Effectiveness of multiple-strategy community intervention in reducing geographical, socioeconomic and gender based inequalities in maternal and child health outcomes in Haryana, India

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

doi:10.1371/journal.pone.0150537

Effectiveness of multiple-strategy community intervention in reducing geographical, socioeconomic and gender based inequalities in maternal and child health outcomes in Haryana, India

Madhu Gupta^*, Federica Angeli, Hans Bosma, Monica Rana, Shankar Prinja, Rajesh Kumar, Onno C. P. van Schayck

^*Corresponding author for this work

Research output: Contribution to journal › Article › Scientific › peer-review

15 Citations (Scopus)

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

Conclusions

The implemented multiple-strategy community intervention National Rural Health Mission (NRHM) between 2005 and 2012 might have resulted in significant reductions in geographical, socioeconomic and gender inequalities in MCH in Haryana, as causal relationships cannot be established with descriptive research.

Original language	English
Article number	0150537
Number of pages	13
Journal	PLOS ONE
Volume	11
Issue number	3
DOIs	https://doi.org/10.1371/journal.pone.0150537
Publication status	Published - 22 Mar 2016
Externally published	Yes

Keywords

MORTALITY
PRIORITY

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10.1371/journal.pone.0150537

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title = "Effectiveness of multiple-strategy community intervention in reducing geographical, socioeconomic and gender based inequalities in maternal and child health outcomes in Haryana, India",

abstract = "ObjectiveThe 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.MethodsData 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.ResultsThere were significant improvements in all MCH indicators (pConclusionsThe implemented multiple-strategy community intervention National Rural Health Mission (NRHM) between 2005 and 2012 might have resulted in significant reductions in geographical, socioeconomic and gender inequalities in MCH in Haryana, as causal relationships cannot be established with descriptive research.",

keywords = "MORTALITY, PRIORITY",

author = "Madhu Gupta and Federica Angeli and Hans Bosma and Monica Rana and Shankar Prinja and Rajesh Kumar and {van Schayck}, {Onno C. P.}",

year = "2016",

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doi = "10.1371/journal.pone.0150537",

language = "English",

volume = "11",

journal = "PLOS ONE",

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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. / Gupta, Madhu; Angeli, Federica; Bosma, Hans et al.
In: PLOS ONE, Vol. 11, No. 3, 0150537, 22.03.2016.

Research output: Contribution to journal › Article › Scientific › peer-review

TY - JOUR

T1 - Effectiveness of multiple-strategy community intervention in reducing geographical, socioeconomic and gender based inequalities in maternal and child health outcomes in Haryana, India

AU - Gupta, Madhu

AU - Angeli, Federica

AU - Bosma, Hans

AU - Rana, Monica

AU - Prinja, Shankar

AU - Kumar, Rajesh

AU - van Schayck, Onno C. P.

PY - 2016/3/22

Y1 - 2016/3/22

N2 - ObjectiveThe 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.MethodsData 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.ResultsThere were significant improvements in all MCH indicators (pConclusionsThe implemented multiple-strategy community intervention National Rural Health Mission (NRHM) between 2005 and 2012 might have resulted in significant reductions in geographical, socioeconomic and gender inequalities in MCH in Haryana, as causal relationships cannot be established with descriptive research.

AB - ObjectiveThe 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.MethodsData 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.ResultsThere were significant improvements in all MCH indicators (pConclusionsThe implemented multiple-strategy community intervention National Rural Health Mission (NRHM) between 2005 and 2012 might have resulted in significant reductions in geographical, socioeconomic and gender inequalities in MCH in Haryana, as causal relationships cannot be established with descriptive research.

KW - MORTALITY

KW - PRIORITY

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DO - 10.1371/journal.pone.0150537

M3 - Article

SN - 1932-6203

VL - 11

JO - PLOS ONE

JF - PLOS ONE

IS - 3

M1 - 0150537

ER -

Effectiveness of multiple-strategy community intervention in reducing geographical, socioeconomic and gender based inequalities in maternal and child health outcomes in Haryana, India

Abstract

Keywords

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