Effectiveness of Community-Based Interventions for Improving Maternal and Child Health Outcomes in Southern Punjab, Pakistan

Main Article Content

Farhan Mukhtar, Zeenaf Aslam, Faheem Yousuf , Fareeha Latif , Saeed Ur Rahman, Asdia Rashid, Afshan Mehvish Naz

Keywords

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Abstract

This study aimed to assess the effectiveness of a community-based intervention on improving maternal and child health outcomes in a low- and middle-income area in southern Punjab, Pakistan.


Methods: A prospective study was conducted from January 2022 to May 2022, involving a sample size of 350 participants. The community-based intervention targeted various aspects of maternal and child health, including antenatal care, immunization, breastfeeding practices, and postnatal care. Data on health outcomes, such as maternal mortality, infant mortality, neonatal morbidity, and child growth indicators, were collected before and after the intervention. Statistical analysis was performed to evaluate the impact of the intervention on the selected outcomes.

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References

1. Lassi ZS, Bhutta ZA. Community‐based intervention packages for reducing maternal and neonatal morbidity and mortality and improving neonatal outcomes. Cochrane Database of Systematic Reviews 2015, Issue 3. Art. No.: CD007754. DOI: 10.1002/14651858.CD007754.pub3. Accessed 13 July 2023.
2. Gilmore, B., McAuliffe, E. Effectiveness of community health workers delivering preventive interventions for maternal and child health in low- and middle-income countries: a systematic review. BMC Public Health 13, 847 (2013). https://doi.org/10.1186/1471-2458-13-847
3. Malik MA, Rohm LR, van Baal P, et al. Improving maternal and child health in Pakistan: a programme evaluation using a difference in difference analysis BMJ Global Health 2021;6:e006453.
4. Midhet, F., Becker, S. Impact of community-based interventions on maternal and neonatal health indicators: Results from a community randomized trial in rural Balochistan, Pakistan. Reprod Health 7, 30 (2010). https://doi.org/10.1186/1742-4755-7-30
5. Bhutta, Z. A., Bang, A., Afsana, K., Gyawali, B., Mirzazada, M. S., Jayatissa, R. (2019). Rethinking community based strategies to tackle health inequities in South Asia. British medical journal. Available at: https://ecommons.aku.edu/pakistan_fhs_mc_women_childhealth_paediatr/754
6. Tripathy P, Nair N, Sinha R, et al. Effect of participatory women’s groups facilitated by Accredited Social Health Activists on birth outcomes in rural eastern India: a cluster-randomised controlled trial. Lancet Glob Health 2016;4:e119-28. 10.1016/S2214-109X(15)00287-9 26823213
7. Misra A, Tandon N, Ebrahim S, et al. Diabetes, cardiovascular disease, and chronic kidney disease in South Asia: current status and future directions. BMJ 2017;357:j1420. 10.1136/bmj.j1420 28400361
8. Salehi AS, Saljuqi ATK, Akseer N, Rao K, Coe K. Factors influencing performance by contracted non-state providers implementing a basic package of health services in Afghanistan. Int J Equity Health 2018;17:128. 10.1186/s12939-018-0847-4 30286770
9. Das, Jai, et al. "Community Mobilization and Community Incentivization (CoMIC) Strategy for Child Health in a Rural Setting of Pakistan: Study Protocol for a Randomized Controlled Trial." Methods and Protocols, vol. 6, no. 2, 2023, p. 30, https://doi.org/10.3390/mps6020030.
10. Cooper, J.E.; Benmarhnia, T.; Koski, A.; King, N.B. Cash transfer programs have differential effects on health: A review of the literature from low and middle-income countries. Soc. Sci. Med. 2020, 247, 112806.
11. Olney, D.K.; Gelli, A.; Kumar, N.; Alderman, H.; Go, A.; Raza, A.; Owens, J.; Grinspun, A.; Bhalla, G.; Benammour, O. Nutrition-Sensitive Social Protection Programs within Food Systems; Food and Agriculture Organization of the United Nations International Food Policy Research Institute: Washington, DC, USA, 2021
12. C Marston, R Hinton, S Kean, S Baral, A Ahuja, and A Costello. Community participation for transformative action on women’s, children’s and adolescents’ health. Bull World Health Organ. 2016;94:376-82. DOI: 10.2471/BLT.15.168492. [PMID:27152056]