地方政府在喀拉拉邦实施循证营养干预措施中的作用。

IF 1.3 Q4 RESPIRATORY SYSTEM Public Health Action Pub Date : 2023-03-21 DOI:10.5588/pha.22.0026
J R Jith, R Bedamatta, K Rajamohanan, L K R Itty Amma, T S Sumitha, C S Divya, R Sadanandan, T Iype
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引用次数: 0

摘要

目的:研究印度喀拉拉邦由村务委员会(Panchayat Raj institutions, PRIs)组成的地方参与性政府在实施消除孕产妇和儿童营养不良的循证干预措施方面的参与和影响。方法:采用半结构化问卷,对选定的6个地方政府的利益相关者进行深度访谈。采访记录被编码并按主题进行分析。结果:prs通过额外的资源动员、营养监测和监督促进营养干预,作为一个更容易接近的治理点,利用普遍接受来动员志愿者应对当地挑战,为社区参与和共同创造空间提供正式和非正式的平台。不同利益相关者态度的变化、及时的政策支持和支持以及地方层面的相互联系都有助于这一进程。在提高认识、饮食多样化、喂养行为、产妇心理健康、基础设施发展、人体测量指标监测和紧急情况下营养干预措施规划方面存在差距。结论:结果说明了质量评价指标在卫生系统内的复杂联系,以及这些联系如何有助于实施干预措施。该研究探索了先前从文献中确定的途径,并确定了地方参与式治理有助于成功实施营养干预措施的其他途径。
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The role of local governments in the implementation of evidence-based nutrition interventions in Kerala.

Objective: To study the involvement and influence of local participatory governments consisting of Panchayat Raj institutions (PRIs) in implementing evidence-based interventions for eliminating maternal and child undernutrition in the state of Kerala, India.

Methods: In-depth interviews were carried out among stakeholders in six selected local governments using a semi-structured questionnaire. Transcribed interviews were coded and thematically analysed.

Results: PRIs facilitated nutrition interventions through additional resource mobilisation, nutrition monitoring and surveillance, acting as a more approachable point of governance, utilising general acceptance to mobilise volunteers to tackle local challenges, enabling formal and informal platforms for community participation and spaces of co-creation. Changes in the attitude of different stakeholders, timely policy backing and support, and interconnections at the local level aided the process. Gaps exist in awareness creation, dietary diversification, feeding behaviours, maternal mental health, infrastructure development, monitoring of anthropometric indicators and planning for nutrition interventions during emergencies.

Conclusion: Results illustrate complex linkages PRIs have within the health system and how these linkages help in the implementation of interventions. The study explored previously identified pathways from the literature and identified additional pathways through which local participatory governance contributes to the successful implementation of nutrition interventions.

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来源期刊
Public Health Action
Public Health Action RESPIRATORY SYSTEM-
自引率
0.00%
发文量
29
期刊介绍: Launched on 1 May 2011, Public Health Action (PHA) is an official publication of the International Union Against Tuberculosis and Lung Disease (The Union). It is an open access, online journal available world-wide to physicians, health workers, researchers, professors, students and decision-makers, including public health centres, medical, university and pharmaceutical libraries, hospitals, clinics, foundations and institutions. PHA is a peer-reviewed scholarly journal that actively encourages, communicates and reports new knowledge, dialogue and controversy in health systems and services for people in vulnerable and resource-limited communities — all topics that reflect the mission of The Union, Health solutions for the poor.
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