Planning and preparation of VHND through convergence: Sharing experiences from Uttarakhand

Saxena, Vartika; Kumari, Ranjeeta; Kumar, Praveer; Bhola, Nath; Pal, Ranabir

doi:10.1016/j.cegh.2014.11.001

Cited by 5 publications

(4 citation statements)

References 11 publications

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“…Of the 46 articles (38%) without a specific health topic focus, many relate to cross-cutting functions that support the ASHA’s core role as maternal and child health promoters. These articles include research on the association between educational level and ASHA capacity (such as filling in the village health register tracking children and pregnant women) [ 65 ], the ASHA’s role in multiple reproductive, maternal and child health functions [ 50 , 51 , 56 ], in village health and nutrition days [ 59 , 99 ], and in village health, sanitation and nutrition committees [ 43 ] (Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…However, few articles examined community selection of CHWs (13%, n = 16/122), links to local government (the Panchayati Raj institutions) (12%, n = 15/122), the role of health committees (11%, n = 13/122), community oversight and support for CHWs (8%, n = 10/122), and CHW as a community representative (7%, n = 8/122). Ten articles (8%) focused specifically on the CHW–community interface, including ASHA relationships with the community [ 36 , 40 , 69 , 143 ], village health and nutrition days [ 59 , 99 ], health committees [ 43 , 144 ], a maternal health video dissemination intervention [ 70 ], and ASHA communication and leadership in their communities [ 68 ].…”

Section: Resultsmentioning

confidence: 99%

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Taking stock of 10 years of published research on the ASHA programme: examining India’s national community health worker programme from a health systems perspective

Scott

George

Ved

2019

Health Res Policy Sys

131

129

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Background: As India's accredited social health activist (ASHA) community health worker (CHW) programme enters its second decade, we take stock of the research undertaken and whether it examines the health systems interfaces required to sustain the programme at scale. Methods: We systematically searched three databases for articles on ASHAs published between 2005 and 2016. Articles that met the inclusion criteria underwent analysis using an inductive CHW-health systems interface framework. Results: A total of 122 academic articles were identified (56 quantitative, 29 mixed methods, 28 qualitative, and 9 commentary or synthesis); 44 articles reported on special interventions and 78 on the routine ASHA program. Findings on special interventions were overwhelmingly positive, with few negative or mixed results. In contrast, 55% of articles on the routine ASHA programme showed mixed findings and 23% negative, with few indicating overall positive findings, reflecting broader system constraints. Over half the articles had a health system perspective, including almost all those on general ASHA work, but only a third of those with a health condition focus. The most extensively researched health systems topics were ASHA performance, training and capacity-building, with very little research done on programme financing and reporting, ASHA grievance redressal or peer communication. Research tended to be descriptive, with fewer influence, explanatory or exploratory articles, and no predictive or emancipatory studies. Indian institutions and authors led and partnered on most of the research, wrote all the critical commentaries, and published more studies with negative results. Conclusion: Published work on ASHAs highlights a range of small-scale innovations, but also showcases the challenges faced by a programme at massive scale, situated in the broader health system. As the programme continues to evolve, critical comparative research that constructively feeds back into programme reforms is needed, particularly related to governance, intersectoral linkages, ASHA solidarity, and community capacity to provide support and oversight.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Taking stock of 10 years of published research on the ASHA programme: examining India’s national community health worker programme from a health systems perspective

Scott

George

Ved

2019

Health Res Policy Sys

131

129

View full text Add to dashboard Cite

show abstract

“…Other services are lacking, which is defeating the idea of using the VHND as a tool for convergence that has been reported in literature. [ 14 ] There is need for strengthening the AWC with all needed equipments, instruments, vaccines, medicines and supplementary nutrition for providing all the defined services. This will further build the credibility of AWC in the community.…”

