Trends in reproductive, maternal, newborn and child health and nutrition indicators during five years of piloting and scaling-up of Ananya interventions in Bihar, India
The program in Bihar implemented household and community-level interventions to improve reproductive, maternal, newborn and child health and nutrition (RMNCHN) in two phases: a first phase of intensive ancillary support to governmental implementation and innovation testing by non-government organisa...
Gespeichert in:
| Veröffentlicht in: | Journal of global health Jg. 10; H. 2; S. 021003 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , , , , , , , |
| Format: | Journal Article |
| Sprache: | Englisch |
| Veröffentlicht: |
Scotland
Edinburgh University Global Health Society
01.12.2020
International Society of Global Health |
| Schlagworte: | |
| ISSN: | 2047-2978, 2047-2986, 2047-2986 |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| Abstract | The
program in Bihar implemented household and community-level interventions to improve reproductive, maternal, newborn and child health and nutrition (RMNCHN) in two phases: a first phase of intensive ancillary support to governmental implementation and innovation testing by non-government organisation (NGO) partners in eight focus districts (2012-2014), followed by a second phase of state-wide government-led implementation with techno-managerial assistance from NGOs (2014 onwards). This paper examines trends in RMNCHN indicators in the program's implementation districts from 2012-2017.
Eight consecutive rounds of cross-sectional Community-based Household Surveys conducted by CARE India in 2012-2017 provided comparable data on a large number of indicators of frontline worker (FLW) performance, mothers' behaviours, and facility-based care and outreach service delivery across the continuum of maternal and child care. Logistic regression, considering the complex survey design and sample weights generated by that design, was used to estimate trends using survey rounds 2-5 for the first phase in the eight focus districts and rounds 6-9 for the second phase in all 38 districts statewide, as well as the overall change from round 2-9 in focus districts. To aid in contextualising the results, indicators were also compared amongst the formerly focus and the non-focus districts at the beginning of the second phase.
In the first phase, the levels of 34 out of 52 indicators increased significantly in the focus districts, including almost all indicators of FLW performance in antenatal and postnatal care, along with mother's birth preparedness, some breastfeeding practices, and immunisations. Between the two phases, 33 of 52 indicators declined significantly. In the second phase, the formerly focus districts experienced a rise in the levels of 14 of 50 indicators and a decline in the levels of 14 other indicators. There was a rise in the levels of 22 out of 50 indicators in the non-focus districts in the second phase, with a decline in the levels of 13 other indicators.
Improvements in indicators were conditional on implementation support to program activities at a level of intensity that was higher than what could be achieved at scale so far. Successes during the pilot phase of intensive support suggests that RMNCHN can be improved statewide in Bihar with sufficient investments in systems performance improvements.
ClinicalTrials.gov number NCT02726230. |
|---|---|
