作者
Shams E Arifeen, DM Emdadul Hoque, Tasnima Akter, Muntasirur Rahman, Mohammad Enamul Hoque, Khadija Begum, Enayet K Chowdhury, Rasheda Khan, Lauren S Blum, Shakil Ahmed, M Altaf Hossain, Ashraf Siddik, Nazma Begum, Qazi Sadeq-ur Rahman, Twaha M Haque, Sk Masum Billah, Mainul Islam, Reza Ali Rumi, Erin Law, ZA Motin Al-Helal, Abdullah H Baqui, Joanna Schellenberg, Taghreed Adam, Lawrence H Moulton, Jean-Pierre Habicht, Robert W Scherpbier, Cesar G Victora, Jennifer Bryce, Robert E Black
发表日期
2009/8/1
期刊
The Lancet
卷号
374
期号
9687
页码范围
393-403
出版商
Elsevier
简介
Background
WHO and UNICEF launched the Integrated Management of Childhood Illness (IMCI) strategy in the mid-1990s to reduce deaths from diarrhoea, pneumonia, malaria, measles, and malnutrition in children younger than 5 years. We assessed the effect of IMCI on health and nutrition of children younger than 5 years in Bangladesh.
Methods
In this cluster randomised trial, 20 first-level government health facilities in the Matlab subdistrict of Bangladesh and their catchment areas (total population about 350 000) were paired and randomly assigned to either IMCI (intervention; ten clusters) or usual services (comparison; ten clusters). All three components of IMCI—health-worker training, health-systems improvements, and family and community activities—were implemented beginning in February, 2002. Assessment included household and health facility surveys tracking intermediate outputs and outcomes …
引用总数
2009201020112012201320142015201620172018201920202021202220232024310292436262528291916111914123