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

• 批准号: 8893602
• 负责人: JANE A MENKEN
• 金额: $ 8.25万
• 依托单位: UNIVERSITY OF COLORADO
• 依托单位国家: 美国
• 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/8893602
• 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; reproductive; research study; rural area; sex; social; socioeconomics; therapy development; transmission process; uptake; young adult

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。孟加拉国的Matlab是结合目标干预措施，长期随访（超过30年）的少数设置之一，并详细跟踪了一系列异常丰富的成果以及几代潜在受益人的损耗。自1970年代中期以来，人口超过200,000。 1970年代后期引入了一项准确的孕产妇和儿童健康与计划生育（MCH/FP）计划。大量证据表明，MCH/FP和比较领域中的主要程序前相似性。后来引入了洪水控制和微货币干预措施时，村庄可以使用或1-3个干预措施。 NIA资助的MATLAB健康和社会经济调查（MHSS1）于1996年进行。我们提出了对MHSS1的后续调查，以及1974年至2011年的现有纵向数据的新档案。MHSS2将提供有关健康，人力资本，劳动力和婚姻的支持，老年人和社会的详细信息。 该项目的预期输出是纵向健康和人口研究的独特数据集；详细的第一报告；以及与具体目标有关的一些初步研究。 我们解决了三个具体目标。首先：研究MCH/FP干预措施对由干预措施针对的两代人的长期健康和福利结果的影响 - 计划安排时生殖年龄的妇女（2011年38-73岁）和在计划变化期（2011年22-34岁）中的孩子。在干预之前的SES数据以及有关在MHSS1之前离开人口的人的信息允许对程序效应进行分析，并具有异常有效的自我选择和流失。 第二：通过代际关系和贫困传播研究MCH/FP干预措施的影响。我们询问儿童健康和家庭规模减少如何影响社会支持和长者的福祉，以及该计划如何影响计划参与者的儿童。关于1996年和2011年家庭联系的丰富数据将有助于了解该计划的代际效应。 第三：研究MCH/FP干预措施在微货币和洪水控制干预措施以及社会，人口和文化变化的背景下的影响。详细的社区数据，包括基础设施和设施的历史映射，允许测试有关健康，信贷和基础设施干预对人类发展道路的相对贡献以及相互作用的详细假设。 这些干预措施 - 在产妇和儿童健康和计划生育，缓解贫困和环境保护中，与联合国八个千年发展目标中的四个有关。可以研究单一干预措施对健康，财富和生活机会的影响，可以研究四代人，这些因素是根据年龄在接受干预措施时定义的。