| AbstractList | BackgroundThe Ananya program in Bihar implemented household and community-level interventions to improve reproductive, maternal, newborn and child health and nutrition (RMNCHN) in two phases: a first phase of intensive ancillary support to governmental implementation and innovation testing by non-government organisation (NGO) partners in eight focus districts (2012-2014), followed by a second phase of state-wide government-led implementation with techno-managerial assistance from NGOs (2014 onwards). This paper examines trends in RMNCHN indicators in the program’s implementation districts from 2012-2017.MethodsEight consecutive rounds of cross-sectional Community-based Household Surveys conducted by CARE India in 2012-2017 provided comparable data on a large number of indicators of frontline worker (FLW) performance, mothers’ behaviours, and facility-based care and outreach service delivery across the continuum of maternal and child care. Logistic regression, considering the complex survey design and sample weights generated by that design, was used to estimate trends using survey rounds 2-5 for the first phase in the eight focus districts and rounds 6-9 for the second phase in all 38 districts statewide, as well as the overall change from round 2-9 in focus districts. To aid in contextualising the results, indicators were also compared amongst the formerly focus and the non-focus districts at the beginning of the second phase.ResultsIn the first phase, the levels of 34 out of 52 indicators increased significantly in the focus districts, including almost all indicators of FLW performance in antenatal and postnatal care, along with mother’s birth preparedness, some breastfeeding practices, and immunisations. Between the two phases, 33 of 52 indicators declined significantly. In the second phase, the formerly focus districts experienced a rise in the levels of 14 of 50 indicators and a decline in the levels of 14 other indicators. There was a rise in the levels of 22 out of 50 indicators in the non-focus districts in the second phase, with a decline in the levels of 13 other indicators.ConclusionsImprovements in indicators were conditional on implementation support to program activities at a level of intensity that was higher than what could be achieved at scale so far. Successes during the pilot phase of intensive support suggests that RMNCHN can be improved statewide in Bihar with sufficient investments in systems performance improvements.Study registrationClinicalTrials.gov number NCT02726230. The Ananya program in Bihar implemented household and community-level interventions to improve reproductive, maternal, newborn and child health and nutrition (RMNCHN) in two phases: a first phase of intensive ancillary support to governmental implementation and innovation testing by non-government organisation (NGO) partners in eight focus districts (2012-2014), followed by a second phase of state-wide government-led implementation with techno-managerial assistance from NGOs (2014 onwards). This paper examines trends in RMNCHN indicators in the program's implementation districts from 2012-2017.BACKGROUNDThe Ananya program in Bihar implemented household and community-level interventions to improve reproductive, maternal, newborn and child health and nutrition (RMNCHN) in two phases: a first phase of intensive ancillary support to governmental implementation and innovation testing by non-government organisation (NGO) partners in eight focus districts (2012-2014), followed by a second phase of state-wide government-led implementation with techno-managerial assistance from NGOs (2014 onwards). This paper examines trends in RMNCHN indicators in the program's implementation districts from 2012-2017.Eight consecutive rounds of cross-sectional Community-based Household Surveys conducted by CARE India in 2012-2017 provided comparable data on a large number of indicators of frontline worker (FLW) performance, mothers' behaviours, and facility-based care and outreach service delivery across the continuum of maternal and child care. Logistic regression, considering the complex survey design and sample weights generated by that design, was used to estimate trends using survey rounds 2-5 for the first phase in the eight focus districts and rounds 6-9 for the second phase in all 38 districts statewide, as well as the overall change from round 2-9 in focus districts. To aid in contextualising the results, indicators were also compared amongst the formerly focus and the non-focus districts at the beginning of the second phase.METHODSEight