文章基本信息

标题：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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作者：Julie R. Harris ; Minal K. Patel ; Patricia Juliao 等
期刊名称：International Journal of Population Research
印刷版ISSN：2090-4029
电子版ISSN：2090-4037
出版年度：2012
卷号：2012
DOI：10.1155/2012/470598
出版社：Hindawi Publishing Corporation
摘要：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.