Office of Chief Minister, Government of Haryana, Civil Secretariat, Sector 1, Chandigarh 160001, India.
Department of Community Medicine and School of Public Health, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India.
Health Policy Plan. 2021 Nov 11;36(10):1499-1507. doi: 10.1093/heapol/czab111.
The Government of India initiated the Beti Bachao Beti Padhao (B3P) programme in 2015 as a flagship initiative to reduce gender imbalance in sex ratio at birth (SRB) and to ensure social protection of girls. The present study was conducted to evaluate the medium-term impact of B3P implementation in Haryana state, from 2015 to 2019, on SRB. Monthly data on SRB were collected for the entire state of Haryana through a civil registration system. Segmented time series regression analysis was used to estimate the variations in SRB after the B3P programme with the help of Winter's additive interrupted time series model. The SRB in Haryana increased from 876 girls per 1000 boys in 2015 to 923 in 2019. The results of the model demonstrated that before the inception of intervention (pre-slope), there was a significant monthly change in SRB of 0.217 (95% confidence interval: 0.144-0.290). Following the B3P programme, SRB was found to increase by 0.835 per month, which implied that an increase of 0.618 (confidence interval: 0.338, 0.898) every month in SRB can be attributed to the B3P programme. This indicated that SRB for the state of Haryana increased at the rate of 7.42 units per year as a result of the B3P programme. B3P has led to a significant improvement in SRB in Haryana state. The continuity of efforts in the same direction with a sustained focus on behaviour change will further help achieve the goal of gender parity in births and child survival.
印度政府于 2015 年启动了“拯救女孩”（B3P）计划，作为减少出生性别比例失衡和保障女孩社会保护的旗舰倡议。本研究旨在评估 2015 年至 2019 年在哈里亚纳邦实施 B3P 计划对出生性别比例的中期影响。通过民事登记系统收集了哈里亚纳邦整个邦的每月出生性别比例数据。使用温特附加中断时间序列模型，对 B3P 计划后的出生性别比例变化进行分段时间序列回归分析。哈里亚纳邦的出生性别比例从 2015 年的每 1000 名男孩 876 名女孩增加到 2019 年的每 1000 名男孩 923 名。模型结果表明，在干预（预斜率）之前，出生性别比例每月有显著变化，为 0.217（95%置信区间：0.144-0.290）。实施 B3P 计划后，每月发现出生性别比例增加 0.835，这意味着每月出生性别比例增加 0.618（置信区间：0.338，0.898）可归因于 B3P 计划。这表明，由于 B3P 计划，哈里亚纳邦的出生性别比例每年增加 7.42 个单位。B3P 计划导致哈里亚纳邦出生性别比例显著改善。继续朝着同一方向努力，并持续关注行为改变，将有助于进一步实现出生性别平等和儿童生存的目标。
