Assessing Early Access to Care and Child Survival during a Health System Strengthening Intervention in Mali: A Repeated Cross Sectional Survey
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{"title"=>"Assessing early access to care and child survival during a health system strengthening intervention in Mali: A repeated cross sectional survey", "type"=>"journal", "authors"=>[{"first_name"=>"Ari D.", "last_name"=>"Johnson", "scopus_author_id"=>"55312476100"}, {"first_name"=>"Dana R.", "last_name"=>"Thomson", "scopus_author_id"=>"55449621200"}, {"first_name"=>"Sidney", "last_name"=>"Atwood", "scopus_author_id"=>"23974372200"}, {"first_name"=>"Ian", "last_name"=>"Alley", "scopus_author_id"=>"56006869600"}, {"first_name"=>"Jessica L.", "last_name"=>"Beckerman", "scopus_author_id"=>"55330692800"}, {"first_name"=>"Ichiaka", "last_name"=>"Koné", "scopus_author_id"=>"56005852100"}, {"first_name"=>"Djoumé", "last_name"=>"Diakité", "scopus_author_id"=>"56006486000"}, {"first_name"=>"Hamed", "last_name"=>"Diallo", "scopus_author_id"=>"56006034500"}, {"first_name"=>"Boubacar", "last_name"=>"Traoré", "scopus_author_id"=>"7004424123"}, {"first_name"=>"Klenon", "last_name"=>"Traoré", "scopus_author_id"=>"56006950200"}, {"first_name"=>"Paul E.", "last_name"=>"Farmer", "scopus_author_id"=>"7101715964"}, {"first_name"=>"Megan", "last_name"=>"Murray", "scopus_author_id"=>"35479179200"}, {"first_name"=>"Joia", "last_name"=>"Mukherjee", "scopus_author_id"=>"7102914976"}], "year"=>2013, "source"=>"PLoS ONE", "identifiers"=>{"issn"=>"19326203", "scopus"=>"2-s2.0-84892606884", "sgr"=>"84892606884", "pui"=>"372133983", "isbn"=>"1932-6203", "pmid"=>"24349053", "doi"=>"10.1371/journal.pone.0081304"}, "id"=>"d82ebc3d-87b8-3767-8e3d-96acff5853dc", "abstract"=>"Background\\nIn 2012, 6.6 million children under age five died worldwide, most from diseases with known means of prevention and treatment. A delivery gap persists between well-validated methods for child survival and equitable, timely access to those methods. We measured early child health care access, morbidity, and mortality over the course of a health system strengthening model intervention in Yirimadjo, Mali. The intervention included Community Health Worker active case finding, user fee removal, infrastructure development, community mobilization, and prevention programming.\\n\\nMethods and Findings\\nWe conducted four household surveys using a cluster-based, population-weighted sampling methodology at baseline and at 12, 24, and 36 months. We defined our outcomes as the percentage of children initiating an effective antimalarial within 24 hours of symptom onset, the percentage of children reported to be febrile within the previous two weeks, and the under-five child mortality rate. We compared prevalence of febrile illness and treatment using chi-square statistics, and estimated and compared under-five mortality rates using Cox proportional hazard regression. There was a statistically significant difference in under-five mortality between the 2008 and 2011 surveys; in 2011, the hazard of under-five mortality in the intervention area was one tenth that of baseline (HR 0.10, p", "link"=>"http://www.mendeley.com/research/assessing-early-access-care-child-survival-during-health-system-strengthening-intervention-mali-repe-1", "reader_count"=>75, "reader_count_by_academic_status"=>{"Unspecified"=>2, "Professor > Associate Professor"=>2, "Librarian"=>1, "Researcher"=>18, "Student > Doctoral Student"=>5, "Student > Ph. D. 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Student"=>14, "Student > Postgraduate"=>4, "Other"=>5, "Student > Master"=>17, "Student > Bachelor"=>2, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>1, "Professor"=>3}, "reader_count_by_subject_area"=>{"Unspecified"=>3, "Environmental Science"=>2, "Biochemistry, Genetics and Molecular Biology"=>2, "Nursing and Health Professions"=>6, "Mathematics"=>1, "Agricultural and Biological Sciences"=>6, "Medicine and Dentistry"=>28, "Arts and Humanities"=>2, "Business, Management and Accounting"=>1, "Psychology"=>2, "Social Sciences"=>19, "Economics, Econometrics and Finance"=>3}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>28}, "Social Sciences"=>{"Social Sciences"=>19}, "Psychology"=>{"Psychology"=>2}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>3}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>6}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>6}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>1}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>2}, "Mathematics"=>{"Mathematics"=>1}, "Unspecified"=>{"Unspecified"=>3}, "Environmental Science"=>{"Environmental Science"=>2}, "Arts and Humanities"=>{"Arts and Humanities"=>2}}, "reader_count_by_country"=>{"Bangladesh"=>1, "United States"=>2, "Rwanda"=>1, "United Kingdom"=>1, "Sierra Leone"=>1, "Indonesia"=>1, "India"=>1}, "group_count"=>8}

