Layering of a health, nutrition and sanitation programme onto microfinance-oriented self-help groups in rural India: results from a process evaluation

Abstract Background The state of Bihar has been lagging behind Indian national averages on indicators related to maternal and child health, primarily due to lack of knowledge among mothers of young children on lifesaving practices and on where to seek services when healthcare is needed. Hence, the J...

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Autores principales:	Laili Irani, Janine Schooley, Supriya, Indrajit Chaudhuri
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Self-help groups Health, nutrition and sanitation programming Maternal, neonatal and child health Rural India Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/66e040993adf4f52a44c5e8efb6b2b74
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spelling	oai:doaj.org-article:66e040993adf4f52a44c5e8efb6b2b742021-11-21T12:10:31ZLayering of a health, nutrition and sanitation programme onto microfinance-oriented self-help groups in rural India: results from a process evaluation10.1186/s12889-021-12049-01471-2458https://doaj.org/article/66e040993adf4f52a44c5e8efb6b2b742021-11-01T00:00:00Zhttps://doi.org/10.1186/s12889-021-12049-0https://doaj.org/toc/1471-2458Abstract Background The state of Bihar has been lagging behind Indian national averages on indicators related to maternal and child health, primarily due to lack of knowledge among mothers of young children on lifesaving practices and on where to seek services when healthcare is needed. Hence, the JEEViKA Technical Support Programme was established in 101 blocks to support the state rural livelihood entity, JEEViKA, in order to increase demand for and link rural families to existing health, nutrition and sanitation services. Programme activities were geared to those engaged in JEEViKA’s microfinance-oriented self-help groups. These groups were facilitated by a village-based community mobilizer who was trained on health, nutrition and sanitation-related topics which she later shared in self-help group meetings monthly and during ad hoc home visits. Further, a block-level health, nutrition and sanitation integrator was introduced within JEEViKA to support community mobilizers. Also, indicators were added into the existing monitoring system to routinely capture the layering of health, nutrition and sanitation activities. Methods A process evaluation was conducted from August–November 2017 which comprised of conducting 594 quantitative surveys with community mobilizers, from program and non-programme intervention blocks. Linear and logistic regressions were done to capture the association of at least one training that the community mobilizers received on knowledge of the topics learned and related activities they carried out. Results Community mobilizers who had received at least one training were more likely to have higher levels of knowledge on the topics they learned and were also more likely to carry out related activities, such as interacting with block-level integrators for guidance and support, routinely collect data on health, nutrition and sanitation indicators and spend time weekly on related activities. Conclusions Successful integration of health, nutrition and sanitation programming within a non-health programme such as JEEViKA is possible through trainings provided to dedicated staff in decentralized positions, such as community mobilizers. The findings of this evaluation hold great promise for engaging existing non-health, nutrition and sanitation systems that are serving vulnerable communities to become partners in working towards ensuring stronger health, nutrition and sanitation outcomes for all.Laili IraniJanine SchooleySupriyaIndrajit ChaudhuriBMCarticleSelf-help groupsHealth, nutrition and sanitation programmingMaternal, neonatal and child healthRural IndiaPublic aspects of medicineRA1-1270ENBMC Public Health, Vol 21, Iss 1, Pp 1-14 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Self-help groups Health, nutrition and sanitation programming Maternal, neonatal and child health Rural India Public aspects of medicine RA1-1270
spellingShingle	Self-help groups Health, nutrition and sanitation programming Maternal, neonatal and child health Rural India Public aspects of medicine RA1-1270 Laili Irani Janine Schooley Supriya Indrajit Chaudhuri Layering of a health, nutrition and sanitation programme onto microfinance-oriented self-help groups in rural India: results from a process evaluation
description	Abstract Background The state of Bihar has been lagging behind Indian national averages on indicators related to maternal and child health, primarily due to lack of knowledge among mothers of young children on lifesaving practices and on where to seek services when healthcare is needed. Hence, the JEEViKA Technical Support Programme was established in 101 blocks to support the state rural livelihood entity, JEEViKA, in order to increase demand for and link rural families to existing health, nutrition and sanitation services. Programme activities were geared to those engaged in JEEViKA’s microfinance-oriented self-help groups. These groups were facilitated by a village-based community mobilizer who was trained on health, nutrition and sanitation-related topics which she later shared in self-help group meetings monthly and during ad hoc home visits. Further, a block-level health, nutrition and sanitation integrator was introduced within JEEViKA to support community mobilizers. Also, indicators were added into the existing monitoring system to routinely capture the layering of health, nutrition and sanitation activities. Methods A process evaluation was conducted from August–November 2017 which comprised of conducting 594 quantitative surveys with community mobilizers, from program and non-programme intervention blocks. Linear and logistic regressions were done to capture the association of at least one training that the community mobilizers received on knowledge of the topics learned and related activities they carried out. Results Community mobilizers who had received at least one training were more likely to have higher levels of knowledge on the topics they learned and were also more likely to carry out related activities, such as interacting with block-level integrators for guidance and support, routinely collect data on health, nutrition and sanitation indicators and spend time weekly on related activities. Conclusions Successful integration of health, nutrition and sanitation programming within a non-health programme such as JEEViKA is possible through trainings provided to dedicated staff in decentralized positions, such as community mobilizers. The findings of this evaluation hold great promise for engaging existing non-health, nutrition and sanitation systems that are serving vulnerable communities to become partners in working towards ensuring stronger health, nutrition and sanitation outcomes for all.
format	article
author	Laili Irani Janine Schooley Supriya Indrajit Chaudhuri
author_facet	Laili Irani Janine Schooley Supriya Indrajit Chaudhuri
author_sort	Laili Irani
title	Layering of a health, nutrition and sanitation programme onto microfinance-oriented self-help groups in rural India: results from a process evaluation
title_short	Layering of a health, nutrition and sanitation programme onto microfinance-oriented self-help groups in rural India: results from a process evaluation
title_full	Layering of a health, nutrition and sanitation programme onto microfinance-oriented self-help groups in rural India: results from a process evaluation
title_fullStr	Layering of a health, nutrition and sanitation programme onto microfinance-oriented self-help groups in rural India: results from a process evaluation
title_full_unstemmed	Layering of a health, nutrition and sanitation programme onto microfinance-oriented self-help groups in rural India: results from a process evaluation
title_sort	layering of a health, nutrition and sanitation programme onto microfinance-oriented self-help groups in rural india: results from a process evaluation
publisher	BMC
publishDate	2021
url	https://doaj.org/article/66e040993adf4f52a44c5e8efb6b2b74
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Layering of a health, nutrition and sanitation programme onto microfinance-oriented self-help groups in rural India: results from a process evaluation

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