consecutive rounds of cross-sectional Community-based Household Surveys conducted by CARE India in 2012-2017 provided comparable data on a large number of indicators of frontline worker (FLW) performance, mothers' behaviours, and facility-based care and outreach service delivery across the continuum of maternal and child care. Logistic regression, considering the complex survey design and sample weights generated by that design, was used to estimate trends using survey rounds 2-5 for the first phase in the eight focus districts and rounds 6-9 for the second phase in all 38 districts statewide, as well as the overall change from round 2-9 in focus districts. To aid in contextualising the results, indicators were also compared amongst the formerly focus and the non-focus districts at the beginning of the second phase.In the first phase, the levels of 34 out of 52 indicators increased significantly in the focus districts, including almost all indicators of FLW performance in antenatal and postnatal care, along with mother's birth preparedness, some breastfeeding practices, and immunisations. Between the two phases, 33 of 52 indicators declined significantly. In the second phase, the formerly focus districts experienced a rise in the levels of 14 of 50 indicators and a decline in the levels of 14 other indicators. There was a rise in the levels of 22 out of 50 indicators in the non-focus districts in the second phase, with a decline in the levels of 13 other indicators.RESULTSIn the first phase, the levels of 34 out of 52 indicators increased significantly in the focus districts, including almost all indicators of FLW performance in antenatal and postnatal care, along with mother's birth preparedness, some breastfeeding practices, and immunisations. Between the two phases, 33 of 52 indicators declined significantly. In the second phase, the formerly focus districts experienced a rise in the levels of 14 of 50 indicators and a decline in the levels of 14 other indicators. There was a rise in the levels of 22 out of 50 indicators in the non-focus districts in the second phase, with a decline in the levels of 13 other indicators.Improvements in indicators were conditional on implementation support to program activities at a level of intensity that was higher than what could be achieved at scale so far. Successes during the pilot phase of intensive support suggests that RMNCHN can be improved statewide in Bihar with sufficient investments in systems performance improvements.CONCLUSIONSImprovements in indicators were conditional on implementation support to program activities at a level of intensity that was higher than what could be achieved at scale so far. Successes during the pilot phase of intensive support suggests that RMNCHN can be improved statewide in Bihar with sufficient investments in systems performance improvements.ClinicalTrials.gov number NCT02726230.STUDY REGISTRATIONClinicalTrials.gov number NCT02726230. The program in Bihar implemented household and community-level interventions to improve reproductive, maternal, newborn and child health and nutrition (RMNCHN) in two phases: a first phase of intensive ancillary support to governmental implementation and innovation testing by non-government organisation (NGO) partners in eight focus districts (2012-2014), followed by a second phase of state-wide government-led implementation with techno-managerial assistance from NGOs (2014 onwards). This paper examines trends in RMNCHN indicators in the program's implementation districts from 2012-2017. Eight consecutive rounds of cross-sectional Community-based Household Surveys conducted by CARE India in 2012-2017 provided comparable data on a large number of indicators of frontline worker (FLW) performance, mothers' behaviours, and facility-based care and outreach service delivery across the continuum of maternal and child care. Logistic regression, considering the complex survey design and sample weights generated by that design, was used to estimate