Affordable Access

Publisher Website

Strategies to improve health coverage and narrow the equity gap in child survival, health, and nutrition

Authors
Journal
The Lancet
0140-6736
Publisher
Elsevier
Publication Date
Volume
380
Issue
9850
Identifiers
DOI: 10.1016/s0140-6736(12)61423-8
Keywords
  • Review And Opinion
  • Series
  • Equity In Child Survival
  • Health
  • And Nutrition
Disciplines
  • Design
  • Law
  • Medicine

Abstract

Implementation of innovative strategies to improve coverage of evidence-based interventions, especially in the most marginalised populations, is a key focus of policy makers and planners aiming to improve child survival, health, and nutrition. We present a three-step approach to improvement of the effective coverage of essential interventions. First, we identify four different intervention delivery channels—ie, clinical or curative, outreach, community-based preventive or promotional, and legislative or mass media. Second, we classify which interventions’ deliveries can be improved or changed within their channel or by switching to another channel. Finally, we do a meta-review of both published and unpublished reviews to examine the evidence for a range of strategies designed to overcome supply and demand bottlenecks to effective coverage of interventions that improve child survival, health, and nutrition. Although knowledge gaps exist, several strategies show promise for improving coverage of effective interventions—and, in some cases, health outcomes in children—including expanded roles for lay health workers, task shifting, reduction of financial barriers, increases in human-resource availability and geographical access, and use of the private sector. Policy makers and planners should be informed of this evidence as they choose strategies in which to invest their scarce resources.

There are no comments yet on this publication. Be the first to share your thoughts.