Evaluation of A.I.D. Child Survival Programs: Haiti Case Study

摘要

A.I.D.'s child survival program in Haiti, which includes efforts in ExpandedProgram of Immunization, diarrheal disease control, family planning, and nutrition and breastfeeding, has had a positive impact on the health of children and has helped reduce overall rates of infant and child mortality. The infant mortality rate has dropped from 144 per 1,000 live births in the early 1970's to roughly 100 per 1,000 live births in the late-1980's. In some areas where A.I.D. funding is concentrated, such as the Cite Soleil slum in Port-au-Prince, infant mortality rate declines have been especially dramatic. These improvements have occurred despite zero or negative economic growth, a decaying public sector infrastructure, and social and political instability and decline, and are therefore attributable to efforts in health education and promotion, and increased access to primary health care, with a particular focus on outreach and child survival interventions.