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The analysis concludes that in the current mode of implementation, household economic aid does not relieve children's poverty, and does not contribute to children's social inclusion.
An independent economic evaluation of the trial (led by LSHTM) will estimate the cost-effectiveness of our intervention and will provide further insight into the costs of implementation, household costs from increased health service use, and health system costs associated with increased care seeking.
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To verify the model specification with respect to the implementation of household characteristics and the quadratic income term, we carried out Wald-tests for every model.
Future interventions should take into account modifiable correlates such as the implementation of household and vehicle smoking restrictions and the availability of pharmacotherapy and counselling support.
To account for potential contamination during campaign implementation wherein households targeted for MTAT did not receive it or vice versa, both intention-to-treat and per-protocol analyses were conducted.
Possible explanations for the slow implementation of household-targeted activities include: low community demand for nutrition interventions given the relative invisibility of the problem, a scarcity of nutrition capacity at lower administrative levels, and the lack of an institutional home for nutrition within the local health sector.
The PHIT Partnership targets three major areas of the community health system: a strong supervision system to ensure CHW quality of care and reporting; implementation of a household register to improve quality through systematic documentation of household visit activities; and the expansion of home-based care provided for chronic disease patients, including those with HIV.
Before full implementation, the structured household questionnaire was pre-tested as a pilot survey in the sample villages.
"Graduation" to a model family occurs after training in all components of the HEP and proven implementation at the household level.
No baseline socio-economic or health data are available, but the survey 5 years after implementation shows that household income and levels of schooling were significantly lower and the proportion of recent rural immigrants higher in the control areas.
Progress and results achieved: An evaluation carried out by CERME a research centre, showed that after 6 months of implementation nearly 111,300 households were visited and 2.7% of children were identified as invisible to social assistance, health and/or education services.
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