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: Tulika Goswami Mahanta, Nabanita Nirmolia, Abhijit Basu Biswas, Swarnali Devi Baruah
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
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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author Tulika Goswami Mahanta
Nabanita Nirmolia
Abhijit Basu Biswas
Swarnali Devi Baruah
author_facet Tulika Goswami Mahanta
Nabanita Nirmolia
Abhijit Basu Biswas
Swarnali Devi Baruah
author_sort Tulika Goswami Mahanta
collection DOAJ
description 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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institution Kabale University
issn 2772-3666
2772-3674
language English
publishDate 2024-12-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of Public Health and Primary Care
spelling doaj-art-59746d25b6594bb78c7147bce0d5dde32025-01-14T06:10:09ZengWolters Kluwer Medknow PublicationsJournal of Public Health and Primary Care2772-36662772-36742024-12-015316216610.4103/jphpc.jphpc_24_24Rural–Urban Differential in Health and Nutrition Day Implementation in Assam during Postpandemic PeriodTulika Goswami MahantaNabanita NirmoliaAbhijit Basu BiswasSwarnali Devi BaruahBackground: 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.https://journals.lww.com/10.4103/jphpc.jphpc_24_24assamboosting routine immunization demand generation trainingfront-line workerhealth and nutrition dayroutine immunization
spellingShingle Tulika Goswami Mahanta
Nabanita Nirmolia
Abhijit Basu Biswas
Swarnali Devi Baruah
Rural–Urban Differential in Health and Nutrition Day Implementation in Assam during Postpandemic Period
Journal of Public Health and Primary Care
assam
boosting routine immunization demand generation training
front-line worker
health and nutrition day
routine immunization
title Rural–Urban Differential in Health and Nutrition Day Implementation in Assam during Postpandemic Period
title_full Rural–Urban Differential in Health and Nutrition Day Implementation in Assam during Postpandemic Period
title_fullStr Rural–Urban Differential in Health and Nutrition Day Implementation in Assam during Postpandemic Period
title_full_unstemmed Rural–Urban Differential in Health and Nutrition Day Implementation in Assam during Postpandemic Period
title_short Rural–Urban Differential in Health and Nutrition Day Implementation in Assam during Postpandemic Period
title_sort rural urban differential in health and nutrition day implementation in assam during postpandemic period
topic assam
boosting routine immunization demand generation training
front-line worker
health and nutrition day
routine immunization
url https://journals.lww.com/10.4103/jphpc.jphpc_24_24
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AT nabanitanirmolia ruralurbandifferentialinhealthandnutritiondayimplementationinassamduringpostpandemicperiod
AT abhijitbasubiswas ruralurbandifferentialinhealthandnutritiondayimplementationinassamduringpostpandemicperiod
AT swarnalidevibaruah ruralurbandifferentialinhealthandnutritiondayimplementationinassamduringpostpandemicperiod