Applying Positive Deviance for Improving Compliance to Adolescent Anemia Control Program in Tribal Communities of India

Sethi, Vani; Sternin, Monique; Sharma, Deepika; Bhanot, Arti; Mebrahtu, Saba

doi:10.1177/0379572117712791

Cited by 9 publications

(14 citation statements)

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“…The programme also strengthens existing programmes that address nonnutritional causes of anaemia (bed nets in malaria‐endemic areas, sickle cell anaemia, fluorosis). Beyond the Anaemia Free India programme, additional complementary interventions that may be particularly important for adolescents include the provision of mid‐day meals (which, currently, are not offered to adolescents 15 years or older under India's Mid‐Day Meal Scheme, PM‐POSHAN), cash transfers to keep girls in school and prevent early marriage and special programmes targeted at regions with a high prevalence of sickle cell anaemia (Aguayo et al, 2013 ; MoHFW, Government of India, 2012 ; Sethi et al, 2017 ). Anaemia camps to test, treat and counsel adolescents, which are a part of the Anaemia Free India programme, should target vulnerable populations— especially adolescent girls out of school—engage with school health programmes, and screen for haemoglobinopathies.…”

Section: Discussionmentioning

confidence: 99%

“…While there is a growing consensus that nutrition‐specific strategies alone will not end anaemia, our findings highlight the need for nutrition‐specific strategies that focus on iron but also address deficiencies in other micronutrients such as vitamin A and zinc. The IFA supplementation strategy has supply and compliance barriers (Ramakrishnan et al, 2012 ; Sethi et al, 2017 ), which still need to be addressed. Evidence on the effectiveness of anaemia reduction in adolescents using multiple micronutrient supplementation is limited and more research, particularly large‐scale implementation and operational research, is needed in this direction.…”

Section: Discussionmentioning

confidence: 99%

“…India is among the few countries in South Asia and the world to have a comprehensive programme to address anaemia in the adolescent While there is a growing consensus that nutrition-specific strategies alone will not end anaemia, our findings highlight the need for nutrition-specific strategies that focus on iron but also address deficiencies in other micronutrients such as vitamin A and zinc. The IFA supplementation strategy has supply and compliance barriers (Ramakrishnan et al, 2012;Sethi et al, 2017), which still need to be addressed. Evidence on the effectiveness of anaemia reduction in…”

Section: Policy and Programme Context And Implicationsmentioning

confidence: 99%

See 2 more Smart Citations

Anaemia in Indians aged 10–19 years: Prevalence, burden and associated factors at national and regional levels

Scott

Lahiri

Sethi

et al. 2022

Maternal & Child Nutrition

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Anaemia control programmes in India are hampered by a lack of representative evidence on anaemia prevalence, burden and associated factors for adolescents. The aim of this study was to: (1) describe the national and subnational prevalence, severity and burden of anaemia among Indian adolescents; (2) examine factors associated with anaemia at national and regional levels. Data (n = 14,673 individuals aged 10-19 years) were from India's Comprehensive National Nutrition Survey (CNNS, 2016(CNNS, -2018. CNNS used a multistage, stratified, probability proportion to size cluster sampling design. Prevalence was estimated using globally comparable age-and sex-specific cutoffs, using survey weights for biomarker sample collection.Burden analysis used prevalence estimates and projected population from 2011 Census data. Multivariable logistic regression models were used to analyse factors (diet, micronutrient deficiencies, haemoglobinopathies, sociodemographic factors, environment) associated with anaemia. Anaemia was present in 40% of girls and 18% of boys, equivalent to 72 million adolescents in 2018, and varied by region (girls 29%-46%; boys 11%-28%) and state (girls 7%-62%; boys 4%-32%). Iron deficiency

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Policy and Programme Context And Implicationsmentioning

confidence: 99%

See 1 more Smart Citation

Anaemia in Indians aged 10–19 years: Prevalence, burden and associated factors at national and regional levels

Scott

Lahiri

Sethi

et al. 2022

Maternal & Child Nutrition

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“…Dalam meningkatkan pengetahuan dan sikap serta perilaku minum tablet tambah darah, guru sebagai pembimbig, orang tua sebagai pendamping dan tenaga kesehatan dalam memberikan konseling dan pendampingan. Seperti pada penelitian di India tentang peran guru dan orang tua dalam mendampingi remaja pada program WIFS (Sethi et al, 2017), jumlah petugas kesehatan yang tidak memadai adalah tantangan utama yang dihadapi sektor kesehatan di negara berkembang. Bebrapa media dapat membantu dalam peningkatan pengetahuan dan informasi kepada pasien (Manganello et al, 2017).…”

Section: Sikap Perilaku Kepatuhan Dan Kadar Hemoglobinunclassified

Sikap Dan Kepatuhan Minum Suplemen Zat Besi Berhubungan Dengan Kadar Hemoglobin Pada Remaja Putri

