Evaluation of a large-scale reproductive, maternal, newborn and child health and nutrition program in Bihar, India, through an equity lens
Despite increasing focus on health inequities in low- and middle income countries, significant disparities persist. We analysed impacts of a statewide maternal and child health program among the most compared to the least marginalised women in Bihar, India. Utilising survey-weighted logistic regress...
Uloženo v:
| Vydáno v: | Journal of global health Ročník 10; číslo 2; s. 021011 |
|---|---|
| Hlavní autoři: | , , , , , , , , , , , , , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
| Vydáno: |
Scotland
Edinburgh University Global Health Society
01.12.2020
International Society of Global Health |
| Témata: | |
| ISSN: | 2047-2978, 2047-2986, 2047-2986 |
| On-line přístup: | Získat plný text |
| Tagy: |
Přidat tag
Žádné tagy, Buďte první, kdo vytvoří štítek k tomuto záznamu!
|
| Abstract | Despite increasing focus on health inequities in low- and middle income countries, significant disparities persist. We analysed impacts of a statewide maternal and child health program among the most compared to the least marginalised women in Bihar, India.
Utilising survey-weighted logistic regression, we estimated programmatic impact using difference-in-difference estimators from Mathematica data collected at the beginning (2012, n = 10 174) and after two years of program implementation (2014, n = 9611). We also examined changes in disparities over time using eight rounds of Community-based Household Surveys (CHS) (2012-2017, n = 48 349) collected by CARE India.
At baseline for the Mathematica data, least marginalised women generally performed desired health-related behaviours more frequently than the most marginalised. After two years, most disparities persisted. Disparities increased for skilled birth attendant identification [+16.2% (most marginalised) vs +32.6% (least marginalized),
< 0.01) and skin-to-skin care (+14.8% vs +20.4%,
< 0.05), and decreased for immediate breastfeeding (+10.4 vs -4.9,
< 0.01). For the CHS data, odds ratios compared the most to the least marginalised women as referent. Results demonstrated that disparities were most significant for indicators reliant on access to care such as delivery in a facility (OR range: 0.15 to 0.48) or by a qualified doctor (OR range: 0.08 to 0.25), and seeking care for complications (OR range: 0.26 to 0.64).
Disparities observed at baseline generally persisted throughout program implementation. The most significant disparities were observed amongst behaviours dependent upon access to care. Changes in disparities largely were due to improvements for the least marginalised women without improvements for the most marginalised. Equity-based assessments of programmatic impacts, including those of universal health approaches, must be undertaken to monitor disparities and to ensure equitable and sustainable benefits for all.
ClinicalTrials.gov number NCT02726230. |
|---|---|
| AbstractList | Despite increasing focus on health inequities in low- and middle income countries, significant disparities persist. We analysed impacts of a statewide maternal and child health program among the most compared to the least marginalised women in Bihar, India.
Utilising survey-weighted logistic regression, we estimated programmatic impact using difference-in-difference estimators from Mathematica data collected at the beginning (2012, n = 10 174) and after two years of program implementation (2014, n = 9611). We also examined changes in disparities over time using eight rounds of Community-based Household Surveys (CHS) (2012-2017, n = 48 349) collected by CARE India.
At baseline for the Mathematica data, least marginalised women generally performed desired health-related behaviours more frequently than the most marginalised. After two years, most disparities persisted. Disparities increased for skilled birth attendant identification [+16.2% (most marginalised) vs +32.6% (least marginalized),
< 0.01) and skin-to-skin care (+14.8% vs +20.4%,
< 0.05), and decreased for immediate breastfeeding (+10.4 vs -4.9,
< 0.01). For the CHS data, odds ratios compared the most to the least marginalised women as referent. Results demonstrated that disparities were most significant for indicators reliant on access to care such as delivery in a facility (OR range: 0.15 to 0.48) or by a qualified doctor (OR range: 0.08 to 0.25), and seeking care for complications (OR range: 0.26 to 0.64).
Disparities observed at baseline generally persisted throughout program implementation. The most significant disparities were observed amongst behaviours dependent upon access to care. Changes in disparities largely were due to improvements for the least marginalised women without improvements for the most marginalised. Equity-based assessments of programmatic impacts, including those of universal health approaches, must be undertaken to monitor disparities and to ensure equitable and sustainable benefits for all.
