文章基本信息

标题：Gujarat's Chiranjeevi Yojana – a difficult assessment in retrospect
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作者：Ayesha de Costa ; Kranti Vora ; Eric Schneider 等
期刊名称：Bulletin of the World Health Organization
印刷版ISSN：0042-9686
出版年度：2015
卷号：93
期号：6
页码：436A-436B
DOI：10.2471/BLT.14.137745
出版社：World Health Organisation
摘要：The Chiranjeevi Yojana p rogr amm e in Gujarat, India, promotes institu- tional childbirth among poor and tribal women. The retrospective evaluation of the programme, by Mohanan et al., has some limitations. 1 The five early implementing dis- tricts are socioeconomically and de- mographically different from the 21 later implementing districts, 2 leading to unmeasured confounding. Also, the wide confidence intervals in table 2 are of concern, as they suggest that the sample of births in each district may have been too small to adequately as- sess variability at the district level. The authors do not report the overall or annual numb er of births per district. If we assume that there was one birth per surveyed household and that these births were evenly distributed over each of the five years, we would estimate an average of 250 births over five years or 50 births per year, per district. This may explain the wide confidence intervals and large standard deviations reported. An average sample of 50 births per year in each district may be inadequate to capture the variability both within and between districts and could potentially lead to biased conclusions.