Equity monitoring for social marketing: use of wealth quintiles and the concentration index for decision making in HIV prevention, family planning, and malaria programs

Chakraborty, Nirali M.; Firestone, Rebecca; Bellows, Nicole M.

doi:10.1186/1471-2458-13-s2-s6

Cited by 10 publications

(8 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Data were cleaned prior to analysis by checking completed questionnaires, and a wealth index was constructed based on self-reported asset ownership [ 16 ]. The survey samples were first placed within the national distribution of household wealth.…”

Section: Methodsmentioning

confidence: 99%

Promoting Healthy Behaviors among Egyptian Mothers: A Quasi-Experimental Study of a Health Communication Package Delivered by Community Organizations

Abdelmegeid²,

Dwivedi

et al. 2016

PLoS ONE

View full text Add to dashboard Cite

Decisions made at the household level, for example, to seek antenatal care or breastfeed, can have a direct impact on the health of mothers and newborns. The SMART Community-based Initiatives program in Egypt worked with community development associations to encourage better household decision-making by training community health workers to disseminate information and encourage healthy practices during home visits, group sessions, and community activities with pregnant women, mothers of young children, and their families. A quasi-experimental design was used to evaluate the program, with household surveys conducted before and after the intervention in intervention and comparison areas. Survey questions asked about women’s knowledge and behaviors related to maternal and newborn care and child nutrition and, at the endline, exposure to SMART activities. Exposure to program activities was high in intervention areas of Upper Egypt: 91% of respondents reported receiving home visits and 84% attended group sessions. In Lower Egypt, these figures were 58% and 48%, respectively. Knowledge of danger signs related to pregnancy, delivery, and newborn illness increased significantly more in intervention than comparison areas in both regions (with one exception in Lower Egypt), after controlling for child’s age and woman’s education; this pattern also occurred for two of five behaviors (antenatal care visits and consumption of iron-folate tablets). Findings suggest that there may have been a significant dose-response relationship between exposure to SMART activities and certain knowledge and behavioral indicators, especially in Upper Egypt. The findings demonstrate the ability of civil society organizations with minimal health programming experience to increase knowledge and promote healthy behaviors among pregnant women and new mothers. The SMART approach offers a promising strategy to fill gaps in health education and counseling and strengthen community support for behavior change.

show abstract

Section: Methodsmentioning

confidence: 99%

Promoting Healthy Behaviors among Egyptian Mothers: A Quasi-Experimental Study of a Health Communication Package Delivered by Community Organizations

Abdelmegeid²,

Dwivedi

et al. 2016

PLoS ONE

View full text Add to dashboard Cite

show abstract

“… 17 – 19 The inclusion of these questions in all DHS and similar surveys has made the wealth index one of the most common measures of equity in health. 20 , 21 All references to DHS in this article constitute a reference to any party engaged in the collection, analysis, and reporting of the publicly available DHS data and reports.…”

Section: Approaches To Measuring Wealthmentioning

confidence: 99%

“…The analytic methods, described elsewhere, have also been automated in a toolkit that franchisors can use. 21 , 23 Despite the availability of data collection and analysis resources, large social franchising organizations such as Population Services International (PSI) have found it difficult to systematically and accurately collect wealth index data across its franchises, which in the case of PSI spans 27 countries. Reasons for difficulty are related both to survey implementation as well as replicability of analytic methods.…”

Section: Conventional Ways Of Measuring Equity In Social Franchisingmentioning

confidence: 99%

Simplified Asset Indices to Measure Wealth and Equity in Health Programs: A Reliability and Validity Analysis Using Survey Data From 16 Countries

Chakraborty¹,

Fry

Behl³

et al. 2016

Glob Health Sci Pract

Self Cite

106

View full text Add to dashboard Cite

show abstract

“…We also constructed a socioeconomic index, which is conceptually similar to the wealth index that is generally used in health equity analysis. According to Chakraborty et al 4 the wealth index that is normally constructed using the PCA technique is regarded as valid and reliable in the interpretation of socioeconomic status. The wealth index first constructed by Filmer and Pritchet using PCA and data from India has become the internationally recognised method for constructing a household wealth index using data from Demographic Health Surveys (DHS).…”

Section: Discussionmentioning

confidence: 99%

“…PCA is commonly used in the construction of socioeconomic quintiles from Demographic Health Surveys for monitoring of equity of different population groups. 2,4 In 2002 McIntyre et al 5 used PCA to construct a general index of deprivation for South Africa. They used the index to assess the relationship between socioeconomic status and health so as to inform resource allocation in the health sector in different provinces of South Africa.…”

Section: Introducrionmentioning

confidence: 99%

A Characterisation and Profiling of District Health Indicators in Zimbabwe: An Application of Principal Component Analysis in a Data Limited Setting

Shamu

Rusakaniko

Hongoro

2015

JHEOR

View full text Add to dashboard Cite

Background: The Ministry of Health and Child Care, Zimbabwe does not have a method for prioritization and equitable allocation of its share of the national health budget and other resources in the sector. Regional allocations at the provincial level are made regardless of the provinces’ disease burden, population size, or needs. Currently there is no method available to show how the provinces eventually allocate these resources to the lower levels of care. In a data limited country such as Zimbabwe, Principal Component Analysis method can be used to identify a set of indicators that account for cross variation between different regions. This set of indicators could then be used by planners as reference indicators for equitable allocation of resources and prioritization of health care interventions. Objective: The aim of the study was to construct a set of simple, feasible, reliable and valid composite health indicators for use in characterising and profiling of the different districts in Zimbabwe. Method: This was a retrospective analysis of secondary data to derive composite indices for the 57 administrative health districts in Zimbabwe using routinely collected secondary data. The data was extracted from the 2012 Zimbabwe Health information database, the 2012 National Census and the 2011 Prices, Income and Expenditure Survey. Results: The analysis of the data resulted in the construction of 10 mutually exclusive principal composite indices, which included demographic, child related, disease related and health systems related indices. The 10 composite indices (population, immunisation, child mortality, antenatal care, HIV/TB, malaria, non-communicable diseases, socioeconomic, health seeking behaviour and infrastructure) were tested for construct and content validity and were found to be statistically robust, reliable and consistent with observed behaviour. Conclusion: The composite indices exhibited internal consistency and construct validity to be regarded as true representations of the cross variation of the 57 districts in Zimbabwe; hence these indices could be used to characterise the behaviour and assess the performance of these districts. There is also potential use for these indices in the areas of resource allocation and prioritisation of health interventions.

show abstract

Equity monitoring for social marketing: use of wealth quintiles and the concentration index for decision making in HIV prevention, family planning, and malaria programs

Cited by 10 publications

References 19 publications

Promoting Healthy Behaviors among Egyptian Mothers: A Quasi-Experimental Study of a Health Communication Package Delivered by Community Organizations

Promoting Healthy Behaviors among Egyptian Mothers: A Quasi-Experimental Study of a Health Communication Package Delivered by Community Organizations

Simplified Asset Indices to Measure Wealth and Equity in Health Programs: A Reliability and Validity Analysis Using Survey Data From 16 Countries

A Characterisation and Profiling of District Health Indicators in Zimbabwe: An Application of Principal Component Analysis in a Data Limited Setting

Contact Info

Product

Resources

About