Changes in child mortality and population health following 10 years of health systems strengthening in rural Madagascar: A longitudinal cohort study
Andres Garchitorena e outros, 2025 · PLOS Medicine
Facility-level health systems strengthening was associated with an 89% increase in the odds of seeking care at a public provider for children under five with illness.
Estimativa · Care seeking at a public provider for childhood illness, odds ratio
1,89 [1,19; 3,00]
odds ratio
p < 0.01
- Desenho
- Série temporal interrompida. Controlled interrupted time-series cohort evaluation across 5 survey waves
- População
- Children under 5 years of age in Ifanadiana district, Madagascar, 2014–2023
Onde está o número
Table 3, row 'Child care seeking for illness (<5 years, public provider)', column 'Facility-level HSS'
Child care seeking for illness (<5 years, public provider) | 0.67 (0.41, 1.1) | 1.02 (0.96, 1.08) | 1.89 (1.19, 3)**
Contexto
What changed: Implementation of facility-level health systems strengthening including infrastructure upgrades, staffing, training, equipment, supply chains, and user-fee removal. Comparison: Communes and time periods without facility-level HSS support within the district. Limits: Stepped rollout was not randomized, and estimates rely on cluster-level exposure indicators.
Caminho no grafo
- FamíliaProvisão direta
- TipoProvisão de serviço público
- MecanismoGasto setorial sem transferência direta
- ResultadoOferta de saúde
- EixoSaúde
MAGI só cita evidência deste instrumento
Lugares do estudo
- Madagascar · País · MG
- Licença
- CC-BY
- Revisão
- Extraído por máquina, não revisadoExtraído por: gemini-3.8-flash, 2026-10-23