Long-term Effects of Health and Development Interventions in Rural Bangladesh

孟加拉国农村地区健康和发展干预措施的长期影响

基本信息

批准号：
8661658
负责人：
JANE A MENKEN
金额：
$ 46.52万
依托单位：
UNIVERSITY OF COLORADO
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-05-01 至 2016-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8661658
关键词：
Accounting Address Adolescence Adult Affect Age Aging Archives Area Bangladesh Censuses Characteristics Child Child health care Childbirth Childhood Cognition Colorado Communities Community Surveys Contraceptive Agents Data Data Set Deltastab Developing Countries Development Disadvantaged Disease Economic Development Economics Education Effectiveness Elderly Environmental Protection Evaluation Event Family Family Planning Family Planning Programs Family Sizes Family member Fathers Fertility Floods Funding Generations Geographic Information Systems Goals Health Health Planning Health Policy Household Human Development Immunization Income Individual Inequality Infant Health Institutes Institution Intervention Irrigation Labor Migrations Left Life Link Long-Term Effects Longitudinal Studies Low Prevalence Maps Marketing Marriage Maternal and Child Health Measures Mental Health Morbidity - disease rate Mothers National Institute of Child Health and Human Development Nomads Outcome Output Parents Participant Pattern Perinatal Care Personal Satisfaction Persons Population Poverty Public Health Publications Randomized Recording of previous events Records Relative (related person)Reporting Request for Proposals Research Research Infrastructure Research Personnel Rivers Rural Sampling Scholarship Schools Services Siblings Side Site Social Welfare Social support Socioeconomic Status Source Surveys System Telephone Testing Time Universities Vaccines Variant Water Wireless Technology Woman Women Status base beneficiary child bearing cognitive function design disorder prevention economic outcome empowerment evidence base experience follow-up geographic difference girls grandchild human capital improved intergenerational international center intervention effect intervention program labor force participation migration mortality new technology population health population survey poverty alleviation programs public health relevance reproductive research study rural area sex social socioeconomics therapy development transmission process uptake young adult

项目摘要

DESCRIPTION (provided by applicant): We plan to study long-term effects of health and human capital interventions in the developing world. Matlab, Bangladesh, is one of the few settings that combines targeted interventions, long duration of follow-up (over 30 years), and detailed tracking of attrition across an unusually rich set of outcomes and for several generations of potential beneficiaries. A population of over 200,000 has been followed since the mid-1970s. A quasi- randomized maternal and child health and family planning (MCH/FP) program was introduced in the late 1970s. Considerable evidence demonstrates key pre-program similarities in the MCH/FP and comparison areas. When flood control and microcredit interventions were later introduced, villages had access to none or 1-3 interventions. The NIA-funded Matlab Health and Socioeconomic Survey (MHSS1) was carried out in 1996. We propose a follow-up survey to MHSS1 and a new archive of existing longitudinal data from 1974- 2011. MHSS2 will provide detailed information on health, human capital, labor and marriage outcomes, old-age support, and socioeconomic status 30 years after the initiation of the MCH/FP intervention. The intended outputs of this project are unique datasets for longitudinal health and demographic research; a detailed first report; and several initial studies related to the specific aims. We address three specific aims. First: Study the impacts of MCH/FP interventions on long-term health and welfare outcomes in the two generations targeted by interventions - women of reproductive age at program placement (age 38-73 in 2011) and individuals who were children during a period of program variation (age 22- 34 in 2011). Data on SES prior to intervention and information on those who left the population prior to MHSS1 permit analysis of program effects with unusually effective accounting of self-selection and attrition. Second: Study the impact of the MCH/FP interventions through intergenerational relationships and transmission of poverty. We ask how improvements in child health and reduced family size affect social support and well-being of elders and how the program affected children of program participants. Rich data on family connections in 1996 and 2011 will facilitate understanding intergenerational effects of the program. Third: Study the impact of the MCH/FP interventions in the context of microcredit and flood control interventions as well as social, demographic, and cultural changes. Detailed community data, including historical mapping of infrastructure and facilities, permit testing detailed hypotheses about relative contributions of and interactions between health, credit, and infrastructure interventions on the path to human development. These interventions - in maternal and child health and family planning, poverty alleviation, and environmental protection - pertain to four of the eight UN Millennium Development Goals. Impacts of single and multiple interventions on health, wealth, and life chances can be studied for four generations defined by age at access to interventions.

描述（由申请人提供）：我们计划研究发展中国家健康和人力资本干预措施的长期影响。孟加拉国马特拉布 (Matlab) 是少数几个将有针对性的干预措施、长期随访（超过 30 年）以及对异常丰富的结果和几代潜在受益人的自然减员进行详细跟踪相结合的机构之一。自 20 世纪 70 年代中期以来，已有超过 20 万人口受到追踪。 20 世纪 70 年代末推出了准随机母婴健康和计划生育 (MCH/FP) 计划。大量证据表明，MCH/FP 和比较领域的计划前的关键相似之处。当后来引入防洪和小额信贷干预措施时，村庄无法获得任何干预措施或只能获得 1-3 种干预措施。 NIA 资助的 Matlab 健康和社会经济调查 (MHSS1) 于 1996 年进行。我们建议对 MHSS1 进行后续调查，并建立 1974-2011 年现有纵向数据的新档案。MHSS2 将提供有关健康、人力资本的详细信息开始 MCH/FP 干预后 30 年后的劳动和婚姻结果、老年支持和社会经济状况。该项目的预期产出是用于纵向健康和人口研究的独特数据集；详细的第一份报告；以及与具体目标相关的几项初步研究。我们致力于实现三个具体目标。第一：研究 MCH/FP 干预措施对干预措施所针对的两代人的长期健康和福利结果的影响——计划安置时的育龄妇女（2011 年为 38-73 岁）和儿童时期的个人计划变化（2011 年为 22-34 岁）。干预前的 SES 数据和 MHSS1 之前离开人口的信息可以通过异常有效的自我选择和自然消耗来分析计划效果。第二：研究 MCH/FP 干预措施通过代际关系和贫困传递的影响。我们询问儿童健康的改善和家庭规模的缩小如何影响老年人的社会支持和福祉，以及该计划如何影响计划参与者的子女。 1996 年和 2011 年有关家庭关系的丰富数据将有助于了解该计划的代际影响。第三：研究 MCH/FP 干预措施在小额信贷和防洪干预措施以及社会、人口和文化变化背景下的影响。详细的社区数据，包括基础设施和设施的历史测绘，可以测试有关健康、信贷和基础设施干预措施对人类发展道路的相对贡献和相互作用的详细假设。这些干预措施——孕产妇和儿童健康、计划生育、扶贫和环境保护——涉及八项联合国千年发展目标中的四项。单一和多重干预措施对健康、财富和生活机会的影响可以根据接受干预措施的年龄来研究四代人。