Scopus | Further Information

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  • {"files"=>["https://ndownloader.figshare.com/files/1311736"], "description"=>"<p>Febrile Illness in Children Under Five within Muso Catchment Area, 2008–2011.</p>", "links"=>[], "tags"=>["children", "muso", "catchment"], "article_id"=>875168, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Ari D. Johnson", "Dana R. Thomson", "Sidney Atwood", "Ian Alley", "Jessica L. Beckerman", "Ichiaka Koné", "Djoumé Diakité", "Hamed Diallo", "Boubacar Traore", "Klenon Traoré", "Paul E. Farmer", "Megan Murray", "Joia Mukherjee"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0081304.t005"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Febrile_Illness_in_Children_Under_Five_within_Muso_Catchment_Area_2008_8211_2011_/875168", "title"=>"Febrile Illness in Children Under Five within Muso Catchment Area, 2008–2011.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-12-11 04:02:52"}
  • {"files"=>["https://ndownloader.figshare.com/files/1311737"], "description"=>"<p>Timely Effective Antimalarial Treatment within 24 Hours (Among Children Under Five with Fever) within the Muso Catchment Area, 2008–2011.</p>", "links"=>[], "tags"=>["antimalarial", "24", "hours", "children", "muso", "catchment"], "article_id"=>875169, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Ari D. Johnson", "Dana R. Thomson", "Sidney Atwood", "Ian Alley", "Jessica L. Beckerman", "Ichiaka Koné", "Djoumé Diakité", "Hamed Diallo", "Boubacar Traore", "Klenon Traoré", "Paul E. Farmer", "Megan Murray", "Joia Mukherjee"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0081304.t006"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Timely_Effective_Antimalarial_Treatment_within_24_Hours_Among_Children_Under_Five_with_Fever_within_the_Muso_Catchment_Area_2008_8211_2011_/875169", "title"=>"Timely Effective Antimalarial Treatment within 24 Hours (Among Children Under Five with Fever) within the Muso Catchment Area, 2008–2011.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-12-11 04:02:52"}
  • {"files"=>["https://ndownloader.figshare.com/files/1311739", "https://ndownloader.figshare.com/files/1311740", "https://ndownloader.figshare.com/files/1311741", "https://ndownloader.figshare.com/files/1311742", "https://ndownloader.figshare.com/files/1311743", "https://ndownloader.figshare.com/files/1311745", "https://ndownloader.figshare.com/files/1311746"], "description"=>"<div><p>Background</p><p>In 2012, 6.6 million children under age five died worldwide, most from diseases with known means of prevention and treatment. A delivery gap persists between well-validated methods for child survival and equitable, timely access to those methods. We measured early child health care access, morbidity, and mortality over the course of a health system strengthening model intervention in Yirimadjo, Mali. The intervention included Community Health Worker active case finding, user fee removal, infrastructure development, community mobilization, and prevention programming.</p><p>Methods and Findings</p><p>We conducted four household surveys using a cluster-based, population-weighted sampling methodology at baseline and at 12, 24, and 36 months. We defined our outcomes as the percentage of children initiating an effective antimalarial within 24 hours of symptom onset, the percentage of children reported to be febrile within the previous two weeks, and the under-five child mortality rate. We compared prevalence of febrile illness and treatment using chi-square statistics, and estimated and compared under-five mortality rates using Cox proportional hazard regression. There was a statistically significant difference in under-five mortality between the 2008 and 2011 surveys; in 2011, the hazard of under-five mortality in the intervention area was one tenth that of baseline (HR 0.10, <i>p</i><0.0001). After three years of the intervention, the prevalence of febrile illness among children under five was significantly lower, from 38.2% at baseline to 23.3% in 2011 (PR = 0.61, <i>p</i> = 0.0009). The percentage of children starting an effective antimalarial within 24 hours of symptom onset was nearly twice that reported at baseline (PR = 1.89, <i>p</i> = 0.0195).</p><p>Conclusions</p><p>Community-based health systems strengthening may facilitate early access to prevention and care and may provide a means for improving child survival.</p></div>", "links"=>[], "tags"=>["strengthening", "repeated", "sectional"], "article_id"=>875171, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Ari D. Johnson", "Dana R. Thomson", "Sidney Atwood", "Ian Alley", "Jessica L. Beckerman", "Ichiaka Koné", "Djoumé Diakité", "Hamed Diallo", "Boubacar Traore", "Klenon Traoré", "Paul E. Farmer", "Megan Murray", "Joia Mukherjee"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0081304.s001", "https://dx.doi.org/10.1371/journal.pone.0081304.s002", "https://dx.doi.org/10.1371/journal.pone.0081304.s003", "https://dx.doi.org/10.1371/journal.pone.0081304.s004", "https://dx.doi.org/10.1371/journal.pone.0081304.s005", "https://dx.doi.org/10.1371/journal.pone.0081304.s006", "https://dx.doi.org/10.1371/journal.pone.0081304.s007"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Assessing_Early_Access_to_Care_and_Child_Survival_during_a_Health_System_Strengthening_Intervention_in_Mali_A_Repeated_Cross_Sectional_Survey_/875171", "title"=>"Assessing Early Access to Care and Child Survival during a Health System Strengthening Intervention in Mali: A Repeated Cross Sectional Survey", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2013-12-11 04:02:52"}

