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.

项目概要 PI 的长期目标是改善低收入和低收入地区妇女及其子女的健康和福祉 中等收入国家（LMIC）通过基于证据的结构性干预措施， 通过 K99/R00 独立之路奖提供的培训和指导，这一切成为可能。 该奖项提出的研究将评估保护和支持妇女的社会政策对妇女的影响 减少亲密伴侣暴力 (IPV) 并改善 5 岁以下子女的健康 这项研究将填补 IPV 预防文献关注的一个重要证据空白。 主要针对个人、家庭或社区的干预措施，社会政策的效果是 在奖励的 K99 部分期间，PI 将接受培训和指导。 哥伦比亚大学梅尔曼公共卫生学院的跨学科指导团队 指导早期职业调查员的丰富经验将包括儿童健康在内。 将 IPV 与儿童健康联系起来的潜在途径的概念知识；以及 计量经济学是评估社会政策的常用方法。该培训将使 PI 能够 在不同的中低收入国家环境中进行三项社会政策评估，第一个项目将采用评估。 关于 IPV 变化和儿童健康改善的国家级 IPV 预防立法。 使用 24 个中低收入国家的人口和健康调查数据，并与从世界各地收集的政策数据相联系 世行的第二个项目将评估现金补助对低收入人群（主要是女性）的影响。 该项目将针对南非户主家庭 5 岁以下儿童的健康开展一项研究。 因果中介分析正式测试儿童健康的改善是否是通过减少 这项工作将利用南非国民收入的纵向数据。 动态研究，这是一项基于人口的大型面板调查，将评估这种程度。 印度针对孕产妇 IPV 相关因素和儿童实施全面的 IPV 预防立法 这项工作将利用印度人类发展调查的纵向数据，该调查涉及大量人口。 基于小组调查，与从印度法律倡导团体收集的立法数据相联系。 这些研究将大大增加人们对社会政策对减少 IPV 和 提供的培训、指导和研究改善了广泛的中低收入国家的儿童健康。 该奖项将帮助 PI 发展成为一名独立调查员，负责评估结构性干预措施，以 改善中低收入国家母亲及其子女的健康 这项拟议研究进一步推进了 NICHD 的使命。 通过调查和预防有害的社会和环境原因来改善儿童健康，包括 童年不良事件。