Reaching the Poor with Health, Nutrition and Population Services

Gwatkin, Davidson R.; Wagstaff, Adam; Yazbeck, Abdo S.

doi:10.1596/978-0-8213-5961-7

Cited by 223 publications

(204 citation statements)

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“…The finding that older children were shorter for their age is consistent with those of other studies 21,41 and supports the hypothesis that low HAZ is believed to be caused by the cumulative effect of undernutrition 42,43 for children living in deprived conditions. Furthermore, identification of chronic protozoan infections (primarily Giardia spp.)…”

Section: Discussionsupporting

confidence: 92%

“…Importantly, because of regional and cultural variability in the range of possessions, the resultant index is location specific. 23,41 To ensure the construction of a regionally appropriate index, we used questionnaires previously designed to record possessions for the comarca Ngäbe-Buglé, and we also field tested the questionnaire before beginning the study. Our resultant HWI using data on 11 possession and household construction variables explained 26% of the variability among households in ownership of these items, similar to a study in rural Africa where 12 variables accounted for 24% of the population variance.…”

Section: Discussionmentioning

confidence: 99%

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Prediction of Child Health by Household Density and Asset-Based Indices in Impoverished Indigenous Villages in Rural Panamá

Halpenny

Koski²,

Valdés³

et al. 2012

The American Journal of Tropical Medicine and Hygiene

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Abstract. Chronic infection over a 16-month period and stunting of preschool children were compared between more spatially dense versus dispersed households in rural Panamá. Chronic protozoan infection was associated with higher household density, lower household wealth index, poor household water quality, yard defecation, and the practice of not washing hands with soap before eating. Models for chronic diarrhea confirmed the importance of household wealth, water quality, sanitation, and hygiene practices. Furthermore, chronic protozoan infection was an important predictor for low height-for-age, along with low household wealth index scores, but not household density. Thus, despite better access to health related infrastructure in the more densely populated households, chronic protozoan infection was more common, and was associated with higher rates of child stunting, compared with more dispersed households.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Prediction of Child Health by Household Density and Asset-Based Indices in Impoverished Indigenous Villages in Rural Panamá

Halpenny

Koski²,

Valdés³

et al. 2012

The American Journal of Tropical Medicine and Hygiene

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“…46,78 Unless the bottlenecks faced by poor and marginalised people in access to and use of health interventions and services are explicitly addressed, inequities will probably worsen as more expensive and elaborate interventions are introduced. 79 We believe that our overview provides a broad summary of relevant information for health planners and policy makers that seek to reduce inequities and accelerate progress towards the health Millennium Development Goals and other commitments to children.…”

Section: Equity-focused Approachesmentioning

confidence: 99%

Strategies to improve health coverage and narrow the equity gap in child survival, health, and nutrition

et al. 2012

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Implementation of innovative strategies to improve coverage of evidence-based interventions, especially in the most marginalised populations, is a key focus of policy makers and planners aiming to improve child survival, health, and nutrition. We present a three-step approach to improvement of the eff ective coverage of essential interventions. First, we identify four diff erent intervention delivery channels-ie, clinical or curative, outreach, community-based preventive or promotional, and legislative or mass media. Second, we classify which interventions' deliveries can be improved or changed within their channel or by switching to another channel. Finally, we do a meta-review of both published and unpublished reviews to examine the evidence for a range of strategies designed to overcome supply and demand bottlenecks to eff ective coverage of interventions that improve child survival, health, and nutrition. Although knowledge gaps exist, several strategies show promise for improving coverage of eff ective interventionsand, in some cases, health outcomes in children-including expanded roles for lay health workers, task shifting, reduction of fi nancial barriers, increases in human-resource availability and geographical access, and use of the private sector. Policy makers and planners should be informed of this evidence as they choose strategies in which to invest their scarce resources.

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“…A study in 21 low-and middleincome countries showed that government expenditure on healthcare favoured, selectively, those of higher incomes (Fig 9). 104 In 15 of the countries, people in the top quintile of income obtained the greatest benefit; in only four did people in the bottom quintile of income benefit most; and in two the benefit from government health expenditure was equally shared between top and bottom income groups.…”

Section: Medical Care?mentioning

confidence: 99%

Health in an unequal world: social circumstances, biology and disease

Marmot

2006

Clinical Medicine

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Reaching the Poor with Health, Nutrition and Population Services

Cited by 223 publications

References 0 publications

Prediction of Child Health by Household Density and Asset-Based Indices in Impoverished Indigenous Villages in Rural Panamá

Prediction of Child Health by Household Density and Asset-Based Indices in Impoverished Indigenous Villages in Rural Panamá

Strategies to improve health coverage and narrow the equity gap in child survival, health, and nutrition

Health in an unequal world: social circumstances, biology and disease

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