ClinicalTrials.gov number NCT02726230. BackgroundDespite increasing focus on health inequities in low- and middle income countries, significant disparities persist. We analysed impacts of a statewide maternal and child health program among the most compared to the least marginalised women in Bihar, India.MethodsUtilising survey-weighted logistic regression, we estimated programmatic impact using difference-in-difference estimators from Mathematica data collected at the beginning (2012, n = 10 174) and after two years of program implementation (2014, n = 9611). We also examined changes in disparities over time using eight rounds of Community-based Household Surveys (CHS) (2012-2017, n = 48 349) collected by CARE India.ResultsAt baseline for the Mathematica data, least marginalised women generally performed desired health-related behaviours more frequently than the most marginalised. After two years, most disparities persisted. Disparities increased for skilled birth attendant identification [+16.2% (most marginalised) vs +32.6% (least marginalized), P < 0.01) and skin-to-skin care (+14.8% vs +20.4%, P < 0.05), and decreased for immediate breastfeeding (+10.4 vs -4.9, P < 0.01). For the CHS data, odds ratios compared the most to the least marginalised women as referent. Results demonstrated that disparities were most significant for indicators reliant on access to care such as delivery in a facility (OR range: 0.15 to 0.48) or by a qualified doctor (OR range: 0.08 to 0.25), and seeking care for complications (OR range: 0.26 to 0.64).ConclusionsDisparities observed at baseline generally persisted throughout program implementation. The most significant disparities were observed amongst behaviours dependent upon access to care. Changes in disparities largely were due to improvements for the least marginalised women without improvements for the most marginalised. Equity-based assessments of programmatic impacts, including those of universal health approaches, must be undertaken to monitor disparities and to ensure equitable and sustainable benefits for all.Study registrationClinicalTrials.gov number NCT02726230 Despite increasing focus on health inequities in low- and middle income countries, significant disparities persist. We analysed impacts of a statewide maternal and child health program among the most compared to the least marginalised women in Bihar, India.BACKGROUNDDespite increasing focus on health inequities in low- and middle income countries, significant disparities persist. We analysed impacts of a statewide maternal and child health program among the most compared to the least marginalised women in Bihar, India.Utilising survey-weighted logistic regression, we estimated programmatic impact using difference-in-difference estimators from Mathematica data collected at the beginning (2012, n = 10 174) and after two years of program implementation (2014, n = 9611). We also examined changes in disparities over time using eight rounds of Community-based Household Surveys (CHS) (2012-2017, n = 48 349) collected by CARE India.METHODSUtilising survey-weighted logistic regression, we estimated programmatic impact using difference-in-difference estimators from Mathematica data collected at the beginning (2012, n = 10 174) and after two years of program implementation (2014, n = 9611). We also examined changes in disparities over time using eight rounds of Community-based Household Surveys (CHS) (2012-2017, n = 48 349) collected by CARE India.At baseline for the Mathematica data, least marginalised women generally performed desired health-related behaviours more frequently than the most marginalised. After two years, most disparities persisted. Disparities increased for skilled birth attendant identification [+16.2% (most