Evaluation of social policies to reduce intimate partner violence and improve child health in low- and middle-income countries

对低收入和中等收入国家减少亲密伴侣暴力和改善儿童健康的社会政策进行评估

• 批准号: 10190540
• 负责人: Robin Richardson
• 金额: $ 13.08万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-05-01 至 2023-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10190540
• 关键词: 5 year old; Address; Adopted; Adoption; Advocacy; Africa; Age; Area; Asia; Award; Belief; Caregivers; Child; Child Health; Child Support; Child Welfare; Communities; Data; Decision Making; Demographic and Health Surveys; Development; Epidemiology; Evaluation; Exposure to; Female; Freedom; Goals; Grant; Growth; Health; Health Professional; Health Status; Health Surveys; High Prevalence; Home; Household; Human; Human Development; Impairment; Income; India; Individual; Inequality; Intervention; Knowledge; Legal; Link; Literature; Low income; Maternal Exposure; Mediating; Mediation; Mentors; Mentorship; Methodology; Methods; Mothers; National Institute of Child Health and Human Development; Pathway interactions; Personal Satisfaction; Phase; Policies; Policy Making; Prevalence; Public Health; Public Health Schools; Punishment; Religion; Research; Research Personnel; Risk; Social Policies; South Africa; Statutes and Laws; Structure; Surveys; Testing; Training; Travel; Universities; Violence; Woman; Work; World Bank; adverse childhood events; career; career development; contextual factors; design; econometrics; empowerment; experience; health inequalities; health of the mother; improved; intimate partner violence; low and middle-income countries; mortality; neglect; population based; population health; prevent; programs; rural residence; social; sociodemographics; vaccine acceptance; violence prevention

Project summary The PI’s long-term objective is to improve the health and well-being of women and their children in low- and middle-income countries (LMICs) through evidence-informed structural interventions, which will be made possible by the training and mentorship provided from the K99/R00 Pathway to Independence Award. The research proposed in this award will evaluate the effect of social policies that protect and support women on reductions in intimate partner violence (IPV) and improvements in the health of their children under 5 years of age in LMICs. This research will fill an important evidence gap. The IPV prevention literature has focused primarily on interventions that target individuals, households, or communities, and the effect of social policies is not well understood. During the K99 portion of the award, the PI will receive training and mentorship at Columbia University’s Mailman School of Public Health from a cross-disciplinary mentoring team with substantial experience mentoring early career investigators. Training areas will include child health, including conceptual knowledge of potential pathways linking IPV to child health; causal mediation analysis; and econometrics, which are methods commonly used to evaluate social policies. This training will enable the PI to conduct three social policy evaluations in diverse LMIC settings. The first project will evaluate adoption of national-level IPV prevention legislation on changes in IPV and improvements in child health. This work will utilize Demographic and Health Survey data from 24 LMICs, linked with policy data collected from the World Bank. The second project will evaluate the effect of availability of a cash grant for low-income, primarily female- headed households in South Africa, on the health of children under 5 years of age. The project will perform a causal mediation analysis to formally test if improvements in child health are mediated through reductions in maternal IPV-related factors. This work will utilize longitudinal data from the South Africa National Income Dynamics Study, which is a large population-based panel survey. The third project will evaluate the degree of implementation of comprehensive IPV-prevention legislation in India on maternal IPV-related factors and child health. This work will utilize longitudinal data from the India Human Development Survey, a large population- based panel survey, linked with legislative data collected from an Indian legal advocacy group. The results of these studies will substantially increase knowledge about the effect of social policies on reducing IPV and improving child health across a wide range of LMIC settings. The training, mentorship, and research afforded by this award will help the PI develop into an independent investigator who evaluates structural interventions to improve the health of mothers and their children in LMICs. This proposed research furthers NICHD’s mandate of improving child health by investigating and preventing harmful social and environmental causes, including adverse childhood events.

项目摘要 PI的长期目标是改善妇女及其子女的健康和福祉 中等收入国家（LMIC）通过有证据的结构干预措施，将进行 通过K99/R00途径到独立奖的培训和精神训练可能。这 该奖项提出的研究将评估保护和支持女性的社会政策的影响 降低亲密伴侣暴力（IPV）的减少以及5岁以下子女的健康状况的改善 LMICS的年龄。这项研究将填补重要的证据差距。 IPV预防文献集中于 主要针对个人，家庭或社区的干预措施以及社会政策的影响是 不太了解。在奖项的K99部分期间，PI将在 哥伦比亚大学的邮递员公共卫生学院，由跨学科指导团队与 丰富的心理早期职业调查员经验。培训领域将包括儿童健康，包括 将IPV与儿童健康联系起来的潜在途径的概念知识；因果中介分析；和 经济学，这是通常用于评估社会政策的方法。该培训将使PI能够 在潜水员LMIC环境中进行三项社会政策评估。第一个项目将评估采用 国家级IPV预防IPV变化和儿童健康改善的立法。这项工作将 利用来自24个LMIC的人口统计和健康调查数据，与来自世界的政策数据有关 银行。第二个项目将评估低收入，主要女性现金赠款的效果 在南非的家庭中，面向5岁以下儿童的健康。该项目将执行 因果中介分析以正式测试儿童健康的改善是否通过减少来介导 与母亲IPV相关的因素。这项工作将利用南非国民收入的纵向数据 动态研究，这是一项大型基于人群的小组调查。第三个项目将评估 印度对IPV相关因素和儿童实施全面的IPV预防法规 健康。这项工作将利用印度人类发展调查调查的纵向数据，这是一项大量人口 - 基于印度法律倡导组织收集的立法数据的基于小组调查。结果 这些研究将大大增加有关社会政策对减少IPV和 改善各种LMIC环境的儿童健康。提供的培训，精神训练和研究 通过该奖项将有助于PI发展成为一个独立的调查员，该调查员评估了结构性干预措施 改善母亲及其子女的健康状况。这项拟议的研究推动了NICHD的任务 通过调查和预防有害的社会和环境事业来改善儿童健康，包括 不利的童年事件。