TY - JOUR
T1 - The role of health systems and policy in producing behavior and social change to enhance child survival and development in low-and middle-income countries
T2 - An examination of the evidence
AU - Vélez, Luis F.
AU - Sanitato, Mary
AU - Barry, Donna
AU - Alilio, Martin
AU - Apfel, Franklin
AU - Coe, Gloria
AU - Garcia, Amparo
AU - Kaufman, Michelle
AU - Klein, Jonathan
AU - Kutlesic, Vesna
AU - Meadowcroft, Lisa
AU - Nilsen, Wendy
AU - O'Sullivan, Gael
AU - Peterson, Stefan
AU - Raiten, Daniel
AU - Vorkoper, Susan
N1 - Funding Information:
Office of Behavioral and Social Sciences Research, National Institutes of Health, Bethesda, Maryland, USA
PY - 2014/5/13
Y1 - 2014/5/13
N2 - Evidence-based behavior change interventions addressing health systems must be identified and disseminated to improve child health outcomes. Studies of the efficacy of such interventions were identified from systematic searches of the published literature. Two hundred twenty-nine of the initially identified references were judged to be relevant and were further reviewed for the quality and strength of the evidence. Studies were eligible if an intervention addressed policy or health systems interventions, measured relevant behavioral or health outcomes (e.g., nutrition, childhood immunization, malaria prevention and treatment), used at least a moderate quality research design, and were implemented in low-or middle-income countries. Policy or systems interventions able to produce behavior change reviewed included media (e.g., mass media, social media), community mobilization, educational programs (for caregivers, communities, or providers), social marketing, opinion leadership, economic incentives (for both caregiver and provider), health systems strengthening/policy/legislation, and others. Recommendations for policy, practice, and research are given based on fairly strong data across the areas of health service delivery, health workforce, health financing, governance and leadership, and research.
AB - Evidence-based behavior change interventions addressing health systems must be identified and disseminated to improve child health outcomes. Studies of the efficacy of such interventions were identified from systematic searches of the published literature. Two hundred twenty-nine of the initially identified references were judged to be relevant and were further reviewed for the quality and strength of the evidence. Studies were eligible if an intervention addressed policy or health systems interventions, measured relevant behavioral or health outcomes (e.g., nutrition, childhood immunization, malaria prevention and treatment), used at least a moderate quality research design, and were implemented in low-or middle-income countries. Policy or systems interventions able to produce behavior change reviewed included media (e.g., mass media, social media), community mobilization, educational programs (for caregivers, communities, or providers), social marketing, opinion leadership, economic incentives (for both caregiver and provider), health systems strengthening/policy/legislation, and others. Recommendations for policy, practice, and research are given based on fairly strong data across the areas of health service delivery, health workforce, health financing, governance and leadership, and research.
UR - http://www.scopus.com/inward/record.url?scp=84908884012&partnerID=8YFLogxK
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U2 - 10.1080/10810730.2014.939313
DO - 10.1080/10810730.2014.939313
M3 - Review article
C2 - 25207449
AN - SCOPUS:84908884012
SN - 1081-0730
VL - 19
SP - 89
EP - 121
JO - Journal of health communication
JF - Journal of health communication
ER -