PMID: 8582793Jul 1, 1995Paper

Inequalities in maternal-child health: impact of an intervention

Gaceta sanitaria
E DíezM Nebot

Abstract

We present the evaluation of the population impact of a social and health maternal and child intervention, implemented in a low income urban area (Ciutat Vella) in Barcelona, Spain. Intervention was based on increasing access to health and social services for pregnant women and for the children. A quasiexperimental design with a nonequivalent control group and multiple measurements was used. We compared infant and perinatal cumulative mortality rates between Ciutat Vella District and the rest of the city, before (1983-86) and after the intervention (1987-89, 1990-92). Results showed that the significant differences found previously to the program between the mortality rates disappeared with the development of the program. Infant mortality in Ciutat Vella was 17.7/.000 births in 1983-86, and became 13.1/1.000 births in 1987-89, and 13.4 in 1990-92; in the rest of the city, infant mortality was 9.5/1.000 births in 1983-86, and became 8.8/ and 7.7/1000 births respectively. A comprehensive social and health care program implemented in small low income areas may contribute to reduce inequalities in maternal and child health.

Citations

Oct 19, 2017·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Ana M NovoaMaica Rodríguez-Sanz
Mar 31, 1998·Journal of Epidemiology and Community Health·C BorrellV Ortún
Jan 26, 2012·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Irene Garcia-SubiratsJoaquín Salvador
Sep 18, 2012·Maternal and Child Health Journal·Isabel LarrañagaMariana F Fernandez

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