Improving primary health care delivery in Bihar, India: Learning from piloting and statewide scale-up of Ananya
In 2010, the Bill and Melinda Gates Foundation (BMGF) partnered with the Government of Bihar (GoB), India to launch the program to improve reproductive, maternal, newborn and child health and nutrition (RMNCHN) outcomes. The program sought to address supply- and demand-side barriers to the adoption,...
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| Vydané v: | Journal of global health Ročník 10; číslo 2; s. 021001 |
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Scotland
Edinburgh University Global Health Society
01.12.2020
International Society of Global Health |
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| ISSN: | 2047-2978, 2047-2986, 2047-2986 |
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| Abstract | In 2010, the Bill and Melinda Gates Foundation (BMGF) partnered with the Government of Bihar (GoB), India to launch the
program to improve reproductive, maternal, newborn and child health and nutrition (RMNCHN) outcomes. The program sought to address supply- and demand-side barriers to the adoption, coverage, quality, equity and health impact of select RMNCHN interventions. Approaches included strengthening frontline worker service delivery; social and behavior change communications; layering of health, nutrition and sanitation into women's self-help groups (SHGs); and quality improvement in maternal and newborn care at primary health care facilities.
program interventions were piloted in approximately 28 million population in eight innovation districts from 2011-2013, and then beginning in 2014, were scaled up by the GoB across the rest of the state's population of 104 million. A Bihar Technical Support Program provided techno-managerial support to governmental Health as well as Integrated Child Development Services, and the JEEViKA Technical Support Program supported health layering and scale-up of the GoB's SHG program. The level of support at the block level during statewide scale-up in 2014 onwards was approximately one-fourth that provided in the pilot phase of
in 2011-2013. This paper - the first manuscript in an 11-manuscript and 2-viewpoint collection on Learning from
Lessons for primary health care performance improvement - seeks to provide a broad description of
and subsequent statewide adaptation and scale-up, and capture the background and context, key objectives, interventions, delivery approaches and evaluation methods of this expansive program. Subsequent papers in this collection focus on specific intervention delivery platforms. For the analyses in this series, Stanford University held key informant interviews and worked with the technical support and evaluation grantees of the
program, as well as leadership from the India Country Office of the BMGF, to analyse and synthesise data from multiple sources. Capturing lessons from the
pilot program and statewide scale-up will assist program managers and policymakers to more effectively design and implement RMNCHN programs at scale through technical assistance to governments. |
|---|---|
| AbstractList | In 2010, the Bill and Melinda Gates Foundation (BMGF) partnered with the Government of Bihar (GoB), India to launch the Ananya program to improve reproductive, maternal, newborn and child health and nutrition (RMNCHN) outcomes. The program sought to address supply- and demand-side barriers to the adoption, coverage, quality, equity and health impact of select RMNCHN interventions. Approaches included strengthening frontline worker service delivery; social and behavior change communications; layering of health, nutrition and sanitation into women's self-help groups (SHGs); and quality improvement in maternal and newborn care at primary health care facilities. Ananya program interventions were piloted in approximately 28 million population in eight innovation districts from 2011-2013, and then beginning in 2014, were scaled up by the GoB across the rest of the state's population of 104 million. A Bihar Technical Support Program provided techno-managerial support to governmental Health as well as Integrated Child Development Services, and the JEEViKA Technical Support Program supported health layering and scale-up of the GoB's SHG program. The level of support at the block level during statewide scale-up in 2014 onwards was approximately one-fourth that provided in the pilot phase of Ananya in 2011-2013. This paper - the first manuscript in an 11-manuscript and 2-viewpoint collection on Learning from Ananya: Lessons for primary health care performance improvement - seeks to provide a broad description of Ananya and subsequent statewide adaptation and scale-up, and capture the background and context, key objectives, interventions, delivery