trends using survey rounds 2-5 for the first phase in the eight focus districts and rounds 6-9 for the second phase in all 38 districts statewide, as well as the overall change from round 2-9 in focus districts. To aid in contextualising the results, indicators were also compared amongst the formerly focus and the non-focus districts at the beginning of the second phase. In the first phase, the levels of 34 out of 52 indicators increased significantly in the focus districts, including almost all indicators of FLW performance in antenatal and postnatal care, along with mother's birth preparedness, some breastfeeding practices, and immunisations. Between the two phases, 33 of 52 indicators declined significantly. In the second phase, the formerly focus districts experienced a rise in the levels of 14 of 50 indicators and a decline in the levels of 14 other indicators. There was a rise in the levels of 22 out of 50 indicators in the non-focus districts in the second phase, with a decline in the levels of 13 other indicators. Improvements in indicators were conditional on implementation support to program activities at a level of intensity that was higher than what could be achieved at scale so far. Successes during the pilot phase of intensive support suggests that RMNCHN can be improved statewide in Bihar with sufficient investments in systems performance improvements. ClinicalTrials.gov number NCT02726230. |
| Author | Tarigopula, Usha Kiran Abdalla, Safa Creanga, Andreea Nanda, Priya Pepper, Kevin T Weng, Yingjie Srikantiah, Sridhar Mahapatra, Tanmay Wilhelm, Jess Mehta, Kala M Atmavilas, Yamini Darmstadt, Gary L Carmichael, Suzan L Bhattacharya, Debarshi Shah, Hemant Bentley, Jason Ward, Victoria C |
| Author_xml | – sequence: 1 givenname: Safa surname: Abdalla fullname: Abdalla, Safa organization: Department of Pediatrics, Stanford University School of Medicine, Stanford, California, USA – sequence: 2 givenname: Yingjie surname: Weng fullname: Weng, Yingjie organization: Quantitative Sciences Unit, Department of Medicine, Stanford University School of Medicine, Stanford, California, USA – sequence: 3 givenname: Kala M surname: Mehta fullname: Mehta, Kala M organization: Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California, USA – sequence: 4 givenname: Tanmay surname: Mahapatra fullname: Mahapatra, Tanmay organization: CARE India, Patna, India – sequence: 5 givenname: Sridhar surname: Srikantiah fullname: Srikantiah, Sridhar organization: CARE India, Patna, India – sequence: 6 givenname: Hemant surname: Shah fullname: Shah, Hemant organization: CARE India, Patna, India – sequence: 7 givenname: Victoria C surname: Ward fullname: Ward, Victoria C organization: Department of Pediatrics, Stanford University School of Medicine, Stanford, California, USA – sequence: 8 givenname: Kevin T surname: Pepper fullname: Pepper, Kevin T organization: Department of Pediatrics, Stanford University School of Medicine, Stanford, California, USA – sequence: 9 givenname: Jason surname: Bentley fullname: Bentley, Jason organization: Quantitative Sciences Unit, Department of Medicine, Stanford University School of Medicine, Stanford, California, USA – sequence: 10 givenname: Suzan L surname: Carmichael fullname: Carmichael, Suzan L organization: Center for Population Health Sciences, Stanford University School of Medicine, Palo Alto, California, USA – sequence: 11 givenname: Andreea surname: Creanga fullname: Creanga, Andreea organization: Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA – sequence: 12 givenname: Jess surname: Wilhelm fullname: Wilhelm, Jess organization: Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA – sequence: 13 givenname: Usha Kiran surname: Tarigopula fullname: Tarigopula, Usha Kiran organization: Bill and Melinda Gates Foundation, Delhi, India – sequence: 14 givenname: Priya surname: Nanda fullname: Nanda, Priya organization: Bill and Melinda Gates Foundation, Delhi, India – sequence: 15 givenname: Debarshi surname: Bhattacharya fullname: Bhattacharya, Debarshi organization: Bill and Melinda Gates Foundation, Delhi, India – sequence: 16 givenname: Yamini surname: Atmavilas fullname: Atmavilas, Yamini organization: Bill and Melinda Gates Foundation, Delhi, India – sequence: 17 givenname: Gary L surname: Darmstadt fullname: Darmstadt, Gary L organization: Center for Population Health Sciences, Stanford University School of Medicine, Palo Alto, California, USA |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/33427818$$D View this record in MEDLINE/PubMed |
