Mapping Social Innovation Among Youth and Adolescents: A Situational Assessment of Livelihood Promotion and Enhancement Initiatives in India

Santha, Sunil D.; Banerjee, Swati; Sasidevan, Devisha

doi:10.1007/978-981-13-6593-5_6

Cited by 2 publications

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“…However, there are limited livelihood opportunities for young people in India due to a lack of skills, education, and a huge competition [ 11 ]. Gender inequality and rural-urban differences in access to job opportunities further add to the growing problem of unemployment and livelihood struggles for the marginalized populations [ 12 ]. Research on such evidence-based integrated health and livelihood development interventions informed the conceptual model of our intervention (Figure 1) [ 13,14 ].…”

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confidence: 99%

A Qualitative Evaluation of An Integrated Health and Livelihood Development Project for Marginalized Communities in India

Sharma

Akhtar

Singh

et al. 2021

Journal of Public Health Research

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Background: A community-based intervention was implemented to improve maternal, child, and adolescent health practices, promote financial literacy and enhance livelihood opportunities for young people in marginalized communities. A hypothesis related to our intervention was that peer-led education sessions on health and nutrition in conjunction with community mobilization would change communities’ perceptions towards maternal and child health.Design and methods: This three-year intervention was done in the two districts of Rajasthan, India, namely Nagaur and Pali. The paper explored the changes in perceptions and practices that resulted from this intervention among women and adolescents. We performed a retrospective, qualitative effect evaluation of the project. Focus group discussions with married women (15-49 years) and adolescents (10-19 years), and in-depth interviews with frontline workers and village health committees were done. The qualitative data were translated, coded, and analyzed thematically using an inductive approach.Results: Overall, 4853 women and 8158 adolescents were engaged in the intervention. The study seemed to have brought a change in some of the practices like postnatal care uptake, breastfeeding, and uptake of antenatal care among women, and enhanced awareness about sexual and reproductive health and harms of substance abuse among adolescents was noted. Around 23% and 67% of the young people from Nagaur and Pali, respectively, were linked with jobs in computer training centres, tailoring centres, and beauty parlours.Conclusions: The intervention was perceived successful in improving many health and nutrition practices and livelihood opportunities among project beneficiaries, calling for a comprehensive and multi-dimensional intervention to target social determinants of health.

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Section: Introductionmentioning

confidence: 99%

A Qualitative Evaluation of An Integrated Health and Livelihood Development Project for Marginalized Communities in India

Sharma

Akhtar

Singh

et al. 2021

Journal of Public Health Research

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

Evaluation of an integrated health and livelihood development program for marginalized communities in India

Sharma

Akhtar

Singh

et al. 2020

Preprint

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Background Women from marginalized communities have poorer maternal health outcomes and limited utilization of health services compared to other communities. There is empirical evidence that comprehensively designed interventions targeting health education of women and social determinants of health, such as financial security, have better outcomes than focusing on health education alone. A community-based intervention was implemented to improve maternal, child, and adolescent health practices in marginalized communities. Besides, the project aimed to promote financial literacy and enhance livelihood opportunities for young people. This three-year peer-led intervention was done in the two districts of Rajasthan, namely Nagaur and Pali. The paper aimed at assessing the effectiveness of this community-based intervention.Methods Pre-post study design based on qualitative research was used for the evaluation of the intervention. Purposive sampling was done both at baseline and the end-line assessments. Focus group discussions were done with women (15-49 years) and adolescents (10-19 years), and in-depth interviews with frontline workers and village health committees were done. Content analysis was done.Results Overall, 4853 women, and 8158 adolescents were engaged in the intervention in two districts. We found a noticeable change in some of the practices like institutional delivery, breastfeeding, uptake of antenatal care among women, and knowledge about sexual and reproductive health among adolescents. Around 23% and 67% of the young people from Nagaur and Pali, respectively, were linked with jobs in computer training centers, tailoring centers, and beauty parlors. However, we found a lack of change in some of the indicators, such as knowledge about HIV testing during pregnancy, uptake of contraceptives, and iron-folic acid consumption among women. Early marriage was widely prevalent in the districts, the reduction of which was underachieved. In the interviews, frontline workers reported having been impartial and inclusive in delivering health services.Conclusions We found evidence suggesting that peer-led interventions are equally effective in improving maternal and child health practices and livelihood promotion. The gaps at system-level, coupled with the presence of specific socio-cultural contextual factors might explain for lack of improvement in some of the indicators.

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Mapping Social Innovation Among Youth and Adolescents: A Situational Assessment of Livelihood Promotion and Enhancement Initiatives in India

Cited by 2 publications

References 17 publications

A Qualitative Evaluation of An Integrated Health and Livelihood Development Project for Marginalized Communities in India

A Qualitative Evaluation of An Integrated Health and Livelihood Development Project for Marginalized Communities in India

Evaluation of an integrated health and livelihood development program for marginalized communities in India

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