marginalised) vs +32.6% (least marginalized), P < 0.01) and skin-to-skin care (+14.8% vs +20.4%, P < 0.05), and decreased for immediate breastfeeding (+10.4 vs -4.9, P < 0.01). For the CHS data, odds ratios compared the most to the least marginalised women as referent. Results demonstrated that disparities were most significant for indicators reliant on access to care such as delivery in a facility (OR range: 0.15 to 0.48) or by a qualified doctor (OR range: 0.08 to 0.25), and seeking care for complications (OR range: 0.26 to 0.64).RESULTSAt baseline for the Mathematica data, least marginalised women generally performed desired health-related behaviours more frequently than the most marginalised. After two years, most disparities persisted. Disparities increased for skilled birth attendant identification [+16.2% (most marginalised) vs +32.6% (least marginalized), P < 0.01) and skin-to-skin care (+14.8% vs +20.4%, P < 0.05), and decreased for immediate breastfeeding (+10.4 vs -4.9, P < 0.01). For the CHS data, odds ratios compared the most to the least marginalised women as referent. Results demonstrated that disparities were most significant for indicators reliant on access to care such as delivery in a facility (OR range: 0.15 to 0.48) or by a qualified doctor (OR range: 0.08 to 0.25), and seeking care for complications (OR range: 0.26 to 0.64).Disparities observed at baseline generally persisted throughout program implementation. The most significant disparities were observed amongst behaviours dependent upon access to care. Changes in disparities largely were due to improvements for the least marginalised women without improvements for the most marginalised. Equity-based assessments of programmatic impacts, including those of universal health approaches, must be undertaken to monitor disparities and to ensure equitable and sustainable benefits for all.CONCLUSIONSDisparities observed at baseline generally persisted throughout program implementation. The most significant disparities were observed amongst behaviours dependent upon access to care. Changes in disparities largely were due to improvements for the least marginalised women without improvements for the most marginalised. Equity-based assessments of programmatic impacts, including those of universal health approaches, must be undertaken to monitor disparities and to ensure equitable and sustainable benefits for all.ClinicalTrials.gov number NCT02726230.STUDY REGISTRATIONClinicalTrials.gov number NCT02726230. |
| Author | Mahmood, Wajeeha Tarigopula, Usha Kiran Abdalla, Safa Sridharan, Swetha Rotz, Dana Nanda, Priya Pepper, Kevin T Rangarajan, Anu Weng, Yingjie Srikantiah, Sridhar Mahapatra, Tanmay Mehta, Kala M Atmavilas, Yamini Darmstadt, Gary L Carmichael, Suzan L Bhattacharya, Debarshi Shah, Hemant Bentley, Jason Borkum, Evan Ward, Victoria C |
| Author_xml | – sequence: 1 givenname: Victoria C surname: Ward fullname: Ward, Victoria C 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: Jason surname: Bentley fullname: Bentley, Jason organization: Quantitative Sciences Unit, Department of Medicine, Stanford University School of Medicine, Stanford, California, USA – sequence: 4 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: 5 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: 6 givenname: Wajeeha surname: Mahmood fullname: Mahmood, Wajeeha organization: Department of Pediatrics, Stanford University School of Medicine, Stanford, California, USA – sequence: 7 givenname: Kevin T surname: Pepper fullname: Pepper, Kevin T organization: Department of Pediatrics, Stanford University School of Medicine, Stanford, California, USA – sequence: 8 givenname: Safa surname: Abdalla fullname: Abdalla, Safa organization: Department of Pediatrics, Stanford