| BookMark | eNpdkUtv1DAUhS1UREvpliWyxIbFpNiJ48cGqVQ8KlViU9bRje1MPPLYwU6mmn_Ez8QppQK88fW5534-sl-ikxCDReg1JZeCSvV-F7fjZTmQmhLSPENnNWGiqpXkJ0-1kKfoIucdKUvQppb8BTptGlYLSeUZ-nmXbDAZu4CTnVI0i57dwW7wHmabAvgNDva-jylgCAbr0XmDRwt-Hh-EsMzJzS6GQjBOwxxTxmZJLmzxUED4aKEoccCT83Fe5XUsa_ClrpZpbV0FCEcohHLlwYYV95DooxshbfBNIcMr9HwAn-3F436Ovn_-dHf9tbr99uXm-uq2mmrF5kq1zPBm6M3QasNAMU16rZXiimhmFaPU8J4RzQk1sudEQ_ERYmg_9JbxoTlHH35zp6XfW6NLnAS-m5LbQzp2EVz3bye4sdvGQydEKyRrCuDdIyDFH4vNc7d3WVvvIdi45K5mgkumWLta3_5n3cVlffTialWBUSV4cb35O9FTlD-f2PwChYCmAQ |
| ContentType | Journal Article |
| Contributor | Mitra, Radhirani Tarigopula, Usha Kiran Irani, Laili Creanga, Andreea Chaudhuri, Indrajit Nanda, Priya Weng, Yingjie Walker, Dilys Delhi, New Wilhelm, Jess Atmavilas, Yamini Darmstadt, Gary L Bentley, Jason Borkum, Evan Munar, Wolfgang Sastry, Padmapriya Saggurti, Niranjan Schooley, Janine Francisco, San Raheel, Hina Pepper, Kevin T Rangarajan, Anu Srikantiah, Sridhar Krishnan, Suneeta Mahapatra, Tanmay Mehta, Kala M Carmichael, Suzan L Bhattacharya, Debarshi Dutt, Priyanka Shah, Hemant Ward, Victoria C |
| Contributor_xml | – sequence: 1 givenname: Yamini surname: Atmavilas fullname: Atmavilas, Yamini – sequence: 2 givenname: Jason surname: Bentley fullname: Bentley, Jason – sequence: 3 givenname: Debarshi surname: Bhattacharya fullname: Bhattacharya, Debarshi – sequence: 4 givenname: Evan surname: Borkum fullname: Borkum, Evan – sequence: 5 givenname: Suzan L surname: Carmichael fullname: Carmichael, Suzan L – sequence: 6 givenname: Indrajit surname: Chaudhuri fullname: Chaudhuri, Indrajit – sequence: 7 givenname: Andreea surname: Creanga fullname: Creanga, Andreea – sequence: 8 givenname: Gary L surname: Darmstadt fullname: Darmstadt, Gary L – sequence: 9 givenname: Priyanka surname: Dutt fullname: Dutt, Priyanka – sequence: 10 givenname: New surname: Delhi fullname: Delhi, New – sequence: 11 givenname: Laili surname: Irani fullname: Irani, Laili – sequence: 12 givenname: Suneeta surname: Krishnan fullname: Krishnan, Suneeta – sequence: 13 givenname: Tanmay surname: Mahapatra fullname: Mahapatra, Tanmay – sequence: 14 givenname: Kala M surname: Mehta fullname: Mehta, Kala M – sequence: 15 givenname: San surname: Francisco fullname: Francisco, San – sequence: 16 givenname: Radhirani surname: Mitra fullname: Mitra, Radhirani – sequence: 17 givenname: Wolfgang surname: Munar fullname: Munar, Wolfgang – sequence: 18 givenname: Priya surname: Nanda fullname: Nanda, Priya – sequence: 19 givenname: Kevin T surname: Pepper fullname: Pepper, Kevin T – sequence: 20 givenname: Hina surname: Raheel fullname: Raheel, Hina – sequence: 21 givenname: Anu surname: Rangarajan fullname: Rangarajan, Anu – sequence: 22 givenname: Niranjan surname: Saggurti fullname: Saggurti, Niranjan – sequence: 23 givenname: Padmapriya surname: Sastry fullname: Sastry, Padmapriya – sequence: 24 givenname: Janine surname: Schooley fullname: Schooley, Janine – sequence: 25 givenname: Hemant surname: Shah fullname: Shah, Hemant – sequence: 26 givenname: Sridhar surname: Srikantiah fullname: Srikantiah, Sridhar – sequence: 27 givenname: Usha Kiran surname: Tarigopula fullname: Tarigopula, Usha Kiran – sequence: 28 givenname: Victoria C surname: Ward fullname: Ward, Victoria C – sequence: 29 givenname: Dilys surname: Walker fullname: Walker, Dilys – sequence: 30 givenname: Yingjie surname: Weng fullname: Weng, Yingjie – sequence: 31 givenname: Jess surname: Wilhelm fullname: Wilhelm, Jess |
