학술논문
Evaluation of a large-scale reproductive, maternal, newborn and child health and nutrition program in Bihar, India, through an equity lens
Document Type
article
Author
Ward, Victoria C; Weng, Yingjie; Bentley, Jason; Carmichael, Suzan L; Mehta, Kala M; Mahmood, Wajeeha; Pepper, Kevin T; Abdalla, Safa; Atmavilas, Yamini; Mahapatra, Tanmay; Srikantiah, Sridhar; Borkum, Evan; Rangarajan, Anu; Sridharan, Swetha; Rotz, Dana; Bhattacharya, Debarshi; Nanda, Priya; Tarigopula, Usha Kiran; Shah, Hemant; Darmstadt, Gary L; Carmichael, Suzan; Chaudhuri, Indrajit; Creanga, Andreea; Dutt, Priyanka; Irani, Laili; Mitra, Radharani; Munar, Wolfgang A; Raheel, Hina; Saggurti, Niranjan; Sastry, Padmapriya; Ward, Victoria; Walker, Dilys; Wilhelm, Jess
Source
Journal of Global Health. 10(2)
Subject
Language
Abstract
BackgroundDespite increasing focus on health inequities in low- and middle income countries, significant disparities persist. We analysed impacts of a statewide maternal and child health program among the most compared to the least marginalised women in Bihar, India.MethodsUtilising survey-weighted logistic regression, we estimated programmatic impact using difference-in-difference estimators from Mathematica data collected at the beginning (2012, n = 10 174) and after two years of program implementation (2014, n = 9611). We also examined changes in disparities over time using eight rounds of Community-based Household Surveys (CHS) (2012-2017, n = 48 349) collected by CARE India.ResultsAt baseline for the Mathematica data, least marginalised women generally performed desired health-related behaviours more frequently than the most marginalised. After two years, most disparities persisted. Disparities increased for skilled birth attendant identification [+16.2% (most marginalised) vs +32.6% (least marginalized), P