University School of Medicine, Stanford, California, USA – sequence: 9 givenname: Yamini surname: Atmavilas fullname: Atmavilas, Yamini organization: Bill and Melinda Gates Foundation, Delhi, India – sequence: 10 givenname: Tanmay surname: Mahapatra fullname: Mahapatra, Tanmay organization: CARE India, Patna, India – sequence: 11 givenname: Sridhar surname: Srikantiah fullname: Srikantiah, Sridhar organization: CARE India, Patna, India – sequence: 12 givenname: Evan surname: Borkum fullname: Borkum, Evan organization: Mathematica, Princeton, New Jersey, USA – sequence: 13 givenname: Anu surname: Rangarajan fullname: Rangarajan, Anu organization: Mathematica, Princeton, New Jersey, USA – sequence: 14 givenname: Swetha surname: Sridharan fullname: Sridharan, Swetha organization: Mathematica, Princeton, New Jersey, USA – sequence: 15 givenname: Dana surname: Rotz fullname: Rotz, Dana organization: Mathematica, Princeton, New Jersey, USA – sequence: 16 givenname: Debarshi surname: Bhattacharya fullname: Bhattacharya, Debarshi organization: Bill and Melinda Gates Foundation, Delhi, India – sequence: 17 givenname: Priya surname: Nanda fullname: Nanda, Priya organization: Bill and Melinda Gates Foundation, Delhi, India – sequence: 18 givenname: Usha Kiran surname: Tarigopula fullname: Tarigopula, Usha Kiran organization: Bill and Melinda Gates Foundation, Delhi, India – sequence: 19 givenname: Hemant surname: Shah fullname: Shah, Hemant organization: Bill and Melinda Gates Foundation, Delhi, India – sequence: 20 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/33425335$$D View this record in MEDLINE/PubMed |
| BookMark | eNpdkc9v1TAMxyO0iY2xK0cUiQuH1y1p0ia9II1pwKRJu8C5clu3zVOavKXJQ_sX-KvJfjABPjiJ_fFXdvyGHDjvkJB3nJ0prpvzrZ_ms_xgJWecvyLHJZOqKBtdH7zclT4ip-u6ZdkUF6WuX5MjIWRZCVEdk19Xe7AJovGO-pECtRAmLNYeLNKAu-CH1Eezxw1dIGJwYDfU4c_OB0fBDbSfjR3ojGDj_BhwKQbzqJeLpwALNY5-NjOEDb12g4ENjXPwaXrAKd4lE--pRbe-JYcj2BVPn88T8uPL1ffLb8XN7dfry4ubYlc2MhbDwPIUPQKOoEelS6ZGEJ3oYBS6lkyiBNVxJbEZpAJWVqwZseJd9jXIXpyQT0-6u9QtOPToYgDb7oJZINy3Hkz7b8aZuZ38vlWqahhXWeDjs0DwdwnX2C5m7dFacOjT2pZS1VpKpVlGP_yHbn16-MRMVY2WQjDNM_X-745eWvmzJvEbgXOZ_A |
| ContentType | Journal Article |
| Contributor | Munar, Wolfgang A Tarigopula, Usha Kiran Irani, Laili Creanga, Andreea Chaudhuri, Indrajit Nanda, Priya Weng, Yingjie Walker, Dilys Wilhelm, Jess Atmavilas, Yamini Darmstadt, Gary L Bentley, Jason Borkum, Evan Carmichael, Suzan Sastry, Padmapriya Mitra, Radharani Saggurti, Niranjan Raheel, Hina Pepper, Kevin T Rangarajan, Anu Srikantiah, Sridhar Mahapatra, Tanmay Ward, Victoria Mehta, Kala M Bhattacharya, Debarshi Dutt, Priyanka Shah, Hemant |
| Contributor_xml | – sequence: 1 givenname: Yamini surname: Atmavilas fullname: Atmavilas, Yamini – sequence: 2 givenname: Debarshi surname: Bhattacharya fullname: Bhattacharya, Debarshi – sequence: 3 givenname: Jason surname: Bentley fullname: Bentley, Jason – sequence: 4 givenname: Evan surname: Borkum fullname: Borkum, Evan – sequence: 5 givenname: Suzan surname: Carmichael fullname: Carmichael, Suzan – 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: Laili surname: Irani fullname: Irani, Laili – sequence: 11 givenname: Tanmay surname: Mahapatra fullname: Mahapatra, Tanmay – sequence: 12 givenname: Kala M surname: Mehta fullname: Mehta, Kala M – sequence: 13 givenname: Radharani surname: Mitra fullname: Mitra, Radharani – sequence: 14 givenname: Wolfgang A surname: Munar fullname: Munar, Wolfgang A – sequence: 15 givenname: Priya surname: Nanda fullname: Nanda, Priya – sequence: 16 givenname: Kevin T surname: Pepper fullname: Pepper, Kevin T – sequence: 17 givenname: Hina surname: Raheel fullname: Raheel, Hina – sequence: 18 givenname: Anu surname: Rangarajan fullname: Rangarajan, Anu – sequence: 19 givenname: Niranjan