Do multi-sectoral development programmes affect health? A Bolivian case study
| Autor: | Fernando Gonzales, Wilson Jimenez, Kirk Dearden |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
Program evaluation
Adult Male Bolivia Social Work Adolescent Cross-sectional study media_common.quotation_subject Child Welfare Social class Literacy Environmental health Odds Ratio Humans Child media_common Aged Social work business.industry Health Policy Environmental resource management Community Participation Infant Newborn Infant International Agencies Middle Aged United States Test (assessment) Stratified sampling Geography Cross-Sectional Studies Logistic Models Child Preschool Female Rural Health Services Rural area business Program Evaluation |
| Zdroj: | Health policy and planning. 14(4) |
| ISSN: | 0268-1080 |
| Popis: | This cross-sectional study, carried out in Inquisivi, Bolivia, a rural area where Save the Children/US works, tests the hypothesis that participation in multisectoral development programmes results in improved health behaviours and better health outcomes. To test this hypothesis, four groups of households were compared: those participating in Save the Children's health-only programmes; those with access to health and micro-enterprise credit or health and literacy programmes; those participating in all three programmes (health, credit and literacy); and households from comparison communities (no access to any of Save the Children's programmes). Data come from a stratified sample of 499 households in the altiplano, foothills and valleys of the Andes. Findings reported here suggest that there is no clear association between participation in one or more of Save the Children's programmes and parents' actions to prevent and treat diarrhoea. Additionally, the point prevalence of diarrhoea was similar for all four groups. However, children of individuals participating in health, credit and literacy were significantly less likely than children from comparison communities to be malnourished or at risk of becoming malnourished, even after controlling for such potentially confounding factors as social class, source of drinking water, and the availability of health facilities. |
| Databáze: | OpenAIRE |
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