ArticlePloS one2017
Impact of a Multi-Strategy Community Intervention to Reduce Maternal and Child Health Inequalities in India: A Qualitative Study in Haryana.
Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Community health workers and health equity in low- and middle-income countries: systematic review and recommendations for policy and practice.International journal for equity in health · 2022Pooled it
- Effects of community health worker interventions on socioeconomic inequities in maternal and newborn health in low-income and middle-income countries: a mixed-methods systematic review.BMJ global health · 2019Pooled it
- Residents' perspectives on a resident-centered neighborhood approach to support health: a qualitative study.BMC health services research · 2025Article
- Asset-based wealth inequalities in maternal anaemia prevalence across Indian states: A decomposition analysis of nationally representative data.Journal of health, population, and nutrition · 2025Article
- Article
- Improving child health service interventions through a Theory of Change: A scoping review.Frontiers in pediatrics · 2023Article
- Change in full immunization inequalities in Indian children 12-23 months: an analysis of household survey data.BMC public health · 2021Article
- Understanding the roles of community health workers in improving perinatal health equity in rural Uttar Pradesh, India: a qualitative study.International journal for equity in health · 2021Article
- Characterizing mothers and children at risk of being under-immunized in India: A latent class analysis approach.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2020Article
- Distance to Specialist Medical Care and Diagnosis of Obstructive Sleep Apnea in Rural Saskatchewan.Canadian respiratory journal · 2019Article
- Contribution of social factors to maternal deaths in urban India: Use of care pathway and delay models.PloS one · 2018Article
- A mixed methods study on evaluating the performance of a multi-strategy national health program to reduce maternal and child health disparities in Haryana, India.BMC public health · 2017Article
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Abstract
A multi-strategy community intervention, known as National Rural Health Mission (NRHM), was implemented in India from 2005 to 2012. By improving the availability of and access to better-quality healthcare, the aim was to reduce maternal and child health (MCH) inequalities. This study was planned to explore the perceptions and beliefs of stakeholders about extent of implementation and effectiveness of NRHM's health sector plans in improving MCH status and reducing inequalities. A total of 33 in-depth interviews (n = 33) with program managers, community representatives, mothers and 8 focus group discussions (n = 42) with health service providers were conducted from September to December 2013, in Haryana, post NRHM. Using NVivo software (version 9), an inductive applied thematic analysis was done based upon grounded theory, program theory of change and a framework approach. Almost all the participants reported that there was an improvement in overall health infrastructure through an increased availability of accredited social health activists, free ambulance services, and free treatment facilities in rural areas. This had increased the demand and utilization of MCH services, especially for those related to institutional delivery, even by the poor families. Service providers felt that acute shortage of human resources was a major health system level barrier. District-specific individual, community, and socio-political level barriers were also observed. Overall program managers, service providers and community representatives believed that NRHM had a role in improving MCH outcomes and in reduction of geographical and socioeconomic inequalities, through improvement in accessibility, availability and affordability of the MCH services in the rural areas and for the poor. Any reduction in gender-based inequalities, however, was linked to the adoption of small family sizes and an increase in educational levels.
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