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Assessing early access to care and child survival during a health system strengthening intervention in Mali: a repeated cross sectional survey.

Authors :
Ari D Johnson
Dana R Thomson
Sidney Atwood
Ian Alley
Jessica L Beckerman
Ichiaka Koné
Djoumé Diakité
Hamed Diallo
Boubacar Traoré
Klenon Traoré
Paul E Farmer
Megan Murray
Joia Mukherjee
Source :
PLoS ONE, Vol 8, Iss 12, p e81304 (2013)
Publication Year :
2013
Publisher :
Public Library of Science (PLoS), 2013.

Abstract

BackgroundIn 2012, 6.6 million children under age five died worldwide, most from diseases with known means of prevention and treatment. A delivery gap persists between well-validated methods for child survival and equitable, timely access to those methods. We measured early child health care access, morbidity, and mortality over the course of a health system strengthening model intervention in Yirimadjo, Mali. The intervention included Community Health Worker active case finding, user fee removal, infrastructure development, community mobilization, and prevention programming.Methods and findingsWe conducted four household surveys using a cluster-based, population-weighted sampling methodology at baseline and at 12, 24, and 36 months. We defined our outcomes as the percentage of children initiating an effective antimalarial within 24 hours of symptom onset, the percentage of children reported to be febrile within the previous two weeks, and the under-five child mortality rate. We compared prevalence of febrile illness and treatment using chi-square statistics, and estimated and compared under-five mortality rates using Cox proportional hazard regression. There was a statistically significant difference in under-five mortality between the 2008 and 2011 surveys; in 2011, the hazard of under-five mortality in the intervention area was one tenth that of baseline (HR 0.10, pConclusionsCommunity-based health systems strengthening may facilitate early access to prevention and care and may provide a means for improving child survival.

Subjects

Subjects :
Medicine
Science

Details

Language :
English
ISSN :
19326203
Volume :
8
Issue :
12
Database :
Directory of Open Access Journals
Journal :
PLoS ONE
Publication Type :
Academic Journal
Accession number :
edsdoj.58d39850569b4947ac71eaa5d36a97e9
Document Type :
article
Full Text :
https://doi.org/10.1371/journal.pone.0081304