Background
The care group model
Features of the care group and Non-care group projects included in the analysis
World relief/Rwanda care group project, 2001–2006
Concern worldwide/Rwanda Non-care group project 2001–2006
Methods
Study inclusion criteria
Country | Region | NGO | Type | Project Period | Estimated Children 0–59 Months in Project Area | Number of the 17 High-impact interventionsa | Project Cost USD |
---|---|---|---|---|---|---|---|
Cambodia | Kampong Thum | Adventist Development Relief Agency (ADRA) | Non-Care Group | 2001–2006 | 17,477 | 11 | $1,891,059 |
Cambodia | Battambang | Catholic Relief Services (CRS) | Non-Care Group | 2001–2006 | 24,896 | 10 | $2,023,057 |
Cambodia | Kampong Chhnang | International Relief and Development (IRD) | Non-Care Group | 2006–2010 | 6217 | 12 | $1,749,948 |
Cambodia | Siem Reap | Red Cross | Care Group | 2005–2008 | 43,610 | 12 | $2,000,096 |
Cambodia | Kompong Cham | World Relief (WR) | Care Group | 1998–2002 | 12,167 | 7 | $1,333,376 |
Cambodia | Kompong Cham | World Relief (WR) | Care Group | 2003–2007 | 12,875 | 8 | $1,583,376 |
Kenya | Western Province | African Medical and Research Foundation (AMREF) | Non-Care Group | 2005–2010 | 31,644 | 6 | $2,139,312 |
Kenya | Rift Valley | HealthRight | Non-Care Group | 2006–2010 | 48,844 | 7 | $2,249,261 |
Kenya | Coast | Plan International | Care Group | 2004–2009 | 46,354 | 11 | $2,000,000 |
Malawi | Southern Region | International Eye Foundation | Non-Care Group | 2002–2006 | 42,500 | 7 | $2,195,478 |
Malawi | Northern Region | World Relief (WR) | Care Group | 2000–2004 | 36,732 | 5 | $1,333,331 |
Malawi | Northern Region | World Relief (WR) | Care Group | 2005–2009 | 32,025 | 11 | $2,022,034 |
Mozambique | Sofala | Food for the Hungry (FH) | Care Group | 2006–2010 | 60,666 | 9 | $2,026,191 |
Mozambique | Sofala | Food for the Hungry (FH) | Care Group | 2009–2010 | 83,778 | 9 | $997,975 |
Mozambique | Manica and Sofala Provinces | Health Alliance International (HAI) | Non-Care Group | 2002–2007 | 97,200 | 5 | $2,000,425 |
Mozambique | Gaza Province | World Relief (WR) | Care Group | 2004–2009 | 33,451 | 10 | $3,333,333 |
Rwanda | Butare Province | Concern Worldwide | Non-Care Group | 2001–2006 | 24,494 | 10 | $1,854,243 |
Rwanda | Kibungo | International Rescue Committee (IRC) | Non-Care Group | 2001–2005 | 109,700 | 5 | $2,004,134 |
Rwanda | Cyangugu | World Relief (WR) | Care Group | 2001–2006 | 24,021 | 10 | $1,933,657 |
LiST modeling
Country | Region | Organization | Project Type | Project Period | DHS Surveya | Estimated Annual Percent Change in U5MR for Project Area |
---|---|---|---|---|---|---|
Cambodia | Kampong Thum | ADRA | Non-Care Group | 2001–2006 | 2005–2010 | −2.54 % |
Cambodia | Battam-bang | CRS | Non-Care Group | 2001–2006 | 2005–2010 | −5.71 % |
Cambodia | Kampong Chhnang | IRD | Non-Care Group | 2006–2010 | 2005–2010 | −4.45 % |
Cambodia | Siem Reap | RC | Care Group | 2005–2008 | 2005–2010 | −5.99 % |
Cambodia | Kompong Cham | WR | Care Group | 1998–2002 | 2000–2005 | −3.40 % |
Cambodia | Kompong Cham | WR | Care Group | 2003–2007 | 2005–2010 | −7.16 % |
Kenya | Western Province | AMREF | Non-Care Group | 2005–2010 | 2003–2009 | −2.86 % |
Kenya | Rift Valley | HealthRight | Non-Care Group | 2006–2010 | 2003–2009 | −3.56 % |
Kenya | Coast | Plan | Care Group | 2004–2009 | 2003–2009 | −3.78 % |
Malawi | Southern Region | IEF | Non-Care Group | 2002–2006 | 2004–2010 | −3.64 % |
Malawi | Northern Region | WR | Care Group | 2000–2004 | 2004–2010 | −2.02 % |
Malawi | Northern Region | WR | Care Group | 2005–2009 | 2004–2010 | −4.43 % |
Mozambique | Sofala (Area A) | FH | Care Group | 2006–2010 | 2008–2011 | −3.82 % |
Mozambique | Sofala (Area B) | FH | Care Group | 2009–2010 | 2008–2011 | −8.48 % |
Mozambique | Manica and Sofala | HAI | Non-Care Group | 2002–2007 | 2008–2011 | −3.66 % |
Mozambique | Gaza Province | WR | Care Group | 2004–2009 | 2008–2011 | −3.24 % |
Rwanda | Southern Region | Concern | Non-Care Group | 2001–2006 | 2005–2008 | −1.95 % |
Rwanda | Eastern Region | IRC | Non-Care Group | 2001–2005 | 2005–2008 | 0.08 % |
Rwanda | Western Region | WR | Care Group | 2001–2006 | 2005–2008 | −5.70 % |
Modeling project coverage changes in LiST
Indicator | LiST indicator | LiST indicator description | Standard CSHGP Project indicator description |
---|---|---|---|
ANC4 | 4 or more antenatal care visits (ANC4+) | Percentage of women who attended 4 or more antenatal care visits during their most recent pregnancy | Percentage of women who had a live birth in the 5 years preceding the survey who had 4 or more antenatal care visits during their most recent pregnancy |
TT2 | Tetanus toxoid (TT) vaccination | Percentage of women who received 2 doses of tetanus toxoid during this pregnancy or ever | Percentage of mothers with a child aged 0- < 24 months who received at least 2 tetanus toxoid injections before the birth of their youngest child |
