Assessing early access to care and child survival during a health system strengthening intervention in Mali: a repeated cross sectional survey

PloS One
Ari JohnsonJoia Mukherjee

Abstract

In 2012, 6.6 million children under age five died worldwide, most from diseases with known means of prevention and treatment. A delivery gap persists between well-validated methods for child survival and equitable, timely access to those methods. We measured early child health care access, morbidity, and mortality over the course of a health system strengthening model intervention in Yirimadjo, Mali. The intervention included Community Health Worker active case finding, user fee removal, infrastructure development, community mobilization, and prevention programming. We conducted four household surveys using a cluster-based, population-weighted sampling methodology at baseline and at 12, 24, and 36 months. We defined our outcomes as the percentage of children initiating an effective antimalarial within 24 hours of symptom onset, the percentage of children reported to be febrile within the previous two weeks, and the under-five child mortality rate. We compared prevalence of febrile illness and treatment using chi-square statistics, and estimated and compared under-five mortality rates using Cox proportional hazard regression. There was a statistically significant difference in under-five mortality between the 2008 and 2011 surve...Continue Reading

Associated Clinical Trials

Sep 27, 2019·Ari Johnson, MD

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Citations

Jul 15, 2015·Tropical Medicine & International Health : TM & IH·Annē M LinnMatt McLaughlin
Jan 27, 2018·Global Pediatric Health·Teresa Bleakly KortzKimberly Baltzell
Apr 3, 2018·BMJ Global Health·Ari D JohnsonKassoum Kayentao
Dec 24, 2018·Maternal and Child Health Journal·David ZombréKate Zinszer
Jun 26, 2018·International Journal of Epidemiology·Ann C MillerMatthew H Bonds
Jul 2, 2020·Pediatric Health, Medicine and Therapeutics·Adane AsefaLemi Abebe

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