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  • {"unique-ip"=>"10", "full-text"=>"7", "pdf"=>"3", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"4", "cited-by"=>"0", "year"=>"2018", "month"=>"7"}
  • {"unique-ip"=>"10", "full-text"=>"8", "pdf"=>"5", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"4", "supp-data"=>"4", "cited-by"=>"0", "year"=>"2018", "month"=>"11"}
  • {"unique-ip"=>"7", "full-text"=>"7", "pdf"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"4", "cited-by"=>"0", "year"=>"2018", "month"=>"8"}
  • {"unique-ip"=>"6", "full-text"=>"3", "pdf"=>"5", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"9"}
  • {"unique-ip"=>"5", "full-text"=>"6", "pdf"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"12"}
  • {"unique-ip"=>"11", "full-text"=>"13", "pdf"=>"2", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"2"}
  • {"unique-ip"=>"3", "full-text"=>"4", "pdf"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2019", "month"=>"3"}
  • {"unique-ip"=>"6", "full-text"=>"6", "pdf"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"4"}
  • {"unique-ip"=>"21", "full-text"=>"11", "pdf"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"9", "cited-by"=>"1", "year"=>"2019", "month"=>"5"}
  • {"unique-ip"=>"7", "full-text"=>"5", "pdf"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2019", "month"=>"8"}
  • {"unique-ip"=>"8", "full-text"=>"5", "pdf"=>"5", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"9"}
  • {"unique-ip"=>"5", "full-text"=>"3", "pdf"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2019", "month"=>"10"}

Relative Metric

{"start_date"=>"2013-01-01T00:00:00Z", "end_date"=>"2013-12-31T00:00:00Z", "subject_areas"=>[{"subject_area"=>"/Biology and life sciences", "average_usage"=>[269, 466, 588, 697, 800, 896, 988, 1076, 1165, 1254, 1340, 1417]}, {"subject_area"=>"/Medicine and health sciences", "average_usage"=>[264, 460, 584, 692, 794, 887, 978, 1067, 1154, 1241, 1328, 1408, 1474]}, {"subject_area"=>"/Medicine and health sciences/Health care", "average_usage"=>[278, 463, 587, 692, 804, 897, 984, 1068, 1165, 1254, 1339, 1429, 1490]}, {"subject_area"=>"/Medicine and health sciences/Pediatrics", "average_usage"=>[248, 430, 563, 680, 778, 859, 949, 1017, 1115, 1199, 1281, 1364, 1431]}, {"subject_area"=>"/Medicine and health sciences/Public and occupational health", "average_usage"=>[291, 491, 610, 723, 817, 906, 991, 1071, 1153, 1238, 1324, 1411, 1478]}, {"subject_area"=>"/People and places/Population groupings", "average_usage"=>[265, 456, 578, 682, 782, 881, 965, 1053, 1133, 1223, 1310, 1391, 1457]}]}
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