Evidence - SBC Impact
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Evidence - SBC Impact
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Published 7 months ago
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Radio Campaign - Primary Care Consultations up 35%

Thu, 10/27/2022 - 07:33
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Strategy researched

A radio campaign addressing family behaviours on all-cause post-neonatal under-5 child mortality

Impact achieved

35% increase in primary care consultations among under-5 children in campaign year 1 (20% year 2 & 16% year 3).

Country of study

Burkina Faso

Research methodology

Repeated cross-sectional cluster RCT

Journal

The Lancet Global Health; 2018

Journal paper title and link

Effect of a mass radio campaign on family behaviours and child survival in Burkina Faso: a repeated cross-sectional, cluster-randomised trial

Excerpt from Abstract

"Post-neonatal under-5 child mortality decreased from 93·3 to 58·5 per 1000 livebirths in the control group and from 125·1 to 85·1 per 1000 livebirths in the intervention group. There was no evidence of an intervention effect (risk ratio 1·00, 95% CI 0·82–1·22; p>0·999). In the first year of the intervention, under-5 consultations increased from 68 681 to 83 022 in the control group and from 79 852 to 111 758 in the intervention group. The intervention effect using interrupted time-series analysis was 35% (95% CI 20–51; p<0·0001). New antenatal care attendances decreased from 13 129 to 12 997 in the control group and increased from 19 658 to 20 202 in the intervention group in the first year (intervention effect 6%, 95% CI 2–10; p=0·004). Deliveries in health facilities decreased from 10 598 to 10 533 in the control group and increased from 12 155 to 12 902 in the intervention group in the first year (intervention effect 7%, 95% CI 2–11; p=0·004)."

Summary at this link

 

Comments

The claim in the abstract is that authors found no evidence of an effect of a mass media campaign on child mortality. And yet there were a number of improvements in behaviors to reduce child mortality in terms of attendances to antenatal care centers and deliveries in health facilities. More detail may be required on other factors which may have led to the SBC as the MM intervention appears to have not achieved an intervention effect.

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