Rural–Urban Differential in Health and Nutrition Day Implementation in Assam during Postpandemic Period
Background: Health and Nutrition Day was conceptualized by the National Health Mission to address the accessibility and utilization of integrated RCH and immunization services by the community. Subjects and Methods: Cross-sectional comparative study conducted covering all districts of Assam using MO...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2024-12-01
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| Series: | Journal of Public Health and Primary Care |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/jphpc.jphpc_24_24 |
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| Summary: | Background:
Health and Nutrition Day was conceptualized by the National Health Mission to address the accessibility and utilization of integrated RCH and immunization services by the community.
Subjects and Methods:
Cross-sectional comparative study conducted covering all districts of Assam using MOHFW supportive supervision formats.
Results:
Number of sites monitored (342 urban and 1970 rural) were 2312. Headcount survey data were not available (9.8% of rural vs. 9.1% urban). ANM did not record the vaccination status of previous sessions in 5.7% of rural versus 1.5% of urban sites. Logistic availability was better in urban sites. Some sessions (3.9%) had open vials without date and time mentioned (4.4% rural vs. 3.9% urban was statistically significant). Open vial beyond 28 days was found in 3.2% of rural versus 0.6% in urban areas and were statistically significant. Key message was delivered better in urban areas.
Conclusion:
Noticeable disparity in the implementation of health and nutrition day more in favor of urban areas. Proper microplanning, uninterrupted supply chain, and capacity building with a focus on rural sites need to be prioritized. |
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| ISSN: | 2772-3666 2772-3674 |