Countdown to 2015: Early breast feeding is the most equitable intervention, skilled birth attendance the least equitable
An article in this week's edition of the Lancet tracks progress towards Millennium Development Goals 4 and 5, that promote maternal and child health. It finds that skilled birth attendant coverage was the least equitable intervention, while the most the most equitable intervention was early initiation of breastfeeding. The study is by Dr Aluisio J D Barros, Federal University of Pelotas, Brazil, and colleagues.
Since its inception, the Countdown to 2015 movement (Countdown) has emphasised the need to address inequities in maternal and child health as a key strategy to improve health and survival. For this new study, the authors reanalysed data for 12 maternal, newborn, and child health interventions from national surveys done in 54 Countdown countries between Jan 1, 2000, and Dec 31, 2008.
Skilled birth attendant coverage was the least equitable intervention, followed by four or more antenatal care visits. The most equitable intervention was early initiation of breastfeeding. Chad, Nigeria, Somalia, Ethiopia, Laos, and Niger were the most inequitable countries for the interventions examined, followed by Madagascar, Pakistan, and India. The most equitable countries were Uzbekistan and Kyrgyzstan. Community-based interventions were more equally distributed than those delivered in health facilities. For all interventions, variability in coverage between countries was larger for the poorest than for the richest individuals.
The authors say: "Intercountry variability in intervention coverage is much greater for the poorest wealth quintile in each country than for the richest, which suggests that even in the poorest countries, wealthier individuals have mechanisms for gaining access to lifesaving interventions."
They conclude: "Immediate implications of our results include the need to give special attention, nationally, regionally, and internationally, to the most inequitable interventions. Community-based interventions were generally more equally distributed than were service-based interventions, which indicates that additional efforts are needed to reach the poorest individuals with such interventions. The most inequitable Countdown countries need renewed efforts from the international community."
In a linked Comment, Dr Robert l Goldenberg, Department of Obstetrics and Gynecology, Drexel University College of Medicine, Philadelphia, PA, USA, and Research Triangle Institute, Research Triangle Park, NC, USAand Dr Elizabeth M McClure, Research Triangle Institute, Research Triangle Park, NC, USA, say: "The Countdown to 2015 process is an excellent example of use of rigorously collected data to monitor health programmes and improve health outcomes. Similar data can be used across and within countries to assess disparities in care provision, which makes this process especially valuable."
They conclude: "Reductions in within-country disparities in coverage are most likely to be achieved within a functioning health system that uses data to establish goals for both outcomes and coverage, nationally, regionally, and locally. "
More information: www.thelancet.com/… 3-5/abstract
Provided by Lancet
- Country action is needed for maternal and child health in Africa Jun 22, 2010 | not rated yet | 0
- Number of child diarrhea deaths can be halved with current interventions Mar 22, 2011 | not rated yet | 0
- Efforts to combat pneumonia among 15 high-burdened countries fall short of recommended targets Nov 12, 2010 | not rated yet | 0
- Three-year study identifies key interventions to reduce maternal, newborn and child deaths Dec 15, 2011 | not rated yet | 0
- Independent public health evaluations could save lives Jan 12, 2010 | not rated yet | 0
- Motion perception revisited: High Phi effect challenges established motion perception assumptions Apr 23, 2013 | 3 / 5 (2) | 2
- Anything you can do I can do better: Neuromolecular foundations of the superiority illusion (Update) Apr 02, 2013 | 4.5 / 5 (11) | 5
- The visual system as economist: Neural resource allocation in visual adaptation Mar 30, 2013 | 5 / 5 (2) | 9
- Separate lives: Neuronal and organismal lifespans decoupled Mar 27, 2013 | 4.9 / 5 (8) | 0
- Sizing things up: The evolutionary neurobiology of scale invariance Feb 28, 2013 | 4.8 / 5 (10) | 14
Classical and Quantum Mechanics via Lie algebras
Apr 15, 2011 I'd like to open a discussion thread for version 2 of the draft of my book ''Classical and Quantum Mechanics via Lie algebras'', available online at http://lanl.arxiv.org/abs/0810.1019 , and for the...
- More from Physics Forums - Independent Research
More news stories
After studying noise in one French Quarter neighborhood of New Orleans to determine whether or not noise levels exceeded municipal ordinances, Annette Hurley, PhD, Assistant Professor of Audiology at LSU Health Sciences Center ...
Health 4 minutes ago | not rated yet | 0
Young children who missed more than half of recommended well-child visits had up to twice the risk of hospitalization compared to children who attended most of their visits, according to a study published today in the American Jo ...
Health 18 minutes ago | not rated yet | 0
The individualisation of drug treatments to support patients to self-manage their conditions is a concept that sits at the heart of policy, but a recent study in BMJ Open shows that there is no concrete defini ...
Health 2 hours ago | not rated yet | 0
Fun in the summer often means kids spending time in the water, whether at a pool, the beach, a lake or river. A pediatric safety expert at the University of Alabama at Birmingham (UAB) stresses proper training ...
Health 3 hours ago | not rated yet | 0
A new way of interpreting information from a low-tech, age-old method used in pregnancy care is expected to more accurately identify potential health issues for mothers and babies.
Health 3 hours ago | not rated yet | 1
Biological processes are generally based on events at the molecular and cellular level. To understand what happens in the course of infections, diseases or normal bodily functions, scientists would need to ...
19 minutes ago | not rated yet | 0 |
The news about youth and diabetes keeps getting worse. The latest data from the national TODAY diabetes study shows that children who develop Type 2 diabetes are at high risk to develop heart, kidney and eye problems faster ...
17 minutes ago | not rated yet | 0
In Parkinson's disease, the protein "alpha-synuclein" aggregates and accumulates within neurons. Specific areas of the brain become progressively affected as the disease develops and advances. The mechanism underlying this ...
16 minutes ago | not rated yet | 0
Transcatheter aortic valve implantation (TAVI) is effective and safe in Asian patients, according to early experience based on first results from a multicentre Asian registry reported at EuroPCR 2013.
14 minutes ago | not rated yet | 0
(Medical Xpress)—A new study by researchers in the US has shown that an ancient virus can be modified to help in the fight against the simian immunodeficiency virus SIV, which is the equivalent in monkeys ...
2 hours ago | 5 / 5 (3) | 0 |
(Medical Xpress)—Regulating the distribution of power in neurons is done by a system that makes the national electric grid look simple by comparison. Each neuron has several thousand mitochondria confined ...
18 hours ago | 4.9 / 5 (9) | 0 |