approaches and evaluation methods of this expansive program. Subsequent papers in this collection focus on specific intervention delivery platforms. For the analyses in this series, Stanford University held key informant interviews and worked with the technical support and evaluation grantees of the Ananya program, as well as leadership from the India Country Office of the BMGF, to analyse and synthesise data from multiple sources. Capturing lessons from the Ananya pilot program and statewide scale-up will assist program managers and policymakers to more effectively design and implement RMNCHN programs at scale through technical assistance to governments.In 2010, the Bill and Melinda Gates Foundation (BMGF) partnered with the Government of Bihar (GoB), India to launch the Ananya program to improve reproductive, maternal, newborn and child health and nutrition (RMNCHN) outcomes. The program sought to address supply- and demand-side barriers to the adoption, coverage, quality, equity and health impact of select RMNCHN interventions. Approaches included strengthening frontline worker service delivery; social and behavior change communications; layering of health, nutrition and sanitation into women's self-help groups (SHGs); and quality improvement in maternal and newborn care at primary health care facilities. Ananya program interventions were piloted in approximately 28 million population in eight innovation districts from 2011-2013, and then beginning in 2014, were scaled up by the GoB across the rest of the state's population of 104 million. A Bihar Technical Support Program provided techno-managerial support to governmental Health as well as Integrated Child Development Services, and the JEEViKA Technical Support Program supported health layering and scale-up of the GoB's SHG program. The level of support at the block level during statewide scale-up in 2014 onwards was approximately one-fourth that provided in the pilot phase of Ananya in 2011-2013. This paper - the first manuscript in an 11-manuscript and 2-viewpoint collection on Learning from Ananya: Lessons for primary health care performance improvement - seeks to provide a broad description of Ananya and subsequent statewide adaptation and scale-up, and capture the background and context, key objectives, interventions, delivery approaches and evaluation methods of this expansive program. Subsequent papers in this collection focus on specific intervention delivery platforms. For the analyses in this series, Stanford University held key informant interviews and worked with the technical support and evaluation grantees of the Ananya program, as well as leadership from the India Country Office of the BMGF, to analyse and synthesise data from multiple sources. Capturing lessons from the Ananya pilot program and statewide scale-up will assist program managers and policymakers to more effectively design and implement RMNCHN programs at scale through technical assistance to governments. In 2010, the Bill and Melinda Gates Foundation (BMGF) partnered with the Government of Bihar (GoB), India to launch the Ananya program to improve reproductive, maternal, newborn and child health and nutrition (RMNCHN) outcomes. The program sought to address supply- and demand-side barriers to the adoption, coverage, quality, equity and health impact of select RMNCHN interventions. Approaches included strengthening frontline worker service delivery; social and behavior change communications; layering of health, nutrition and sanitation into women’s self-help groups (SHGs); and quality improvement in maternal and newborn care at primary health care facilities. Ananya program interventions were piloted in approximately 28 million population in eight innovation districts from 2011-2013, and then beginning in 2014, were scaled up by the GoB across the rest of the state’s population of 104 million. A Bihar Technical Support Program provided techno-managerial support to governmental Health as well as Integrated Child Development Services, and the JEEViKA Technical Support Program supported health layering and scale-up of the GoB’s SHG program. The level of support at the block level during statewide scale-up in 2014 onwards was approximately one-fourth that provided in the pilot phase of Ananya in 2011-2013. This paper – the first manuscript in an 11-manuscript and 2-viewpoint collection on Learning from Ananya: Lessons for primary health care performance improvement – seeks to provide a broad description of Ananya and subsequent statewide adaptation and scale-up, and capture the background and context, key objectives, interventions, delivery approaches and evaluation methods of this expansive program. Subsequent papers in this collection focus on specific intervention delivery platforms. For the analyses in this