Gupta Madhu, Verma Madhur, Chaudhary Krishna, Bashar Md Abu, Bhag Chering, Kumar Rajesh
Department of Community Medicine and School of Public Health, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Department of Community and Family Medicine, All India Institute of Medical Sciences, Bathinda, Punjab, India.
J Educ Health Promot. 2022 Jun 30;11:212. doi: 10.4103/jehp.jehp_668_21. eCollection 2022.
To ascertain the effectiveness of a collaborative model between the Department of Community Medicine and state health department to improve MCH outcomes among the urban poor in Chandigarh.
A quasi-experimental study was conducted from 2011-12 to 2015-16 in the intervention and control areas. A collaboration was established between the state health department and the Department of Community Medicine of an autonomous institute. The intervention and control areas were mainly inhabited by the poor migrant population. Critical elements of an efficient collaboration such as the early engagement of partners, clearly stated purpose with common goals, effective communication, and no financial conflict were implemented in the intervention area. MCH program's implementation was strengthened through supportive supervision, enhanced community engagement, male partner involvement, tracking of high-risk pregnant women, and identification of problem families. Trend analysis of MCH indicators was done. The difference-in-difference (DID) analysis was done to measure the net effect of the intervention.
All the MCH indicators improved significantly in the intervention area compared to the control area ( < 0.05). DID analysis depicted a net increase in the early registration of pregnancies by 18%, tetanus toxoid immunization by 9.2%, and fully immunized children by 8.6%. There was also an improvement in the maternal mortality ratio by 121.1 points, infant mortality rate by 2.2 points, and neonatal mortality rate by 2.6 points in the intervention area.
An innovative, collaborative model between the state health department and the Department of Community Medicine effectively improved the MCH outcomes in Chandigarh.
确定社区医学系与邦卫生部门之间的合作模式对改善昌迪加尔城市贫困人口妇幼保健成果的有效性。
于2011 - 12年至2015 - 16年在干预区和对照区开展了一项准实验研究。邦卫生部门与一所自治机构的社区医学系建立了合作关系。干预区和对照区主要居住着贫困移民人口。干预区实施了高效合作的关键要素，如合作伙伴的早期参与、明确的共同目标、有效的沟通以及不存在财务冲突。通过支持性监督、加强社区参与、男性伴侣参与、追踪高危孕妇以及识别问题家庭等方式加强了妇幼保健项目的实施。对妇幼保健指标进行了趋势分析。采用差异中的差异（DID）分析来衡量干预的净效果。
与对照区相比，干预区所有妇幼保健指标均有显著改善（<0.05）。DID分析显示，干预区妊娠早期登记净增加18%，破伤风类毒素免疫净增加9.2%，完全免疫儿童净增加8.6%。干预区孕产妇死亡率也改善了121.1个百分点，婴儿死亡率改善了2.2个百分点，新生儿死亡率改善了2.6个百分点。
邦卫生部门与社区医学系之间创新的合作模式有效改善了昌迪加尔的妇幼保健成果。
