Assessing progress on the coverage of interventions in the first 1000 days in India: Role of national programs
Background High coverage of nutrition-specific interventions is critical to meet global nutrition targets, and it is imperative to understand how to attain it. We examined trends and inequalities in the coverage of interventions in India and the role of the National Nutrition Mission (NNM) in achiev...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Journal Article |
| Language: | Inglés |
| Published: |
BMJ
2024
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| Subjects: | |
| Online Access: | https://hdl.handle.net/10568/168709 |
| _version_ | 1855519365168889856 |
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| author | Avula, Rasmi Nguyen, Phuong Hong Christopher, Anita Gune, Soyra Bhatia, Neena Chauhan, Alka Dwivedi, L. K. Kapur, Avani Pedgaonkar, Sarang Shukla, Ritwik Chakrabarti, Suman Singh, Shri Kant Menon, Purnima |
| author_browse | Avula, Rasmi Bhatia, Neena Chakrabarti, Suman Chauhan, Alka Christopher, Anita Dwivedi, L. K. Gune, Soyra Kapur, Avani Menon, Purnima Nguyen, Phuong Hong Pedgaonkar, Sarang Shukla, Ritwik Singh, Shri Kant |
| author_facet | Avula, Rasmi Nguyen, Phuong Hong Christopher, Anita Gune, Soyra Bhatia, Neena Chauhan, Alka Dwivedi, L. K. Kapur, Avani Pedgaonkar, Sarang Shukla, Ritwik Chakrabarti, Suman Singh, Shri Kant Menon, Purnima |
| author_sort | Avula, Rasmi |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | Background
High coverage of nutrition-specific interventions is critical to meet global nutrition targets, and it is imperative to understand how to attain it. We examined trends and inequalities in the coverage of interventions in India and the role of the National Nutrition Mission (NNM) in achieving improvements.
Methods
We conducted trends and equity analysis of 30 interventions using two rounds of National Family Health Survey data (2015–2016, n=1 78 874, and 2019–2021, n=1 70 697). We also compared coverage between states that received incentives and monitoring under NNM and those that did not. We reviewed programme documents and grey literature to construct a policy timeline to trace pathways to coverage improvement and consulted with stakeholders to confirm interpretation of findings.
Findings
Between 2016 and 2021, coverage improved significantly for nearly all interventions (~1–22 percentage points (pp) during pregnancy, ~7–20 pp during delivery/postpartum and~5–17 pp during early childhood). Improvements in coverage were higher among the poor and in rural areas compared with the rich and in urban areas, respectively; wealth and residence gaps narrowed for most interventions. These improvements could be traced to community mobilisation, technology and monitoring under NNM. Improvements in coverage of growth monitoring and counselling were higher in states that received additional incentives and monitoring under NNM. Stakeholders concurred that the improvements in coverage were likely driven by NNM.
Interpretation
Focused policy attention and programmatic efforts improved coverage and reduced inequities indicating an inclusive approach. Persistent coverage gaps for certain interventions require further inquiry. |
| format | Journal Article |
| id | CGSpace168709 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2024 |
| publishDateRange | 2024 |
| publishDateSort | 2024 |
| publisher | BMJ |
| publisherStr | BMJ |
| record_format | dspace |
| spelling | CGSpace1687092025-10-26T12:54:40Z Assessing progress on the coverage of interventions in the first 1000 days in India: Role of national programs Avula, Rasmi Nguyen, Phuong Hong Christopher, Anita Gune, Soyra Bhatia, Neena Chauhan, Alka Dwivedi, L. K. Kapur, Avani Pedgaonkar, Sarang Shukla, Ritwik Chakrabarti, Suman Singh, Shri Kant Menon, Purnima data maternal and child health nutrition research methods Background High coverage of nutrition-specific interventions is critical to meet global nutrition targets, and it is imperative to understand how to attain it. We examined trends and inequalities in the coverage of interventions in India and the role of the National Nutrition Mission (NNM) in achieving improvements. Methods We conducted trends and equity analysis of 30 interventions using two rounds of National Family Health Survey data (2015–2016, n=1 78 874, and 2019–2021, n=1 70 697). We also compared coverage between states that received incentives and monitoring under NNM and those that did not. We reviewed programme documents and grey literature to construct a policy timeline to trace pathways to coverage improvement and consulted with stakeholders to confirm interpretation of findings. Findings Between 2016 and 2021, coverage improved significantly for nearly all interventions (~1–22 percentage points (pp) during pregnancy, ~7–20 pp during delivery/postpartum and~5–17 pp during early childhood). Improvements in coverage were higher among the poor and in rural areas compared with the rich and in urban areas, respectively; wealth and residence gaps narrowed for most interventions. These improvements could be traced to community mobilisation, technology and monitoring under NNM. Improvements in coverage of growth monitoring and counselling were higher in states that received additional incentives and monitoring under NNM. Stakeholders concurred that the improvements in coverage were likely driven by NNM. Interpretation Focused policy attention and programmatic efforts improved coverage and reduced inequities indicating an inclusive approach. Persistent coverage gaps for certain interventions require further inquiry. 2024-12 2025-01-08T19:31:34Z 2025-01-08T19:31:34Z Journal Article https://hdl.handle.net/10568/168709 en Open Access BMJ Avula, Rasmi; Nguyen, Phuong; Christopher, Anita; Gune, Soyra; Bhatia, Bhatia; Chauhan, Alka; et al. 2024. Assessing progress on the coverage of interventions in the first 1000 days in India: role of national programs. Assessing progress on the coverage of interventions in the first 1000 days in India: Role of national programs. BMJ Global Health 9(12): e015246. https://doi.org/10.1136/bmjgh-2024-015246 |
| spellingShingle | data maternal and child health nutrition research methods Avula, Rasmi Nguyen, Phuong Hong Christopher, Anita Gune, Soyra Bhatia, Neena Chauhan, Alka Dwivedi, L. K. Kapur, Avani Pedgaonkar, Sarang Shukla, Ritwik Chakrabarti, Suman Singh, Shri Kant Menon, Purnima Assessing progress on the coverage of interventions in the first 1000 days in India: Role of national programs |
| title | Assessing progress on the coverage of interventions in the first 1000 days in India: Role of national programs |
| title_full | Assessing progress on the coverage of interventions in the first 1000 days in India: Role of national programs |
| title_fullStr | Assessing progress on the coverage of interventions in the first 1000 days in India: Role of national programs |
| title_full_unstemmed | Assessing progress on the coverage of interventions in the first 1000 days in India: Role of national programs |
| title_short | Assessing progress on the coverage of interventions in the first 1000 days in India: Role of national programs |
| title_sort | assessing progress on the coverage of interventions in the first 1000 days in india role of national programs |
| topic | data maternal and child health nutrition research methods |
| url | https://hdl.handle.net/10568/168709 |
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