series, Stanford University held key informant interviews and worked with the technical support and evaluation grantees of the Ananya program, as well as leadership from the India Country Office of the BMGF, to analyse and synthesise data from multiple sources. Capturing lessons from the Ananya pilot program and statewide scale-up will assist program managers and policymakers to more effectively design and implement RMNCHN programs at scale through technical assistance to governments. In 2010, the Bill and Melinda Gates Foundation (BMGF) partnered with the Government of Bihar (GoB), India to launch the program to improve reproductive, maternal, newborn and child health and nutrition (RMNCHN) outcomes. The program sought to address supply- and demand-side barriers to the adoption, coverage, quality, equity and health impact of select RMNCHN interventions. Approaches included strengthening frontline worker service delivery; social and behavior change communications; layering of health, nutrition and sanitation into women's self-help groups (SHGs); and quality improvement in maternal and newborn care at primary health care facilities. program interventions were piloted in approximately 28 million population in eight innovation districts from 2011-2013, and then beginning in 2014, were scaled up by the GoB across the rest of the state's population of 104 million. A Bihar Technical Support Program provided techno-managerial support to governmental Health as well as Integrated Child Development Services, and the JEEViKA Technical Support Program supported health layering and scale-up of the GoB's SHG program. The level of support at the block level during statewide scale-up in 2014 onwards was approximately one-fourth that provided in the pilot phase of in 2011-2013. This paper - the first manuscript in an 11-manuscript and 2-viewpoint collection on Learning from Lessons for primary health care performance improvement - seeks to provide a broad description of and subsequent statewide adaptation and scale-up, and capture the background and context, key objectives, interventions, delivery approaches and evaluation methods of this expansive program. Subsequent papers in this collection focus on specific intervention delivery platforms. For the analyses in this series, Stanford University held key informant interviews and worked with the technical support and evaluation grantees of the program, as well as leadership from the India Country Office of the BMGF, to analyse and synthesise data from multiple sources. Capturing lessons from the pilot program and statewide scale-up will assist program managers and policymakers to more effectively design and implement RMNCHN programs at scale through technical assistance to governments. |
| Author | Monaghan, Sophia Munar, Wolfgang A Tarigopula, Usha Kiran Abdalla, Safa Irani, Laili Creanga, Andreea Chaudhuri, Indrajit Nanda, Priya Weng, Yingjie Walker, Dilys Wilhelm, Jess Darmstadt, Gary L Atmavilas, Yamini Bentley, Jason Borkum, Evan Sastry, Padmapriya Mitra, Radharani Saggurti, Niranjan Schooley, Janine Raheel, Hina Pepper, Kevin T Rangarajan, Anu Srikantiah, Sridhar Mahapatra, Tanmay Mehta, Kala M Carmichael, Suzan L Chamberlain, Sara Bhattacharya, Debarshi Dutt, Priyanka Trehan, Shamik Shah, Hemant Ward, Victoria C |
| Author_xml | – sequence: 1 givenname: Gary L surname: Darmstadt fullname: Darmstadt, Gary L organization: Department of Pediatrics, Stanford University School of Medicine, Stanford, California, USA – sequence: 2 givenname: Kevin T surname: Pepper fullname: Pepper, Kevin T organization: Department of Pediatrics, Stanford University School of Medicine, Stanford, California, USA – sequence: 3 givenname: Victoria C surname: Ward fullname: Ward, Victoria C organization: Department of Pediatrics, Stanford University School of Medicine, Stanford, California, USA – sequence: 4 givenname: Sridhar surname: Srikantiah fullname: Srikantiah, Sridhar organization: CARE India, Patna, India – sequence: 5 givenname: Tanmay surname: Mahapatra fullname: Mahapatra, Tanmay organization: CARE India, Patna, India – sequence: 6 givenname: Usha Kiran surname: Tarigopula fullname: Tarigopula, Usha Kiran organization: Bill and Melinda Gates Foundation, Delhi, India – sequence: 7 givenname: Debarshi surname: Bhattacharya fullname: Bhattacharya, Debarshi organization: Bill and Melinda Gates Foundation, Delhi, India – sequence: 8 givenname: Laili surname: Irani fullname: Irani, Laili organization: Population Council, New Delhi, India – sequence: 9 givenname: Janine surname: Schooley fullname: Schooley, Janine organization: Project Concern International, Delhi, India, and San Diego, California, USA – sequence: 10 givenname: Indrajit surname: Chaudhuri fullname: Chaudhuri, Indrajit organization: Project Concern