4.6 Article

Using administrative data to evaluate national policy impacts on child and maternal health: a research framework from the Maternal and Child Health Network (MatCHNet)

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Publisher

BMJ PUBLISHING GROUP
DOI: 10.1136/jech-2023-220621

Keywords

CHILD HEALTH; HEALTH POLICY; Health inequalities; MATERNAL HEALTH

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Reducing health inequalities is a societal priority, and early interventions are crucial for improving childhood outcomes. The UK has a strong commitment to invest in the early years and tackle health inequalities through national policy interventions. Evaluating the impact of country-wide policies on child health outcomes is challenging but necessary, given the current social and economic context.
Reducing health inequalities by addressing the social circumstances in which children are conceived and raised is a societal priority. Early interventions are key to improving outcomes in childhood and long-term into adulthood. Across the UK nations, there is strong political commitment to invest in the early years. National policy interventions aim to tackle health inequalities and deliver health equity for all children. Evidence to determine the effectiveness of socio-structural policies on child health outcomes is especially pressing given the current social and economic challenges facing policy-makers and families with children. As an alternative to clinical trials or evaluating local interventions, we propose a research framework that supports evaluating the impact of whole country policies on child health outcomes. Three key research challenges must be addressed to enable such evaluations and improve policy for child health: (1) policy prioritisation, (2) identification of comparable data and (3) application of robust methods.

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