surname: Saggurti fullname: Saggurti, Niranjan – sequence: 20 givenname: Padmapriya surname: Sastry fullname: Sastry, Padmapriya – sequence: 21 givenname: Hemant surname: Shah fullname: Shah, Hemant – sequence: 22 givenname: Sridhar surname: Srikantiah fullname: Srikantiah, Sridhar – sequence: 23 givenname: Usha Kiran surname: Tarigopula fullname: Tarigopula, Usha Kiran – sequence: 24 givenname: Victoria surname: Ward fullname: Ward, Victoria – sequence: 25 givenname: Yingjie surname: Weng fullname: Weng, Yingjie – sequence: 26 givenname: Dilys surname: Walker fullname: Walker, Dilys – sequence: 27 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.10.021011 |
| DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed ProQuest Central (Corporate) Health & Medical Collection ProQuest Central (purchase pre-March 2016) Medical Database (Alumni Edition) ProQuest Hospital Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) ProQuest Central (Alumni) ProQuest One Sustainability ProQuest Central UK/Ireland ProQuest Central Essentials ProQuest Central ProQuest One ProQuest Central UK & Ireland Database Health Research Premium Collection Health Research Premium Collection (Alumni) ProQuest Health & Medical Complete (Alumni) ProQuest Health & Medical Collection Medical Database ProQuest Central Premium ProQuest One Academic (New) Publicly Available Content Database ProQuest Health & Medical Research Collection ProQuest One Academic Middle East (New) ProQuest 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 | MEDLINE Publicly Available Content Database MEDLINE - Academic |
| 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 | Ward et al. Equity in reproductive, maternal and child health nutrition program |
| EISSN | 2047-2986 |
| ExternalDocumentID | PMC7759017 33425335 |
| Genre | Journal Article |
| 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-dd0328ceaefa8f78207fa3b3baf386404e4a7b174e9d47a02509fe51b9fe6a4c3 |
| IEDL.DBID | PIMPY |
| ISICitedReferencesCount | 7 |
| ISICitedReferencesURI | http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=000612476300187&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 02:02:13 EST 2025 Thu Sep 04 16:04:32 EDT 2025 Sat Nov 29 14:39:27 EST 2025 Thu Jan 02 22:32:27 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-dd0328ceaefa8f78207fa3b3baf386404e4a7b174e9d47a02509fe51b9fe6a4c3 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 |
| OpenAccessLink | https://www.proquest.com/publiccontent/docview/2598433081?pq-origsite=%requestingapplication% |
| PMID | 33425335 |
| PQID | 2598433081 |
| PQPubID | 2045580 |
| ParticipantIDs | pubmedcentral_primary_oai_pubmedcentral_nih_gov_7759017 proquest_miscellaneous_2476844780 proquest_journals_2598433081 pubmed_primary_33425335 |
| 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 | 2.176586 |
| Snippet | Despite increasing focus on health inequities in low- and middle income countries, significant disparities persist. We analysed impacts of a statewide maternal... BackgroundDespite increasing focus on health inequities in low- and middle income countries, significant disparities persist. We analysed impacts of a... |
| SourceID | pubmedcentral proquest pubmed |
| SourceType | Open Access Repository Aggregation Database Index Database |
| StartPage | 021011 |
| SubjectTerms | Behavior Breast feeding Breastfeeding & lactation Child Health Childrens health Drinking water Family planning Female Global health Health Behavior Health disparities Health Promotion Health services Health surveys Healthcare Disparities Households Humans India Infant Infant Health Infant, Newborn Intersectionality Male Maternal & child health Maternal Health Maternal Health Services Newborn babies Nutrition Nutritional Status Population Pregnancy Prenatal care Quality control Reproductive Health Research Theme 6: Learning from Ananya Program in Bihar Skin care Social exclusion Socioeconomic factors Womens health |