| 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 |
| Copyright_xml | – notice: Copyright © 2020 by the Journal of Global Health. All rights reserved. – notice: 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. – notice: Copyright © 2020 by the Journal of Global Health. All rights reserved. 2020 |
| CorporateAuthor | Ananya Study Group |
| CorporateAuthor_xml | – name: Ananya Study Group |
| DBID | CGR CUY CVF ECM EIF NPM 3V. 7X7 7XB 88E 8FI 8FJ 8FK ABUWG AEUYN AFKRA AZQEC BENPR CCPQU DWQXO EHMNL FYUFA GHDGH K9. M0S M1P PHGZM PHGZT PIMPY PJZUB PKEHL PPXIY PQEST PQQKQ PQUKI PRINS 7X8 5PM |
| DOI | 10.7189/jogh.10.021003 |
| DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed ProQuest Central (Corporate) ProQuest Health & Medical Collection ProQuest Central (purchase pre-March 2016) Medical Database (Alumni Edition) Hospital Premium Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) ProQuest Central (Alumni) One Sustainability ProQuest Central UK/Ireland ProQuest Central Essentials ProQuest Central ProQuest One ProQuest Central ProQuest UK and Ireland Database (NC LIVE) Health Research Premium Collection Health Research Premium Collection (Alumni) ProQuest Health & Medical Complete (Alumni) Health & Medical Collection (Alumni Edition) PML(ProQuest Medical Library) ProQuest Central Premium ProQuest One Academic (New) Publicly Available Content Database ProQuest Health & Medical Research Collection ProQuest One Academic Middle East (New) One Health & Nursing ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Academic (retired) ProQuest One Academic UKI Edition ProQuest Central China MEDLINE - Academic PubMed Central (Full Participant titles) |
| DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) Publicly Available Content Database ProQuest One Academic Middle East (New) ProQuest Central Essentials ProQuest Health & Medical Complete (Alumni) ProQuest Central (Alumni Edition) ProQuest One Community College ProQuest One Health & Nursing ProQuest Central China ProQuest Central ProQuest One Sustainability ProQuest Health & Medical Research Collection Health Research Premium Collection Health and Medicine Complete (Alumni Edition) ProQuest Central Korea Health & Medical Research Collection ProQuest Central (New) ProQuest Medical Library (Alumni) ProQuest One Academic Eastern Edition ProQuest Hospital Collection Health Research Premium Collection (Alumni) ProQuest Hospital Collection (Alumni) ProQuest Health & Medical Complete ProQuest Medical Library UK & Ireland Database ProQuest One Academic UKI Edition ProQuest One Academic ProQuest One Academic (New) ProQuest Central (Alumni) MEDLINE - Academic |
| DatabaseTitleList | Publicly Available Content Database MEDLINE - Academic MEDLINE |
| Database_xml | – sequence: 1 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: PIMPY name: Publicly Available Content Database url: http://search.proquest.com/publiccontent sourceTypes: Aggregation Database |
| DeliveryMethod | fulltext_linktorsrc |
| Discipline | Public Health |
| DocumentTitleAlternate | Abdalla et al. Trends in maternal and child health indicators during Ananya in Bihar, India |
| EISSN | 2047-2986 |
| ExternalDocumentID | PMC7757843 33427818 |
| Genre | Journal Article Review |
| GeographicLocations | India Bihar India |
| GeographicLocations_xml | – name: India – name: Bihar India |
| GroupedDBID | 04C 3V. 44B 53G 5VS 7X7 88E 8FI 8FJ AAKDD ABUWG ADBBV ADOJX ADRAZ AEUYN AFKRA AHMBA ALIPV ALMA_UNASSIGNED_HOLDINGS AOIJS BCNDV BENPR BMSDO BPHCQ BVXVI CCPQU CGR CUY CVF C~G DIK DYU ECF ECGQY ECM ECT EHMNL EIF EIHBH FYUFA GROUPED_DOAJ HMCUK HYE IPNFZ KQ8 M1P M48 M~E NPM OK1 PGMZT PIMPY PQQKQ PROAC PSQYO RIG RNS RPM UKHRP 7XB 8FK AFFHD AZQEC DWQXO K9. PHGZM PHGZT PJZUB PKEHL PPXIY PQEST PQUKI PRINS 7X8 PUEGO 5PM |
| ID | FETCH-LOGICAL-p294t-954d63fbdf5cd4a94c0bcc99690c4e9411d6b40c601d8b60ca5cd00d1bfbe46f3 |
| IEDL.DBID | PIMPY |
| ISICitedReferencesCount | 2 |
