首页> 外文期刊>International Journal of Population Research >Addressing Inequities in Access to Health Products through the Use of Social Marketing, Community Mobilization, and Local Entrepreneurs in Rural Western Kenya
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Addressing Inequities in Access to Health Products through the Use of Social Marketing, Community Mobilization, and Local Entrepreneurs in Rural Western Kenya

机译:通过使用社会营销,社区动员和肯尼亚西部农村地区的当地企业家来解决获取卫生产品的不平等现象

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While social marketing can increase uptake of health products in developing countries, providing equitable access is challenging. We conducted a 2-year evaluation of uptake of WaterGuard, insecticide-treated bednets (ITNs), and micronutrient Sprinkles in Western Kenya. Sixty villages were randomly assigned to intervention and comparison groups. Following a baseline survey (BL), a multifaceted intervention comprising social marketing of these products, home visits by product vendors from a local women’s group (Safe Water and AIDS Project, or SWAP), product promotions, and modeling of water treatment and safe storage in was implemented in intervention villages. Comparison villages received only social marketing of WaterGuard and ITNs. We surveyed again at one year (FU1), implemented the intervention in comparison villages, and surveyed again at two years (FU2). At BL, <3% of households had been visited by a SWAP vendor. At FU1, more intervention than comparison households had been visited by a SWAP vendor (39% versus 9%,P<0.0001), and purchased WaterGuard (14% versus 2%,P<0.0001), Sprinkles (36% versus 6%,P<0.0001), or ITNs (3% versus 1%,P<0.04) from that vendor. During FU2, 47% and 41% of original intervention and comparison households, respectively, reported ever receiving a SWAP vendor visit (P=0.16); >90% those reported ever purchasing a product from the vendor. WaterGuard (P=0.02) and ITNs (P=0.005) were purchased less frequently by lower-SES than higher-SES households; Sprinkles, the least expensive product, was purchased equally across all quintiles.
机译:尽管社会营销可以增加发展中国家对健康产品的吸收,但是提供公平的获取却是一个挑战。我们对肯尼亚西部的WaterGuard,经过杀虫剂处理的蚊帐(ITN)和微量营养素洒水的吸收进行了为期2年的评估。 60个村庄被随机分配到干预组和比较组。在进行基线调查(BL)之后,将采取多方面的干预措施,包括对这些产品进行社会营销,当地妇女团体的产品供应商进行家访(安全水和艾滋病项目或SWAP),产品促销以及水处理和安全存储建模在干预村实施。比较村庄仅接受WaterGuard和ITN的社会营销。我们在一年后再次进行调查(FU1),在比较村庄中实施了干预措施,并在两年后再次进行了调查(FU2)。在BL,SWAP供应商拜访了不到3%的家庭。在FU1,SWAP供应商拜访了比比较家庭更多的干预措施(39%对9%,P <0.0001),购买了WaterGuard(14%对2%,P <0.0001),洒水(36%对6%, P <0.0001)或该供应商提供的ITN(3%对1%,P <0.04)。在FU2期间,分别有47%和41%的原始干预家庭和比较家庭报告曾接受过SWAP供应商访问(P = 0.16);超过90%的受访者表示曾经从供应商那里购买过产品。较低社会经济地位的家庭购买WaterWater(P = 0.02)和ITN(P = 0.005)的频率要低于较高社会经济地位的家庭; Sprinkles是最便宜的产品,在所有五分位数中的购买量均相等。

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