Kerala’s Aardram Mission and universal health coverage: integrated time series evidence on mortality reduction and assessment of financial protection and equity gaps
Kolappatta Shahana e outros, 2026 · Frontiers in Public Health
Implementation of Kerala's Aardram Mission was associated with an additional annual reduction of 0.97 infant deaths per 1,000 live births beyond the pre-existing downward trend.
Estimativa · infant mortality rate slope change, deaths per 1,000 live births per year
-0,970
change in annual slope of IMR (deaths per 1,000 live births per year)
O estudo não informa intervalo.
p: <0.001
- Desenho
- Série temporal interrompida. interrupted time series with segmented regression, 15 annual observations (2010–2024)
- População
- State-level population in Kerala, India from 2010 to 2024
- Amostra
- 15 · years of state-level annual observations (2010–2024)
Onde está o número
Table 7, row 'β₃ (post-2017 Slope change)' under IMR (per 1,000 live births)
β₃ (post-2017 Slope change) | −0.97 | 0.11 | −8.82 | <0.001***
Contexto
What changed: Implementation of Kerala's 2017 Aardram Mission, which restructured primary care by transforming primary health centres into family health centres and expanding services. Comparison: Segmented regression counterfactual extrapolating the pre-policy (2010–2016) downward trend. Limits: Single-group observational design lacking a contemporaneous control state, based on only 15 annual observations, with potential confounding from concurrent national schemes and the COVID-19 pandemic.
Caminho no grafo
- FamíliaProvisão direta
- TipoProvisão de serviço público
- MecanismoGasto setorial sem transferência direta
- ResultadoSaúde infantil
- EixoSaúde
MAGI só cita evidência deste instrumento
Lugares do estudo
- Kerala · Estado ou região · IN
- Licença
- CC-BY
- Revisão
- Extraído por máquina, não revisadoExtraído por: gemini-3.8-flash, 2026-10-23