| ISICitedReferencesURI | http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=000612476300179&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| ISSN | 2047-2978 2047-2986 |
| IngestDate | Tue Nov 04 01:56:06 EST 2025 Fri Sep 05 14:16:40 EDT 2025 Sat Nov 29 14:50:51 EST 2025 Thu Jan 02 22:32:28 EST 2025 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 2 |
| Language | English |
| License | Copyright © 2020 by the Journal of Global Health. All rights reserved. This work is licensed under a Creative Commons Attribution 4.0 International License. |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-p294t-954d63fbdf5cd4a94c0bcc99690c4e9411d6b40c601d8b60ca5cd00d1bfbe46f3 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 ObjectType-Review-3 content type line 23 |
| OpenAccessLink | https://www.proquest.com/publiccontent/docview/2598431976?pq-origsite=%requestingapplication% |
| PMID | 33427818 |
| PQID | 2598431976 |
| PQPubID | 2045580 |
| ParticipantIDs | pubmedcentral_primary_oai_pubmedcentral_nih_gov_7757843 proquest_miscellaneous_2476849453 proquest_journals_2598431976 pubmed_primary_33427818 |
| PublicationCentury | 2000 |
| PublicationDate | 2020-12-01 |
| PublicationDateYYYYMMDD | 2020-12-01 |
| PublicationDate_xml | – month: 12 year: 2020 text: 2020-12-01 day: 01 |
| PublicationDecade | 2020 |
| PublicationPlace | Scotland |
| PublicationPlace_xml | – name: Scotland – name: Edinburgh |
| PublicationTitle | Journal of global health |
| PublicationTitleAlternate | J Glob Health |
| PublicationYear | 2020 |
| Publisher | Edinburgh University Global Health Society International Society of Global Health |
| Publisher_xml | – name: Edinburgh University Global Health Society – name: International Society of Global Health |
| SSID | ssj0000713286 |
| Score | 2.2022426 |
| SecondaryResourceType | review_article |
| Snippet | The
program in Bihar implemented household and community-level interventions to improve reproductive, maternal, newborn and child health and nutrition (RMNCHN)... BackgroundThe Ananya program in Bihar implemented household and community-level interventions to improve reproductive, maternal, newborn and child health and... The Ananya program in Bihar implemented household and community-level interventions to improve reproductive, maternal, newborn and child health and nutrition... |
| SourceID | pubmedcentral proquest pubmed |
| SourceType | Open Access Repository Aggregation Database Index Database |
| StartPage | 021003 |
| SubjectTerms | Age groups Behavior Beneficiaries Birth control Breast feeding Breastfeeding & lactation Child Child Health Children & youth Childrens health Cross-Sectional Studies Data collection Families & family life Female Global health Health Promotion - organization & administration Health Status Indicators Households Humans India Infant Health Infant, Newborn Initiatives Maternal & child health Maternal Health Mothers Newborn babies NGOs Nongovernmental organizations Nutrition Nutritional Status Performance management Pilot Projects Pregnancy Program Evaluation Quality control Reproductive Health Research Theme 6: Learning from Ananya Program in Bihar Trends |
| Title | Trends in reproductive, maternal, newborn and child health and nutrition indicators during five years of piloting and scaling-up of Ananya interventions in Bihar, India |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/33427818 https://www.proquest.com/docview/2598431976 https://www.proquest.com/docview/2476849453 https://pubmed.ncbi.nlm.nih.gov/PMC7757843 |
| Volume | 10 |
