This study evaluated the Aga Khan University Urban Primary Health Care Program's effectiveness, six years after implementation in lower-middle class Karachi. The study supplemented surveillance data which showed two-fold improvements in health indicators. / One Program and one Comparison area were successfully matched post hoc on ethnicity and socioeconomic status. Study participants included women in both areas who had been pregnant in the last 5 years and resident for over 1 year. / The Program achieved 88% community coverage: 85% with outreach visits and 65% with clinic-based services. Factors which potentially confounded the surveillance estimates included secular improvements in water, sanitation, and socioeconomic status, along with the utilization of other health-care providers and health education resources. The Program's unique services were community health worker outreach (home visits and educational meetings) and growth monitoring. / The Program was found to be effective in improving most knowledge scores, some healthy behaviours, and no impacts. Positive results included: increased immunization and family planning knowledge scores by 5-10%, higher maternal-child immunization rates by 10-20%, and greater colostrum feeding practice by 10%. Negative results included: no additional diarrhea knowledge; no change in healthy behaviours towards diarrhea treatment, breast feeding, family planning or maternity care; and no health impact on fertility or childhood nutritional status. (Abstract shortened by UMI.)
| Identifer | oai:union.ndltd.org:LACETR/oai:collectionscanada.gc.ca:QMM.23297 |
| Date | January 1994 |
| Creators | Schokking, Ian David |
| Contributors | Tonssignant, P. (advisor) |
| Publisher | McGill University |
| Source Sets | Library and Archives Canada ETDs Repository / Centre d'archives des thèses électroniques de Bibliothèque et Archives Canada |
| Language | English |
| Detected Language | English |
| Type | Electronic Thesis or Dissertation |
| Format | application/pdf |
| Coverage | Master of Science (Department of Epidemiology and Biostatistics.) |
| Rights | All items in eScholarship@McGill are protected by copyright with all rights reserved unless otherwise indicated. |
| Relation | alephsysno: 001467508, proquestno: MM08051, Theses scanned by UMI/ProQuest. |
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