 - PubMed
  21. Lancet. 2003 Jul 5;362(9377):65-71 - PubMed
  22. Lancet. 1990 Jul 28;336(8709):201-6 - PubMed
  23. Soc Sci Med. 2006 Aug;63(3):691-705 - PubMed
  24. Bull World Health Organ. 2008 Jun;86(6):452-9 - PubMed
  25. World J Surg. 2006 Apr;30(4):505-11 - PubMed
  26. Pediatr Infect Dis J. 2009 Apr;28(4):304-10 - PubMed
  27. Am J Public Health. 2007 Feb;97(2):240-6 - PubMed
  28. J Perinatol. 2005 Mar;25 Suppl 1:S92-107 - PubMed
  29. Pediatrics. 2005 Feb;115(2 Suppl):519-617 - PubMed
  30. Lancet Infect Dis. 2003 Sep;3(9):547-56 - PubMed
  31. Lancet. 2008 Sep 13;372(9642):990-1000 - PubMed
  32. Cochrane Database Syst Rev. 2013 Oct 08;(10):CD010414 - PubMed
  33. Lancet. 2004 Sep 11-17;364(9438):970-9 - PubMed
  34. J Glob Health. 2017 Jun;7(1):010901 - PubMed
  35. Glob Health Sci Pract. 2015 Sep 15;3(3):370-81 - PubMed
  36. Global Health. 2015 Nov 10;11:43 - PubMed
  37. J Nutr. 2003 Dec;133(12):4150-7 - PubMed
  38. Lancet. 2008 Sep 13;372(9642):972-89 - PubMed
  39. Lancet. 2005 Mar 12-18;365(9463):977-88 - PubMed
  40. BMC Public Health. 2013;13 Suppl 3:S1 - PubMed
  41. J Perinatol. 2012 Dec;32(12):959-65 - PubMed
  42. Lancet. 2010 Feb 13;375(9714):526 - PubMed
  43. Int J Gynaecol Obstet. 2003 Apr;81(1):83-92 - PubMed
  44. Health Policy Plan. 2006 May;21(3):217-30 - PubMed
  45. Food Nutr Bull. 2013 Dec;34(4):412-9 - PubMed
  46. Trans R Soc Trop Med Hyg. 2007 Aug;101(8):814-22 - PubMed
  47. Health Policy Plan. 2012 Oct;27(7):541-54 - PubMed
  48. Lancet. 2001 Aug 4;358(9279):404-9 - PubMed
  49. Lancet. 1997 Jul 19;350(9072):169-72 - PubMed
  50. Lancet Glob Health. 2015 Nov;3(11):e692-700 - PubMed
  51. Bull World Health Organ. 2016 May 1;94(5):376-82 - PubMed
  52. Lancet. 2000 Aug 12;356(9229):550-5 - PubMed
  53. Lancet. 2008 Sep 27;372(9644):1151-62 - PubMed
  54. Lancet. 2008 Jun 7;371(9628):1936-44 - PubMed
  55. J Glob Health. 2017 Jun;7(1):010902 - PubMed
  56. J Health Popul Nutr. 2014 Jun;32(2):356-66 - PubMed
  57. Lancet. 2009 Feb 7;373(9662):508-15 - PubMed

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