Rohani

Diniarti

Yuliasri³

2022

JIK

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Prevalensi anemia terus meningkat pada usia reproduktif peningkatan terjadi setiap tahunya 29,4% sampai 33,3 %, penyebab terbanyak dari anemia adalah kekurangan zat besi. Pelitian ini bertujuan untuk mengetahi hubungan Sikap dan perilaku kepatuhan minum suplemen zat besi pada remaja putri sekolah dengan kadar hemoglobin Penelitian ini dengan pendekatan Cross Sectional penelitian dini di lakukan di kabupaten Bantul, propinsi Yogyakarta Indoneisa, Jumlah responden 239 remaja putri sekolah berusia 15 sampai 18 tahun, didaptkan hasil 49,6 % remaja putri mengalami anemia. Factor-faktor yang berhubungan dnegan anemia adalah sikap (p valeu=0.014), perilaku minum zat besi (p valeu=0.001), setalh dilakukan uji multivariate kepatuhan minum zat besi menjadi factor dominan dengan OR 3,5. Temua dalam penelitian ini adalah dengan sikap yanga mendukung dan mengkonsumsi suplemen zat besi secara teratur dapat meningkatkan kadar hemogolobin pada remja putri sekolah.

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“…And since programmatic studies' main interest is just in post hoc identification of reasons for deviants to adopt or engage with the focal programme, they usually end at the third stage of the PD methodology. Example studies include programmes concerned with malnutrition (D'Alimonte, Deshmukh, Jayaraman, Chanani, & Humphries, ; Levinson, Barney, Bassett, & Schultink, ; Sethi, Sternin, Sharma, Bhanot, & Mebrahtu, ), farmer training (Tekle, ), and livestock feed technology adoption (Birhanu, Girma, & Puskur, ).…”

Section: Positive Deviancementioning

confidence: 99%

Positive deviance, big data, and development: A systematic literature review

Albanna

Heeks

2018

E J Info Sys Dev Countries

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Positive deviance is a growing approach in international development that identifies those within a population who are outperforming their peers in some way, eg, children in low-income families who are well nourished when those around them are not. Analysing and then disseminating the behaviours and other factors underpinning positive deviance are demonstrably effective in delivering development results. However, positive deviance faces a number of challenges that are restricting its diffusion.In this paper, using a systematic literature review, we analyse the current state of positive deviance and the potential for big data to address the challenges facing positive deviance. From this, we evaluate the promise of "big data-based positive deviance": This would analyse typical sources of big data in developing countries-mobile phone records, social media, remote sensing data, etc-to identify both positive deviants and the factors underpinning their superior performance. While big data cannot solve all the challenges facing positive deviance as a development tool, they could reduce time, cost, and effort; identify positive deviants in new or better ways; and enable positive deviance to break out of its current preoccupation with public health into domains such as agriculture, education, and urban planning. In turn, positive deviance could provide a new and systematic basis for extracting real-world development impacts from big data. KEYWORDS big data, developing countries, machine learning, mobile data, positive deviance, systematic literature review 1 | INTRODUCTIONMany development practitioners continue to use a traditional "needs-based" approach to development, involving top-down identification of needs and problems, and the external imposition of solutions that meet those needs. This type of approach can work well in addressing specific technical challenges. But it works much less well where development requires learning and behavioural change by beneficiary groups, something which necessitates much greater knowledge of and engagement with beneficiary communities (Nel, 2018;Pascale, Sternin, & Sternin, 2010;Saïd Business School, 2010;Singhal, 2011). As a result, more bottom-up "asset-based" approaches have come into existence, which capitalize on a community's inherent assets and capabilities-including knowledge-in solving development problems. Positive deviance (PD) is one such assetbased approach. It is based on the observation that in every group or community, a few individuals use uncommon practices and behaviours to achieve better solutions to problems than their peers who face the same challenges and barriers (Pascale et al., 2010). Those individuals are referred to as "positive deviants" (PDs), and adopting their solutions on a wider basis is referred to as the PD approach.The term "positive deviance" was first used in 1976 to describe a practical strategy for the design of food supplementation programmes in Central America, a strategy that was derived endogenously rather than exogenously through identify...

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Applying Positive Deviance for Improving Compliance to Adolescent Anemia Control Program in Tribal Communities of India

Abstract: Government-led PD approach uncovered local solutions and provided a forum for government functionaries to listen to and dialogue with, and an opportunity to adapt the program according to the needs of the affected communities, who are missing partners in program design and management.

Cited by 9 publications

References 8 publications

Anaemia in Indians aged 10–19 years: Prevalence, burden and associated factors at national and regional levels

Anaemia in Indians aged 10–19 years: Prevalence, burden and associated factors at national and regional levels

Sikap Dan Kepatuhan Minum Suplemen Zat Besi Berhubungan Dengan Kadar Hemoglobin Pada Remaja Putri

Positive deviance, big data, and development: A systematic literature review

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