Effects of an mHealth intervention for community health workers on maternal and child nutrition and health service delivery in India: Protocol for a quasi-experimental mixed-methods evaluation
Introduction -- Millions of children in India still suffer from poor health and under-nutrition, despite substantial improvement over decades of public health programmes. The Anganwadi centres under the Integrated Child Development Scheme (ICDS) provide a range of health and nutrition services to pr...
| Main Authors: | , , , , , , , |
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| Format: | Journal Article |
| Language: | Inglés |
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BMJ
2019
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| Online Access: | https://hdl.handle.net/10568/146848 |
| _version_ | 1855533728668844032 |
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| author | Nimmagadda, Sneha Gopalakrishnan, Lakshmi Avula, Rasmi Dhar, Diva Diamond-Smith, Nadia Mani, Sneha Menon, Purnima Nguyen, Phuong Hong |
| author_browse | Avula, Rasmi Dhar, Diva Diamond-Smith, Nadia Gopalakrishnan, Lakshmi Mani, Sneha Menon, Purnima Nguyen, Phuong Hong Nimmagadda, Sneha |
| author_facet | Nimmagadda, Sneha Gopalakrishnan, Lakshmi Avula, Rasmi Dhar, Diva Diamond-Smith, Nadia Mani, Sneha Menon, Purnima Nguyen, Phuong Hong |
| author_sort | Nimmagadda, Sneha |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | Introduction -- Millions of children in India still suffer from poor health and under-nutrition, despite substantial improvement over decades of public health programmes. The Anganwadi centres under the Integrated Child Development Scheme (ICDS) provide a range of health and nutrition services to pregnant women, children <6 years and their mothers. However, major gaps exist in ICDS service delivery. The government is currently strengthening ICDS through an mHealth intervention called Common Application Software (ICDS-CAS) installed on smart phones, with accompanying multilevel data dashboards. This system is intended to be a job aid for frontline workers, supervisors and managers, aims to ensure better service delivery and supervision, and enable real-time monitoring and data-based decision-making. However, there is little to no evidence on the effectiveness of such large-scale mHealth interventions integrated with public health programmes in resource-constrained settings on the service delivery and subsequent health and nutrition outcomes. Methods and analysis -- This study uses a village-matched controlled design with repeated cross-sectional surveys to evaluate whether ICDS-CAS can enable more timely and appropriate services to pregnant women, children <12 months and their mothers, compared with the standard ICDS programme. The study will recruit approximately 1500 Anganwadi workers and 6000+ mother-child dyads from 400+ matched-pair villages in Bihar and Madhya Pradesh. The primary outcomes are the proportion of beneficiaries receiving (a) adequate number of home visits and (b) appropriate level of counselling by the Anganwadi workers. Secondary outcomes are related to improvements in other ICDS services, and knowledge and practices of the Anganwadi workers and beneficiaries. |
| format | Journal Article |
| id | CGSpace146848 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2019 |
| publishDateRange | 2019 |
| publishDateSort | 2019 |
| publisher | BMJ |
| publisherStr | BMJ |
| record_format | dspace |
| spelling | CGSpace1468482025-12-08T10:06:44Z Effects of an mHealth intervention for community health workers on maternal and child nutrition and health service delivery in India: Protocol for a quasi-experimental mixed-methods evaluation Nimmagadda, Sneha Gopalakrishnan, Lakshmi Avula, Rasmi Dhar, Diva Diamond-Smith, Nadia Mani, Sneha Menon, Purnima Nguyen, Phuong Hong maternal and child health child nutrition health malnutrition nutrition children health services public health Introduction -- Millions of children in India still suffer from poor health and under-nutrition, despite substantial improvement over decades of public health programmes. The Anganwadi centres under the Integrated Child Development Scheme (ICDS) provide a range of health and nutrition services to pregnant women, children <6 years and their mothers. However, major gaps exist in ICDS service delivery. The government is currently strengthening ICDS through an mHealth intervention called Common Application Software (ICDS-CAS) installed on smart phones, with accompanying multilevel data dashboards. This system is intended to be a job aid for frontline workers, supervisors and managers, aims to ensure better service delivery and supervision, and enable real-time monitoring and data-based decision-making. However, there is little to no evidence on the effectiveness of such large-scale mHealth interventions integrated with public health programmes in resource-constrained settings on the service delivery and subsequent health and nutrition outcomes. Methods and analysis -- This study uses a village-matched controlled design with repeated cross-sectional surveys to evaluate whether ICDS-CAS can enable more timely and appropriate services to pregnant women, children <12 months and their mothers, compared with the standard ICDS programme. The study will recruit approximately 1500 Anganwadi workers and 6000+ mother-child dyads from 400+ matched-pair villages in Bihar and Madhya Pradesh. The primary outcomes are the proportion of beneficiaries receiving (a) adequate number of home visits and (b) appropriate level of counselling by the Anganwadi workers. Secondary outcomes are related to improvements in other ICDS services, and knowledge and practices of the Anganwadi workers and beneficiaries. 2019-12-31 2024-06-21T09:09:02Z 2024-06-21T09:09:02Z Journal Article https://hdl.handle.net/10568/146848 en Open Access BMJ Nimmagadda, Sneha; Gopalakrishnan, Lakshmi; Avula, Rasmi; Dhar, Diva; Diamond-Smith, Nadia; Mani, Sneha; Menon, Purnima; Nguyen, Phuong Hong; et al. 2019. Effects of an mHealth intervention for community health workers on maternal and child nutrition and health service delivery in India: Protocol for a quasi-experimental mixed-methods evaluation. BMJ Open 9(3): e025774. https://doi.org/10.1136/bmjopen-2018-025774 |
| spellingShingle | maternal and child health child nutrition health malnutrition nutrition children health services public health Nimmagadda, Sneha Gopalakrishnan, Lakshmi Avula, Rasmi Dhar, Diva Diamond-Smith, Nadia Mani, Sneha Menon, Purnima Nguyen, Phuong Hong Effects of an mHealth intervention for community health workers on maternal and child nutrition and health service delivery in India: Protocol for a quasi-experimental mixed-methods evaluation |
| title | Effects of an mHealth intervention for community health workers on maternal and child nutrition and health service delivery in India: Protocol for a quasi-experimental mixed-methods evaluation |
| title_full | Effects of an mHealth intervention for community health workers on maternal and child nutrition and health service delivery in India: Protocol for a quasi-experimental mixed-methods evaluation |
| title_fullStr | Effects of an mHealth intervention for community health workers on maternal and child nutrition and health service delivery in India: Protocol for a quasi-experimental mixed-methods evaluation |
| title_full_unstemmed | Effects of an mHealth intervention for community health workers on maternal and child nutrition and health service delivery in India: Protocol for a quasi-experimental mixed-methods evaluation |
| title_short | Effects of an mHealth intervention for community health workers on maternal and child nutrition and health service delivery in India: Protocol for a quasi-experimental mixed-methods evaluation |
| title_sort | effects of an mhealth intervention for community health workers on maternal and child nutrition and health service delivery in india protocol for a quasi experimental mixed methods evaluation |
| topic | maternal and child health child nutrition health malnutrition nutrition children health services public health |
| url | https://hdl.handle.net/10568/146848 |
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