Abstract:
:The Lives Saved Tool (LiST) has been used to estimate the impact of scaling up intervention coverage on undernutrition and mortality. Evidence for the model is largely based on efficacy trials, raising concerns of applicability to large-scale contexts. We modelled the impact of scaling up health programs in India between 2006 and 2016 and compared estimates to observed changes. Demographics, intervention coverage and nutritional status were obtained from National Family and Health Survey 2005-6 (NFHS-3) for the base year and NHFS-4 2015-16 for the endline. We used the LiST to estimate the impact of changes in coverage of interventions over this decade on child mortality and undernutrition at national and subnational levels and calculated the gap between estimated and observed changes in 2016. At the national level, the LiST estimates are close to the actual values of mortality for children <1 year and <5 years in 2016 (at 41 vs 42.6 and 50 vs 56.4, respectively, per 1000 live births). National estimates for stunting, wasting and anaemia at are also close to the actual values of NFHS-4. At the state level, actual changes were higher than the changes from the LiST projections for both mortality and stunting. The predicted changes using the LiST ranged from 33% to 92% of the actual change. The LiST provided national projections close to, albeit slightly below, actual performance over a decade. Reasons for poorer performance of state-specific projections are unknown; further refinements to the LiST for subnational use would improve the usefulness of the tool.
journal_name
Health Policy Planjournal_title
Health policy and planningauthors
Alderman H,Nguyen PH,Menon Pdoi
10.1093/heapol/czz088subject
Has Abstractpub_date
2019-11-01 00:00:00pages
667-675issue
9eissn
0268-1080issn
1460-2237pii
5570541journal_volume
34pub_type
杂志文章abstract::Measuring and tracking the quality of healthcare is a critical part of improving service delivery, clinic efficiency and health outcomes. However, no standardized or widely accepted tool exists to assess the quality of clinic-based family planning services in low- and middle-income countries. The objective of this lit...
journal_title:Health policy and planning
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journal_title:Health policy and planning
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journal_title:Health policy and planning
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journal_title:Health policy and planning
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doi:10.1093/heapol/10.3.319
更新日期:1995-09-01 00:00:00
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journal_title:Health policy and planning
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journal_title:Health policy and planning
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更新日期:2000-03-01 00:00:00
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journal_title:Health policy and planning
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更新日期:2018-09-01 00:00:00
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