International, Delhi, India, and San Diego, California, USA – sequence: 11 givenname: Priyanka surname: Dutt fullname: Dutt, Priyanka organization: BBC Media Action (India), New Delhi, India – sequence: 12 givenname: Padmapriya surname: Sastry fullname: Sastry, Padmapriya organization: BBC Media Action (India), New Delhi, India – sequence: 13 givenname: Radharani surname: Mitra fullname: Mitra, Radharani organization: BBC Media Action (India), New Delhi, India – sequence: 14 givenname: Sara surname: Chamberlain fullname: Chamberlain, Sara organization: BBC Media Action (India), New Delhi, India – sequence: 15 givenname: Sophia surname: Monaghan fullname: Monaghan, Sophia organization: Department of Pediatrics, Stanford University School of Medicine, Stanford, California, USA – sequence: 16 givenname: Priya surname: Nanda fullname: Nanda, Priya organization: Bill and Melinda Gates Foundation, Delhi, India – sequence: 17 givenname: Yamini surname: Atmavilas fullname: Atmavilas, Yamini organization: Bill and Melinda Gates Foundation, Delhi, India – sequence: 18 givenname: Niranjan surname: Saggurti fullname: Saggurti, Niranjan organization: Population Council, New Delhi, India – sequence: 19 givenname: Evan surname: Borkum fullname: Borkum, Evan organization: Mathematica, Princeton, New Jersey, USA – sequence: 20 givenname: Anu surname: Rangarajan fullname: Rangarajan, Anu organization: Mathematica, Princeton, New Jersey, USA – sequence: 21 givenname: Kala M surname: Mehta fullname: Mehta, Kala M organization: Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA – sequence: 22 givenname: Safa surname: Abdalla fullname: Abdalla, Safa organization: Department of Pediatrics, Stanford University School of Medicine, Stanford, California, USA – sequence: 23 givenname: Jess surname: Wilhelm fullname: Wilhelm, Jess organization: Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA – sequence: 24 givenname: Yingjie surname: Weng fullname: Weng, Yingjie organization: Quantitaitve Sciences Unit, Department of Medicine, Stanford University, Stanford, CA, USA – sequence: 25 givenname: Suzan L surname: Carmichael fullname: Carmichael, Suzan L organization: Department of Pediatrics, Stanford University School of Medicine, Stanford, California, USA – sequence: 26 givenname: Hina surname: Raheel fullname: Raheel, Hina organization: Department of Pediatrics, Stanford University School of Medicine, Stanford, California, USA – sequence: 27 givenname: Jason surname: Bentley fullname: Bentley, Jason organization: Quantitaitve Sciences Unit, Department of Medicine, Stanford University, Stanford, CA, USA – sequence: 28 givenname: Wolfgang A surname: Munar fullname: Munar, Wolfgang A organization: George Washington University Milken Institute School of Public Health, Washington DC, USA – sequence: 29 givenname: Andreea surname: Creanga fullname: Creanga, Andreea organization: Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA – sequence: 30 givenname: Shamik surname: Trehan fullname: Trehan, Shamik organization: Dr Reddy's Foundation, Hyderabad, India – sequence: 31 givenname: Dilys surname: Walker fullname: Walker, Dilys organization: Department of Obstetrics and Gynecology and Reproductive Services, University of California San Francisco, San Francisco, California, USA – sequence: 32 givenname: Hemant surname: Shah fullname: Shah, Hemant organization: CARE India, Patna, India |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/33414906$$D View this record in MEDLINE/PubMed |
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| Copyright | Copyright © 2020 by the Journal of Global Health. All rights reserved. Copyright © 2020 by the Journal of Global Health. All rights reserved. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. Copyright © 2020 by the Journal of Global Health. All rights reserved. 2020 |
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| Snippet | In 2010, the Bill and Melinda Gates Foundation (BMGF) partnered with the Government of Bihar (GoB), India to launch the
program to improve reproductive,... In 2010, the Bill and Melinda Gates Foundation (BMGF) partnered with the Government of Bihar (GoB), India to launch the Ananya program to improve reproductive,... |
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| SubjectTerms | Child Delivery of Health Care Design Female Funding Global health Health care Health Promotion Health services Humans India Infant, Newborn Innovations Maternal-Child Health Centers Objectives Primary care Primary Health Care Reproductive Health Research methodology Research Theme 6: Learning from Ananya Programme in Bihar Rural areas |
| Title | Improving primary health care delivery in Bihar, India: Learning from piloting and statewide scale-up of Ananya |
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