| Title | Evaluation of a large-scale reproductive, maternal, newborn and child health and nutrition program in Bihar, India, through an equity lens |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/33425335 https://www.proquest.com/docview/2598433081 https://www.proquest.com/docview/2476844780 https://pubmed.ncbi.nlm.nih.gov/PMC7759017 |
| Volume | 10 |
| WOSCitedRecordID | wos000612476300187&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: 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 – providerCode: PRVPQU databaseName: UK & Ireland Database 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 |
| link | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1NbxMxEB3RhANSVb5pSokGiWNMsmt37T1VFKWiB6IIgRROkdfrbYKQN80m_Ah-dcdeJ1CEOHHxYT0Hrz0ev7Fn3gC8yUdakyIoZjOVMZGlFVNcWMbzjNCCUYmQZSg2IScTNZvl05ge3cSwyp1NDIa6ZXv2cdtkhIdlbfyN-ZBAuxLkiqvkfHXDfA0p_9YaC2ocQNcTb6kOdKdXH6df93cu3iNLQ_HHNBAUkAfV8jiSgc6H3-rrxVsf6UVeUJL8DXH-GTj520l0-fD__sMjOIqIFN-1KvQY7ln3BA7b6zxss5Sews_xnhUc6wo1fvcR5KyhFbboiTEDbyxZzgESBA680gMkxE4a5lC7EkPSOLZZl-GD25UBwBgihkuHF8uFXg_wypHWDjDWECJxtDdbcheQjsjmGXy5HH9-_4HFMg5sleZiw8rSc_YZq22lVeX5-WSlecELXXGViZGwQsuCPCObl0JqD8ryyp4lBbWZFoY_h46rnT0GHImqJHUShmCkqEjYKmMSW-iMNoQpRQ9OdxM_j3uxmf-a5x683nfTLvJPI9rZeksywj9ICqlGPXjRrvF81dJ9zDknu8b5WQ_kndXfC3iG7rs9brkITN1S-tReefLvYb2EB6n34kOQzCl0NuutfQX3zY_Nsln34UDOZGhVH7oX48n0Uz8q9i0smQnz |
| linkProvider | ProQuest |
| linkToHtml | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMw1V3NbtQwEB6VggQS4rfAlgKDBLc13cRu7BwQ4qdVVy0rDkXaW3ASu7tV5Ww3uyBeoQ_DMzJ2koUixK0HLjnEoyiyZ8bf2DPfALxIB1qTIihmEpUwkcSWKS4M42lCaKFQkZBlaDYhRyM1Hqef1uBHVwvj0yo7nxgcdVkV_ox8m2C6EhR8q-jN7Iz5rlH-drVrodGoxYH5_o1Ctvr18AOt78s43ts9er_P2q4CbBanYsHK0lPIFUYbq5X1dHHSap7zXFuuEjEQRmiZE1A3aSmk9hghtWYnyumZaFFw-u4VuEp-XPoUMjmWqzMdH_HFoblkHAgQSKLhiaQNIN0-qY4nr3wmGUVZUfQ3RPtnYuZvO93e7f9tju7ArRZT49vGCO7CmnH34GZzIIlNndV9ON9d8ZpjZVHjqc-BZzXpqEFP7RmYb8n395FAfGDG7iPFHGQjDrUrMZS9Y1M3Gl64rpEBtkluOHX4bjrR8z4OHdldH9suSCSO5mxJAQ_SJl9vwOdLmY4HsO4qZx4BDoQtySBEQUBYWBI2qigik-uETLooRQ-2uqXNWm9SZ7_WtQfPV8PkB_zljnamWpKM8FeqQqpBDx42WpTNGsKSjHPyzJzv9EBe0K-VgOcYvzjippPANS6lL06Wm__-rWdwff_o42F2OBwdPIYbsT-TCCk_W7C-mC_NE7hWfF1M6_nTYDAIXy5b-34CiCRYkA |
| linkToPdf | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMw1V1Pb9MwFH8aAyEkxP9Bx4CHBLeGNrEXOweEgK2iGqp2AKm34Dj2WoScrmlBfAU-0j4dz05SGELcduCSQ_wURfb77_d-D-BZNlSKGEFGJpVpxNPERpJxE7EsJW9By5iLMgybEJOJnE6z4y0463phfFllpxODoi4r7XPkA3LTJafgW8YD25ZFHB-MXi1OIz9Byt-0duM0GhY5Mt-_UfhWvxwf0Fk_T5LR4Ye376J2wkC0SDK-isrSw8lpo4xV0nroOGEVK1ihLJMpH3LDlSjIaTdZyYXy_kJmzX5c0DNVXDP67iW4LBgTfmyEmIpNfsdHf0kYNJkEMASK1hrMSDIG2eBzdTJ74avKKOKK4795t38Waf5m9UY3_-f9ugU3Wl8bXzfCcRu2jLsD15tEJTb9V3fhx-EG7xwriwq_-Nr4qCbeNeghPwMiLtmEPpJzHxCz-0ixCMmOQ-VKDO3w2PSThheuG3CAbfEbzh2-mc_Uso9jR_LYx3Y6EpGjOV1TIIRk_Ot78PFCtmMHtl3lzAPAIbclCQrX5CBzS8RGah2bQqUk6rrkPdjrjjlvtUyd_zrjHjzdLJN-8Jc-yplqTTTcX7VyIYc9uN9wVL5ogExyxkhjM7bfA3GO1zYEHnv8_IqbzwIGuRC-aVns_vu3nsBVYrr8_Xhy9BCuJT5VESqB9mB7tVybR3BFf13N6-XjIDsIny6a-X4CQEthRA |
| 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=Evaluation+of+a+large-scale+reproductive%2C+maternal%2C+newborn+and+child+health+and+nutrition+program+in+Bihar%2C+India%2C+through+an+equity+lens&rft.jtitle=Journal+of+global+health&rft.au=Ward%2C+Victoria+C&rft.au=Weng%2C+Yingjie&rft.au=Bentley%2C+Jason&rft.au=Carmichael%2C+Suzan+L&rft.date=2020-12-01&rft.pub=International+Society+of+Global+Health&rft.issn=2047-2978&rft.eissn=2047-2986&rft.volume=10&rft.issue=2&rft_id=info:doi/10.7189%2Fjogh.10.021011&rft_id=info%3Apmid%2F33425335&rft.externalDocID=PMC7759017 |
| 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 |