Applying Positive Deviance for Improving Compliance to Adolescent Anemia Control Program in Tribal Communities of India

Abstract

Government-led PD approach uncovered local solutions and provided a forum for government functionaries to listen to and dialogue with, and an opportunity to adapt the program according to the needs of the affected communities, who are missing partners in program design and management.

Anaemia in Indians aged 10–19 years: Prevalence, burden and associated factors at national and regional levels

“…The programme also strengthens existing programmes that address nonnutritional causes of anaemia (bed nets in malaria‐endemic areas, sickle cell anaemia, fluorosis). Beyond the Anaemia Free India programme, additional complementary interventions that may be particularly important for adolescents include the provision of mid‐day meals (which, currently, are not offered to adolescents 15 years or older under India's Mid‐Day Meal Scheme, PM‐POSHAN), cash transfers to keep girls in school and prevent early marriage and special programmes targeted at regions with a high prevalence of sickle cell anaemia (Aguayo et al, 2013 ; MoHFW, Government of India, 2012 ; Sethi et al, 2017 ). Anaemia camps to test, treat and counsel adolescents, which are a part of the Anaemia Free India programme, should target vulnerable populations— especially adolescent girls out of school—engage with school health programmes, and screen for haemoglobinopathies.…”

“…While there is a growing consensus that nutrition‐specific strategies alone will not end anaemia, our findings highlight the need for nutrition‐specific strategies that focus on iron but also address deficiencies in other micronutrients such as vitamin A and zinc. The IFA supplementation strategy has supply and compliance barriers (Ramakrishnan et al, 2012 ; Sethi et al, 2017 ), which still need to be addressed. Evidence on the effectiveness of anaemia reduction in adolescents using multiple micronutrient supplementation is limited and more research, particularly large‐scale implementation and operational research, is needed in this direction.…”

“…India is among the few countries in South Asia and the world to have a comprehensive programme to address anaemia in the adolescent While there is a growing consensus that nutrition-specific strategies alone will not end anaemia, our findings highlight the need for nutrition-specific strategies that focus on iron but also address deficiencies in other micronutrients such as vitamin A and zinc. The IFA supplementation strategy has supply and compliance barriers (Ramakrishnan et al, 2012;Sethi et al, 2017), which still need to be addressed. Evidence on the effectiveness of anaemia reduction in…”

Sikap Dan Kepatuhan Minum Suplemen Zat Besi Berhubungan Dengan Kadar Hemoglobin Pada Remaja Putri

“…Dalam meningkatkan pengetahuan dan sikap serta perilaku minum tablet tambah darah, guru sebagai pembimbig, orang tua sebagai pendamping dan tenaga kesehatan dalam memberikan konseling dan pendampingan. Seperti pada penelitian di India tentang peran guru dan orang tua dalam mendampingi remaja pada program WIFS (Sethi et al, 2017), jumlah petugas kesehatan yang tidak memadai adalah tantangan utama yang dihadapi sektor kesehatan di negara berkembang. Bebrapa media dapat membantu dalam peningkatan pengetahuan dan informasi kepada pasien (Manganello et al, 2017).…”

Positive deviance, big data, and development: A systematic literature review

“…And since programmatic studies' main interest is just in post hoc identification of reasons for deviants to adopt or engage with the focal programme, they usually end at the third stage of the PD methodology. Example studies include programmes concerned with malnutrition (D'Alimonte, Deshmukh, Jayaraman, Chanani, & Humphries, ; Levinson, Barney, Bassett, & Schultink, ; Sethi, Sternin, Sharma, Bhanot, & Mebrahtu, ), farmer training (Tekle, ), and livestock feed technology adoption (Birhanu, Girma, & Puskur, ).…”