| WOSCitedRecordID | wos000612476300179&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| journalDatabaseRights | – providerCode: PRVPQU databaseName: Health & Medical Collection customDbUrl: eissn: 2047-2986 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0000713286 issn: 2047-2978 databaseCode: 7X7 dateStart: 20150101 isFulltext: true titleUrlDefault: https://search.proquest.com/healthcomplete providerName: ProQuest – providerCode: PRVPQU databaseName: ProQuest Central customDbUrl: eissn: 2047-2986 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0000713286 issn: 2047-2978 databaseCode: BENPR dateStart: 20150101 isFulltext: true titleUrlDefault: https://www.proquest.com/central providerName: ProQuest – providerCode: PRVPQU databaseName: ProQuest UK and Ireland Database (NC LIVE) customDbUrl: eissn: 2047-2986 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0000713286 issn: 2047-2978 databaseCode: EHMNL dateStart: 20150101 isFulltext: true titleUrlDefault: https://search.proquest.com/ukireland providerName: ProQuest – providerCode: PRVPQU databaseName: Publicly Available Content Database customDbUrl: eissn: 2047-2986 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0000713286 issn: 2047-2978 databaseCode: PIMPY dateStart: 20150101 isFulltext: true titleUrlDefault: http://search.proquest.com/publiccontent providerName: ProQuest |
| link | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1Lj9MwEB6xLQckxPtRWCojcWxoHm5in9Au2hV7oKoQSOVUObazDUJOaFok_hE_kxk7LbsgceISRbFjOcp4PJ9n5huAV5nMrRJWRJoXOuLcZpEkd2EpuC5izUWiuC82UcznYrmUiz49uuvDKvc60SvqwPZMcduohKem0XRiPkWjXeDWh3vpm_ZbRDWkyNfaF9Q4giERb4kBDBcX7xefD2cuhMhSX_wx9QQFiKACjyMqaDn90lyuX1OkF6IgX0PrL4vzz8DJKzvR-d3_-w334E5vkbKTIEL34YZ1D-B2OM5jIUvpIfwMsbOsdoxoMD1LLOrJCUOD17NITxja5yhPjilnmE8RZyHH0j9we9J_Rj5yTUi_YyFFklU4EPuBK65jTcXa-mtDodj-tQ4lCO-jXUtNJw41l2L1lTBNP6PTeq02E3aBI6tH8On87OPbd1Ff5CFqU8m3kZxxk2dVaaqZNlxJruNSa0RhEiXFSp4kJi95rBE4GlHmsVbYL45NUlal5XmVPYaBa5x9CqxQuYpTk9ocQRJPShwh5Wje5omtJBomIzje_5ZVv1K71e-_MIKXh2ZcY-Q4Uc42O-zDyV0p-SwbwZMgAas2kIGssoyKldDgxTXZOHQg_u7rLa5eex7vgmoJ8OzZv6f1HG6lhPF9CM0xDLabnX0BN_X3bd1txnBULAt_FWMYnp7NFx_Gvdj_Ahw9FPI |
| linkProvider | ProQuest |
| linkToHtml | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMw1V1Jb9QwFLZKQaISYl8GCjwkuE1oFk8cHxAqS9VRy4hDkeaWOo7DpEJOmMyA-o848Rt5z54MLUjceuAWxc6T4-X57R9jzxOZGpWZLNBc6IBzkwSS3IVFxrUINc8ixR3YhJhMsulUftxgP_tcGAqr7HmiY9Rlo8lGvoNieoaXHd6er9uvAaFGkXe1h9Dw2-LAnH5Hla17NX6H6_sijvfeH73dD1aoAkEbS74I5IiXaVIVZTXSJVeS67DQGsV-iUMzkkdRmRY81KiplFmRhlphvzAso6IqDE-rBOleYpeRjwsKIRNTsbbpkMYXO3DJ2BVAwB6-TiReAHLnpPk8e0mRZKhlOYyuvyTaPwMzz9x0ezf-tzm6ya6vZGrY9YfgFtsw9ja75g2S4POs7rAfPvoXagtUyNPVuUVOPwQU2V0d7CGghoEnwoKyJbgkd_BZou6F7WELgLz8mmwVHfgkT6iQEJzij3fQVNDWXxoKJnefdXgG8DlYttS0a5H3KqjPBJq6Eb2pZ2o-hDFSVnfZpwuZrHts0zbWPGAgVKrCuIxNimoejwqkEHMU0NPIVBJFqwHb7hc-X_GaLv-96gP2bN2MXIJcP8qaZol9ODlcJR8lA3bf77G89eVM8iQhuBUiLs7tvnUHqkB-vsXWM1eJXBAaAk8e_ntYT9nV_aMPh_nheHLwiG3FZLFwAUHbbHMxX5rH7Ir-tqi7-RN3nIAdX_Te_AXN5WP- |
| linkToPdf | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMw1V1Lj9MwELaWBSEkxPtRWMBIcGu2SezG8QGhhaWiWlTtAaTegmM7NAg5oWlB-4_4Dfw6Zuym7ILEbQ_cqtodOel43jMfIc-YzKzKbR5pLnTEuWWRxHRhmXMtYs3zRHEPNiFms3w-l8c75GffC4Nllb1M9ILaNBpj5CMw03NQdqA9R9WmLOL4cPKy_RohghRmWns4jcAiR_bkO7hv3YvpIfzXz9N08ub967fRBmEgalPJV5Ecc5OxqjTVWBuuJNdxqTW4ABKOaSVPEpOVPNbgtZi8zGKtYF8cm6SsSsuzigHdC-SiYEwgbISYi218B72_1ANNpn4YAnhrYWYkKAM5-tx8WuxjVRl4XB6v6y_r9s8izVNab3L9f35fN8i1ja1ND8LluEl2rLtFroZAJQ39V7fJj1AVTGtHccCnn38LGmBIwZT387GHFDwPuCmOKmeob36noXvUf-F6OAOK2X-NMYyOhuZPWgEhegIP3tGmom39pcEic_-zDu4GfI7WLS4dOJDJitanClD9iV7VC7Uc0ilQVnfIh3N5WXfJrmucvU-oUJmKU5PaDNw_npRAIeVguGeJrSSYXAOy1zNBsZFBXfGbAwbk6XYZpAemhJSzzRr2cEzESj5mA3Iv8FvRhjEnBWMIw4LExRlO3G7AyeRnV1y98BPKBaIkcPbg38d6Qi4DSxbvprOjh-RKioEMXye0R3ZXy7V9RC7pb6u6Wz72N4uSj-fNmr8Ame5ssg |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Trends+in+reproductive%2C+maternal%2C+newborn+and+child+health+and+nutrition+indicators+during+five+years+of+piloting+and+scaling-up+of+Ananya+interventions+in+Bihar%2C+India&rft.jtitle=Journal+of+global+health&rft.au=Abdalla%2C+Safa&rft.au=Weng%2C+Yingjie&rft.au=Mehta%2C+Kala+M&rft.au=Mahapatra%2C+Tanmay&rft.date=2020-12-01&rft.issn=2047-2986&rft.eissn=2047-2986&rft.volume=10&rft.issue=2&rft.spage=021003&rft_id=info:doi/10.7189%2Fjogh.10.021003&rft.externalDBID=NO_FULL_TEXT |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=2047-2978&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=2047-2978&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=2047-2978&client=summon |