دورية أكاديمية
Understanding the role of intersectoral convergence in the delivery of essential maternal and child nutrition interventions in Odisha, India: a qualitative study.
| العنوان: | Understanding the role of intersectoral convergence in the delivery of essential maternal and child nutrition interventions in Odisha, India: a qualitative study. |
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| المؤلفون: | Kim SS; International Food Policy Research Institute, 2033 K Street, Washington, D.C., 20006, NW, USA. sunny.kim@cgiar.org., Avula R; International Food Policy Research Institute, NASC Complex, CG Block, Dev Prakash Shastri Road, Pusa, New Delhi, 110012, India., Ved R; National Health Systems Resource Center, National Institute of Health and Family Welfare campus, Baba Gangnath Marg, Munrika, New Delhi, India., Kohli N; International Food Policy Research Institute, NASC Complex, CG Block, Dev Prakash Shastri Road, Pusa, New Delhi, 110012, India., Singh K; International Food Policy Research Institute, NASC Complex, CG Block, Dev Prakash Shastri Road, Pusa, New Delhi, 110012, India., van den Bold M; International Food Policy Research Institute, 2033 K Street, Washington, D.C., 20006, NW, USA., Kadiyala S; London School of Hygiene & Tropical Medicine, 133b LSHTM Keppel Street, WC1E 7HT, London, England., Menon P; International Food Policy Research Institute, NASC Complex, CG Block, Dev Prakash Shastri Road, Pusa, New Delhi, 110012, India. |
| المصدر: | BMC public health [BMC Public Health] 2017 Feb 02; Vol. 17 (1), pp. 161. Date of Electronic Publication: 2017 Feb 02. |
| نوع المنشور: | Evaluation Study; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : BioMed Central, [2001- |
| مواضيع طبية MeSH: | Infant Nutritional Physiological Phenomena* , Maternal Nutritional Physiological Phenomena*, Child Health Services/*organization & administration , Delivery of Health Care/*methods , Delivery of Health Care/*organization & administration , Maternal Health Services/*organization & administration, Female ; Humans ; India ; Infant ; Interviews as Topic ; Male ; Qualitative Research |
| مستخلص: | Background: Convergence of sectoral programs is important for scaling up essential maternal and child health and nutrition interventions. In India, these interventions are implemented by two government programs - Integrated Child Development Services (ICDS) and National Rural Health Mission (NRHM). These programs are designed to work together, but there is limited understanding of the nature and extent of coordination in place and needed at the various administrative levels. Our study examined how intersectoral convergence in nutrition programming is operationalized between ICDS and NRHM from the state to village levels in Odisha, and the factors influencing convergence in policy implementation and service delivery. Methods: Semi-structured interviews were conducted with state-level stakeholders (n = 12), district (n = 19) and block officials (n = 66), and frontline workers (FLWs, n = 48). Systematic coding and content analysis of transcripts were undertaken to elucidate themes and patterns related to the degree and mechanisms of convergence, types of actions/services, and facilitators and barriers. Results: Close collaboration at state level was observed in developing guidelines, planning, and reviewing programs, facilitated by a shared motivation and recognized leadership for coordination. However, the health department was perceived to drive the agenda, and different priorities and little data sharing presented challenges. At the district level, there were joint planning and review meetings, trainings, and data sharing, but poor participation in the intersectoral meetings and limited supervision. While the block level is the hub for planning and supervision, cooperation is limited by the lack of guidelines for coordination, heavy workload, inadequate resources, and poor communication. Strong collaboration among FLWs was facilitated by close interpersonal communication and mutual understanding of roles and responsibilities. Conclusions: Congruent or shared priorities and regularity of actions between sectors across all levels will likely improve the quality of coordination, and clear roles and leadership and accountability are imperative. As convergence is a means to achieving effective coverage and delivery of services for improved maternal and child health and nutrition, focus should be on delivering all the essential services to the mother-child dyads through mechanisms that facilitate a continuum of care approach, rather than sectorally-driven, service-specific delivery processes. |
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| فهرسة مساهمة: | Keywords: Collaboration; Coordination; India; Intersectoral convergence; Nutrition interventions |
| تواريخ الأحداث: | Date Created: 20170204 Date Completed: 20170913 Latest Revision: 20191210 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC5290617 |
| DOI: | 10.1186/s12889-017-4088-z |
| PMID: | 28153041 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1471-2458 |
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| DOI: | 10.1186/s12889-017-4088-z |