Understanding barriers in implementation and scaling up WIFS from providers perspective: A mixed-method study, Rishikesh, India

Khapre, Meenakshi; Shewade, Hemant Deepak; Kishore, Surekha; Ramaswamy, Gomathi; Dongre, Amol R

doi:10.4103/jfmpc.jfmpc_1014_19

Cited by 13 publications

(26 citation statements)

References 15 publications

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“…12 The result of present study are in congruence with a previous study indicate that those girls who miss their breakfast as well as not taking their meals properly have low Hb level. 13 The findings of this study are comparable with the result of a study that signifies meat is an essential food item for growth and development of body and mind as it is rich source of iron. 12 Strong association was found between meat (p-value = 0.004), beef (p-value = 0.001) and beef liver (p-value = 0.000) and Hb level.…”

Section: Discussionsupporting

confidence: 86%

“…However, these are not good for the health of adolescents as this food stuff reduces the iron binding capacity that leads to low level of Hb. 13 It is evident that good dietary habits and proper nutritional intake are essential to maintain an adequate Hb level in adolescent girls. Consequently, it can helpful to reduce the morbidity and mortality rate among these girls as they are the future mothers.…”

Section: Discussionmentioning

confidence: 99%

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Assessment of Hemoglobin Level in Relation to Dietary Habits among Adolescent Girls

Rehmat¹,

Yousuf

Zia

et al. 2020

APMC

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Background: Adolescence is considered as a period of increased demand of physiological needs including macro and micro nutrients. The requirement of some minerals as such iron and zinc are of top important elements involved in the physical and mental growth and development of adolescents. Low intake of iron rich food and excessive blood loss in menstruation are main reasons of iron deficiency anaemia in adolescent girls. Objective: a) To calculate the haemoglobin Hb level of adolescent girls in relation to their dietary habits. b) To compare Hb level in early and late adolescent girls. Study Design: Cross-sectional descriptive study. Settings: Three schools and two colleges of Shahdara region Lahore Pakistan. Duration: Six months from April to October 2017. Methodology: Cross-sectional descriptive study in which 262 adolescent girls were selected by stratified random sampling. The data was collected through food frequency questionnaire. Chi square test was used to find the association between food intake frequency and Hb level. Results: From sample of 262 adolescents 31.2% girls have BMI less than 5 TH percentile and 27.6% were found obese.31.2 adolescents were found anemic. Association was found between Hb level and intake of meat, beef, beef liver, legumes, nuts, black beans, dark chocolates, green vegetables, fruits, chapatti and iron supplements. Conclusion: The results identified the decrease intake of potential nutrients, low level of income, less education level of mothers and large number of family contributing to anemia in adolescent girls.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Assessment of Hemoglobin Level in Relation to Dietary Habits among Adolescent Girls

Rehmat¹,

Yousuf

Zia

et al. 2020

APMC

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“…A workable convergence action plan is also relevant for enhancing the coverage across beneficiary groups from inter-sectoral categories viz. schools and AWCs ( Khapre et al. , 2020 ).…”

Section: Discussionmentioning

confidence: 99%

Coverage of iron and folic acid supplementation in India: progress under the Anemia Mukt Bharat strategy 2017–20

Joe

Vishwakarma

Patel

et al. 2022

Health Policy and Planning

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High prevalence of anemia is a severe public health problem in India. In 2018, India launched the Anemia Mukt Bharat (AMB) strategy that focuses on six beneficiary groups for coverage, six institutional mechanisms for health system strengthening and six programmatic interventions to accelerate reductions in anemia prevalence. This paper uses the Health Management Information System (HMIS) data (2017–18 to 2019–20) to examine gains in IFA coverage across Indian states. A coverage based AMB index is computed to review performance across states. After the launch of AMB strategy, the IFA supplementation coverage between 2017–18 and 2019–20 has increased for all beneficiary groups (pregnant women from 78% to 90%; lactating mothers from 34% to 49%; school going adolescent girls (boys) from 23% to 40% (21% to 42%); out-of-school adolescent girls from 6% to 23%; children 5–9 years from 8% to 3%; and, children 6–59 months from 7% to 15%). Coverage was relatively low for target groups being served through a multi-departmental convergence mechanism (health and other departments such as education department for schools or women and child development department for anganwadi centres) than compared to those served by health department alone. However, no major gender disparities are noted in the coverage of IFA supplementation among school-going girls and boys. Bulk of the variations in coverage is attributable to state-specific differences. Training and sensitization workshops for state and district officials are found to be associated with increased coverage across beneficiary groups. The paper argues that despite following international best practices in the field it is important to harness synergy in program implementation across line departments to eliminate coverage inefficiencies.

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“…[ 4 ] (26.2%), Sarada and Thilak[ 11 ] (25%), Sajna and Jacob[ 19 ] (15%), Shrivastava and Maliye[ 20 ] (11.5%), and Khapre et al . [ 21 ] (16%) in their studies within and outside the country. Knowledge about WIFS was found to play a pertinent role in both coverage and optimal utilization with more of the adolescent boys and girls, having knowledge about the scheme, receiving iron and albendazole tablets, and complying with the correct dosage as compared to those who were not aware of this scheme.…”

Section: Discussionmentioning

confidence: 99%

“…[ 23 ] in Kerala and higher in studies done by Shah et al .,[ 9 ] Bhardwaj et al .,[ 13 ] and Khapre et al . [ 21 ] in various parts of the country. In addition, Rakesh et al .…”

Section: Discussionmentioning

confidence: 99%

Is ignorance of the weekly iron and folic acid scheme among adolescents the deciding factor for its suboptimal utilization and ineffectiveness? A cross-sectional study

Bali

Alok

2022

J Edu Health Promot

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Understanding barriers in implementation and scaling up WIFS from providers perspective: A mixed-method study, Rishikesh, India

Cited by 13 publications

References 15 publications

Assessment of Hemoglobin Level in Relation to Dietary Habits among Adolescent Girls

Assessment of Hemoglobin Level in Relation to Dietary Habits among Adolescent Girls

Coverage of iron and folic acid supplementation in India: progress under the Anemia Mukt Bharat strategy 2017–20

Is ignorance of the weekly iron and folic acid scheme among adolescents the deciding factor for its suboptimal utilization and ineffectiveness? A cross-sectional study

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