The Care for Life Family Preservation Program: Outcome Evaluation of a Holistic Community Development Program in Mozambique

Abstract

Objective:

In 2016, Mozambique ranked 13th worldwide in infant mortality (67.9 deaths/1,000 live births) and 20th worldwide in maternal mortality (489 deaths/100,000 live births). This study’s objective was to determine whether a comprehensive program, incorporating the International Association for Community Development’s recommended holistic elements was effective in a country such as Mozambique.

Method:

Over a 5-year period (2012–2017), an independent, randomized between-group outcome study was conducted to determine whether the holistic Care for Life (CFL) Family Preservation Program was effective in reducing infant mortality ratios (IMRs) and maternal mortality ratios (MMRs) in Mozambique.

Results:

At preintervention assessment, intervention and comparison villages were statistically equivalent in both IMR and MMR. After 5 years, intervention villages were significantly below the comparison villages in both IMR (odds ratio = 2.3) and MMR (odds ratio = 4.6).

Conclusion:

The use of comparison groups demonstrated the CFL program comprehensive, holistic, and sustainable approach is effective.

Keywords

Mozambique randomized between-group comparison maternal mortality ratio (MMR)infant mortality ratio (IMR)holistic community development

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References

Bowen

(2000). The state against the peasantry: Rural struggles in colonial and postcolonial Mozambique. Charlottesville: University Press of Virginia.

Care-for-Life. (2012). Guide to the Family-Preservation-Program. Mesa, AZ: Author.

CIA—The World Factbook. (2016). Mozambique: Economy: Overview. Retrieved July 4, 2017, from https://www.cia.gov/library/publications/the-world-factbook/geos/mz.html

CIA—The World Factbook. (2018a). Infant mortality rate. Retrieved July 4, 2017, from https://www.cia.gov/library/publications/the-world-factbook/fields/2091.html

CIA—The World Factbook. (2018b). Maternal mortality ratio. Retrieved July 4, 2017, from https://www.cia.gov/library/publications/the-world-factbook/rankorder/2223rank.html

Green

J. J.

(2016). Community development and social development: Informing concepts of place and intentional social change in a globalizing world. Research on Social Work Practice, 26, 605–608. doi: 10.1177/1049731515627194

Gregson

(2017). The poorest countries in the world. Global Finance. Retrieved July 4, 2017, from http://s://www.gfmag.com/global-data/economic-data/the-poorest-countries-in-the-world

International Association for Community Development. (2016). An IACD position statement: Community development and the UN Sustainability Development Goals (SDGs). Retrieved July 4, 2017, from http://www.iacdglobal.org/wp-content/uploads/2017/01/Postion-statement-on-SDGs.pdf

Muldoon

K. A.

Galway

L. P.

Nakajima

Kanters

Hogg

R. S.

Bendavid

Mills

E. J.

(2011). Health system determinants of infant, child and maternal mortality: A cross-sectional study of UN member countries. Globalization and Health, 7, 42. Retrieved July 4, 2017, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3247841/. doi:10.1186/1744-8603-7-42

10.

Organization for Economic Cooperation and Development. (2018). Infant mortality rates. Retrieved June 26, 2018, from https://data.oecd.org/healthstat/infant-mortality-rates.htm

11.

United Nations. (2015). Transforming our world: The 2030 Agenda for Sustainable Development. Retrieved July 4, 2017, from https://sustainabledevelopment.un.org/content/documents/21252030AgendaforSustainableDevelopmentweb.pdf

12.

U.S. Department of Health and Human Services. (2008). An evaluation protocol for systematically evaluating efforts to improve racial and ethnic minority health, reduce health disparities, and effect systems approaches to racial and ethnic minority health problems. Retrieved May 28, 2018, from https://minorityhealth.hhs.gov/Assets/pdf/Checked/1/EvaluationProtocol.pdf

13.

World Bank. (2016). Accelerating poverty reduction in Mozambique: Challenges and opportunities. Retrieved July 4, 2015, from http://www.worldbank.org/en/country/mozambique/publication/accelerating-poverty-reduction-in-mozambique-challenges-and-opportunities

14.

World Health Organization. (2018). Maternal mortality ratio (per 100 000 live births). Retrieved June 18, 2018, from http://www.who.int/healthinfo/statistics/indmaternalmortality/en/