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Effectiveness of Multiple-Strategy Community Intervention in Reducing Geographical, Socioeconomic and Gender Based Inequalities in Maternal and Child Health Outcomes in Haryana, India

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  • Madhu Gupta
  • Federica Angeli
  • Hans Bosma
  • Monica Rana
  • Shankar Prinja
  • Rajesh Kumar
  • Onno C P van Schayck

Abstract

Objective: The implemented multiple-strategy community intervention National Rural Health Mission (NRHM) between 2005 and 2012 aimed to reduce maternal and child health (MCH) inequalities across geographical, socioeconomic and gender categories in India. The objective of this study is to quantify the extent of reduction in these inequalities pre- and post-NRHM in Haryana, North India. Methods: Data of district-level household surveys (DLHS) held before (2002–04), during (2007–08), and after (2012–13) the implementation of NRHM has been used. Geographical, socioeconomic and gender inequalities in maternal and child health were assessed by estimating the absolute differences in MCH indicators between urban and rural areas, between the most advantaged and least advantaged socioeconomic groups and between male and female children. Logistic regression analyses were done to observe significant differences in these inequalities between 2005 and 2012. Results: There were significant improvements in all MCH indicators (p

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  • Madhu Gupta & Federica Angeli & Hans Bosma & Monica Rana & Shankar Prinja & Rajesh Kumar & Onno C P van Schayck, 2016. "Effectiveness of Multiple-Strategy Community Intervention in Reducing Geographical, Socioeconomic and Gender Based Inequalities in Maternal and Child Health Outcomes in Haryana, India," PLOS ONE, Public Library of Science, vol. 11(3), pages 1-13, March.
    • Handle: RePEc:plo:pone00:0150537
    DOI: 10.1371/journal.pone.0150537
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    1. Madhu Gupta & Hans Bosma & Federica Angeli & Manmeet Kaur & Venkatesan Chakrapani & Monica Rana & Onno C P van Schayck, 2017. "Impact of a Multi-Strategy Community Intervention to Reduce Maternal and Child Health Inequalities in India: A Qualitative Study in Haryana," PLOS ONE, Public Library of Science, vol. 12(1), pages 1-23, January.
    2. Atkure Defar & Kassahun Alemu & Zemene Tigabu & Lars Åke Persson & Yemisrach B. Okwaraji, 2021. "Caregivers’ and Health Extension Workers’ Perceptions and Experiences of Outreach Management of Childhood Illnesses in Ethiopia: A Qualitative Study," IJERPH, MDPI, vol. 18(7), pages 1-11, April.

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