IFA | Multiple micronutrient supplementation | Percentage of pregnant women taking a multiple micronutrient supplement daily | Percentage of women with a birth in the 5 years preceding the survey who took iron tablets or syrup for 90 or more days during their most recent pregnancy |
IPTp | Pregnant women protected via intermittent treatment of malaria or use of an ITN | Percentage of pregnant women receiving 2+ doses of SP/Fansidar during pregnancy or sleeping under an insecticide treated bed net | Percentage of women who took 2+ doses of SP/Fansidar during pregnancy for last live birth |
SBA | Skilled birth attendance | Percentage of children born who were attended by a skilled attendant (such as a doctor, nurse or midwife)a | Percentage of children aged 0- < 24 months whose births were attended by skilled health personnela |
EBF | Exclusive breast feeding | Percentage of children 0- < 6 months of age receiving only breast milk for food (plus medication, vaccines, and vitamins) | Percentage of children 0- < 6 months of age who were exclusively breastfed during the previous 24 h |
Comp Feed | Complementary feeding | Percentage of children 6- < 24 months of age receiving all three ICYF practices: continued breastfeeding, appropriate quantity of foods, and dietary diversity | Percentage of children 6- < 9 months of age receiving breast milk and complementary foods |
PPV | Postnatal preventive care | Visit to a health professional (or home visit from a trained health worker) within 2 days of delivery | Percentage of children aged 0- < 24 months who received a post-natal visit from an appropriate trained health worker within 3 days after birth |
Vit A | Vitamin A supplementation | Percentage of children 6–59 months of age receiving 2 doses of Vitamin A during the last 12 months | Percentage of children aged 6‐ < 24 months who received a dose of Vitamin A in the last 6 months |
ITN | Insecticide-treated bed net | Percentage of households owning at least 1 insecticide-treated bed net or protected by indoor residual spraying | Percentage of children aged 0‐ < 24 months who slept under an insecticide‐treated bed net (in malaria risk areas, where bed net use is effective) the previous night |
Meas | Measles | Percentage of children 12- < 24 months who have received 1 dose of measles vaccine | Percentage of children aged 12- < 24 months who have received a measles vaccine |
Full Vacc | Full vaccination with EPI vaccines | Percentage of children 12- < 24 months of age who have received 3 doses of DPT vaccine | Percentage of children aged 12–23 months who received 3 doses of DPT vaccine before they reached 12 months |
Hand Wash | Hand washing with soap | Percentage of mothers using appropriate hand washing practices including washing hands with soap, ash, or other materials and using adequate water after handling feces and before preparing food | Percentage of caretakers with children aged 0- < 24 months who reported washing hands with soap before food preparation, before child feeding, and after defecation |
Latrine | Improved sanitation | Percentage of households with access to improved sanitation | Percentage of households using flush toilet or ventilated improved pit latrine |
ORT | Oral rehydration therapy | Percentage of children with diarrhea treated with oral rehydration solution, including sachets or pre-mixed solutions | Percentage of children aged 0- < 24 months with diarrhea in the previous 2 weeks who received oral rehydration solution (ORS) and/or recommended home fluids |
Abx Pneum | Oral antibiotics: case management of pneumonia in children | Percentage of children with suspected pneumonia treated with appropriate antibiotics | Percentage of the children aged 0- < 24 months with cough and fast and or difficult breathing during the previous 2 weeks who were taken to an appropriate health provider |
Mal Treat | Antimalarial/artemesinin compounds for malaria | Percentage of children treated within 48 h of the onset of fever in malaria endemic areas with an artemesinin containing compound | Percentage of children aged 0- < 24 months with a febrile episode during the previous 2 weeks who were treated with an effective anti-malarial drug within 24 h after the fever began |
Statistical analysis
Ethical approvals
Results
Coverage changes for care group and Non-care group child survival projects
Type of project | Intervention | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
ANC4 | TT2 | IFA | IPTp | SBA | EBF | Comp Feed | PPV | Vit A | ITN | Meas | Full Vacc | Hand Wash | ORT | Abx Pneum | Mal Treat | |
Care Group Projects | 29 (1) | 25 (9) | 67 (3) | 35 (3) | 27 (7) | 44 (9) | 22 (3) | - | 27 (8) | 41 (8) | 24 (8) | 23 (9) | 43 (9) | 40 (8) | 14 (6) | 77 (1) |
Non-Care Group Projects | 8 (4) | 9 (6) | 31 (2) | 33 (5) | 18 (8) | 41 (7) | −12 (2) | 38 (4) | 25 (5) | 27 (5) | 15 (5) | 22 (5) | 20 (3) | 21 (2) | 6 (3) | 31 (3) |