Section: Discussionmentioning

confidence: 99%

Availability of Village Health and Nutrition Day services in Uttarakhand, India

Saxena

Kumar

Kumari

et al. 2015

J Family Med Prim Care

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Background:Village Health and Nutrition Day (VHND) was identified to provide primary care services (health, nutrition and sanitation) at village level under National Rural Health Mission.Aim:The study aimed to assess availability of health, nutrition and sanitation services, required instruments/equipment and medicines at VHND with client satisfaction from the VHND services.Materials and Methods:A cross-sectional study was conducted in three districts of Uttarakhand at Nainital, Tehri-Garhwal and Chamoli involving 24 villages in six blocks using multistage stratified sampling using predesigned pretested observation checklists (quantitative data). All the concerned functionaries of health, Integrated Child Development Services and Panchayati Raj Institution were interviewed (qualitative data) to understand the gap in services and remediation.Results:Of the 24 VHNDs observed, blood pressure measurement was done at 11 (45.83%) and weight at 13 (54.17%) sites in ante-natal care services; non-availability of blood pressure instrument and adult weighing machine were 45.83% and 41.66% sites, respectively. Immunization for children was provided at 22 sites; however, availability of other services were poor-vitamin A (three), growth monitoring of children (seven); supplementary nutrition (five); identification of households for construction of toilet (eight). Yet, one-third of clients provided three and four for satisfaction from VHND services on the scale score of 1–5.Conclusion:It was noted that none of the VHND site was providing all the stipulated services, though immunization was provided mostly. Anganwadi centers were lacking availability of various essential instruments and equipment. So regular orientation of village functionaries for ensuring all the VHND services with the availability of required logistic is recommended.

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“…The main task for ASHA workers is to encourage the women to seek Ante Natal Checkups (ANC) and give birth in health centres [4,5,6]. Monthly Village Health and Nutrition Day (VHND) is an Anganwadi activity for maternal and child care that includes nutrition also [7]. Mother Child Tracking System/Reproductive Child Health (MCTS/RCH) is a web based application to track all pregnant women and children to use full services [8,9].…”

Section: Introductionmentioning

confidence: 99%

Data Mining Probabilistic Classifiers for Extracting Knowledge from Maternal Health Datasets

Sourabh*,

Mansotra

2019

IJITEE

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Data Mining is an important sub-process of Knowledge Discovery in Databases (KDD) or Knowledge Discovery Process (KDP) methodology that is mainly used for applying various data mining techniques and algorithms on the target data. In this research paper, the authors have made an attempt to discover knowledge by classifying the maternal healthcare data of Jammu and Kashmir State of India (now declared as Union Territory by the Government of India). The data for the present research work was collected from a web portal named as Health Management Information System (HMIS) facilitated by Ministry of Health and Family Welfare (MoHFW), Government of India. The data consists of diverse health parameters pertaining to the maternal health of women and for this study, the maternal healthcare data of all districts of Jammu and Kashmir State was considered. Two data mining classifiers viz. Bayesian TAN and Naïve Bayes were applied for classifying the districts of Jammu and Kashmir State into High MMR and Low MMR districts based on the available past data from 2014 to 2018. Additionally, evaluation measures viz. Accuracy, F-measure, Area under the Curve (AUC), and Gini have been used to evaluate the performance of the models developed by Bayesian TAN and Naïve Bayes.

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Planning and preparation of VHND through convergence: Sharing experiences from Uttarakhand

Abstract: c l i n i c a l e p i d e m i o l o g y a n d g l o b a l h e a l t h 3 ( 2 0 1 5 ) 1 2 5 -1 3 1 a r t i c l e i n f o Article history:

Cited by 5 publications

References 11 publications

Taking stock of 10 years of published research on the ASHA programme: examining India’s national community health worker programme from a health systems perspective

Taking stock of 10 years of published research on the ASHA programme: examining India’s national community health worker programme from a health systems perspective

Availability of Village Health and Nutrition Day services in Uttarakhand, India

Data Mining Probabilistic Classifiers for Extracting Knowledge from Maternal Health Datasets

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