Predictors of Essential Health and Nutrition Service Delivery in Bihar, India: Results From Household and Frontline Worker Surveys

Abstract

Only about 35% of sample households reported receiving immunization, food supplements, pregnancy care information, or nutrition information. Monetary incentives for such product-oriented services as immunization improved performance and may have spillover effects for information-oriented services. Immunization day events and good frontline worker recordkeeping also improved service delivery.

Do the pregnant mothers utilize supplementary nutrition along with other antenatal services? A cross sectional study from Mangaluru, Karnataka state, India

“…7 In order to enhance the utilization of nutrition related services from anganwadi, there is need to incentivize the services on the basis of performance. 8 Although health education was given regarding nutrition (95%) to almost all mothers, utilization and consumption remains unsatisfactory. Further research should study the factors associated with utilization and consumption of supplementary nutrition and means to improve them.…”

Using mHealth to improve health care delivery in India: A qualitative examination of the perspectives of community health workers and beneficiaries

“…AWWs deliver services to pregnant and lactating women and children below the age of six years through Anganwadi Centres (AWCs), serving a catchment area of a population of 1,000 [27][28][29]. Under the ICDS program, AWWs provide monthly food supplements, facilitate health check-ups, conduct pre-school education for children 3-6 years of age, and counselling on pregnancy care, infant and young child feeding practices both at the AWC as well as during home visits to beneficiaries.…”

Remuneration systems of community health workers in India and promoted maternal health outcomes: a cross-sectional study

“…1 AWWs represents mothers who reported they were visited by an AWW and could also have been visited by any other type of CHWs to talk about the care and feeding of her child in the last one month. 2…”

“…Anganwadi workers (AWWs) are local female health workers with at least a 10th grade education, employed under the Integrated Child Development Service (ICDS). AWWs and the other senior level workers, auxiliary nurse-midwives (ANMs), have been the major CHWs in the Indian health care delivery system to meet women and children's health needs since 1975 [2]. In 2005, the Government of India (GOI) launched the National Rural Health Mission (NRHM) to improve the outreach and coverage of health services.…”

“…Depending on the state, 60-70% of mothers who were visited by an ASHA were also visited by another CHW 2. Depending on the state, 45-82% of mothers who were visited by an AWW were also visited by another CHW.…”