Background
To
operationalize the post-MDG agenda, there is a need to evaluate the effects of
health interventions on equity. The aim of this study is to evaluate the effect
on equity in neonatal survival of the NeoKIP trial (ISRCTN44599712), a
population-based, cluster-randomized intervention trial with facilitated local
stakeholder groups for improved neonatal survival in Quang Ninh province in
northern Vietnam.
Methods
Semi-structured
interviews were conducted with all mothers experiencing neonatal mortality and
a random sample of 6% of all mothers with a live birth in the study area during
the study period (July 2008-June 2011). Multilevel regression analyses were
performed, stratifying mothers according to household wealth, maternal
education and mother’s ethnicity in order to assess impact on equity in
neonatal survival.
Findings
In
the last year of study the risk of neonatal death was reduced by 69% among poor
mothers in the intervention area as compared to poor mothers in the control
area (OR 0.31, 95% CI 0.15–0.66). This pattern was not evident among mothers
from non-poor households. Mothers with higher education had a 50% lower risk of
neonatal mortality if living in the intervention area during the same time
period (OR 0.50, 95% CI 0.28–0.90), whereas no significant effect was detected
among mothers with low education.
Interpretation
The NeoKIP intervention promoted equity in neonatal
survival based on wealth but increased inequity based on maternal education.
Full article at: http://goo.gl/Ivc09T
By:
Mats Målqvist, Lars-Åke Persson, Katarina Ekholm Selling
International Maternal and Child
Health, Department of Women’s and Children’s Health, Uppsala University,
Uppsala, Sweden
Dinh Phuong Thi Hoa
Hanoi School of Public Health,
Hanoi, Vietnam
More at: https://twitter.com/hiv
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