ArticleBMC public health2025
Interventions for enhancing child survival practices among caregivers of under-five children in Sub-Saharan Africa: a scoping review.
Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundChild survival is a significant public health concern, especially in low and middle-income countries. Understanding the effectiveness and scope of interventions applied hitherto, in terms of quality, is crucial for developing strategies to reduce under-five mortality.
objectiveThis scoping review aimed to identify interventions implemented to promote child survival practices among mothers and caregivers of children under five, as well as their outcomes.
methodThe review used Arksey and O'Malley's methodological framework and adhered to PRISMA-ScR for transparency and rigour. Sub-Saharan African studies published between 2014 and 2024 were searched using electronic databases such as PubMed, Cochrane Library, Web of Science, and Scopus.
resultThe study analyzed 32 studies and found that most were conducted in Ethiopia and Kenya (21.9% respectively). Some others were conducted in Ghana and Malawi (12.5% respectively), Tanzania (9.4%), Nigeria and Uganda (6.3% respectively), and Zambia (3.1%). In terms of study design, cluster randomized controlled trials were most commonly used (31.3%), followed by comparative or experimental interventions (18.8%) and randomized controlled trials (6.3). Merely five (15.6%) studies explicitly utilized a theoretical or conceptual framework to inform the design, execution, or assessment of their interventions. Community-based communication for behaviour change including interpersonal communication, and home visits were the most frequently deployed intervention strategies (56.3%). Media-based approaches (radio, mobile, SMS), nutrition-sensitive agriculture, and Water, Sanitation, and Hygiene (WASH) interventions were each featured in 18.8% and 15.6% of studies, respectively, while health facility- and group-based approaches were the least common (9.4%). The most frequently measured outcome focused on maternal and child health service uptake (25.0%), followed by child growth and development (15.6%), and hygiene and WASH-related behaviours (12.0%). Vaccination demand was the least studied outcome, reported in only one study (3.1%). These findings highlight the prevailing outcomes in improving child health and survival through community health promotion.
conclusionCommunity-based communication for behaviour change, including interpersonal communication and home visits, was the most commonly employed intervention in improving child survival practices among caregivers.
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