Challenges in supervision, monitoring, and reporting in anemia programme implementation in Odisha, India: A qualitative process documentation

Introduction: Anemia is a major public health challenge in India. Despite national programmes and targeted interventions over the years, the decline has been unsatisfactory. National Iron Plus Initiative (NIPI) was launched by the Government of India with a vision to combat anemia. In this context,...

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Main Authors: Vikas Bhatia, Preetam Mahajan, Swayam P Parida, Sourvav Bhattacharjee, Soumya S Sahoo
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:http://www.jfmpc.com/article.asp?issn=2249-4863;year=2019;volume=8;issue=4;spage=1365;epage=1369;aulast=Bhatia
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author Vikas Bhatia
Preetam Mahajan
Swayam P Parida
Sourvav Bhattacharjee
Soumya S Sahoo
author_facet Vikas Bhatia
Preetam Mahajan
Swayam P Parida
Sourvav Bhattacharjee
Soumya S Sahoo
author_sort Vikas Bhatia
collection DOAJ
description Introduction: Anemia is a major public health challenge in India. Despite national programmes and targeted interventions over the years, the decline has been unsatisfactory. National Iron Plus Initiative (NIPI) was launched by the Government of India with a vision to combat anemia. In this context, we discuss the programmatic facilitators and issues in the monitoring, supervision, and reporting aspects of NIPI implementation. Materials and Methods: A process documentation study was undertaken in four districts of Odisha to assess the NIPI implementation. A total of 170 interviews were conducted during March–May 2016 among officials and frontline workers through qualitative techniques such as in-depth interviews, focus group discussions, and process observation. Data analysis was thematic using NVivo software. Results: Monitoring and supervision consisted primarily of visiting field sites by supervisors and review of the progress in meetings with inadequate documentation. Lack of coordination and ownership among the various departments involved were observed as revealed in the interviews. Some of the reporting formats were outdated and missed section for IFA syrup. Focus had been on the collection of data, but its utilization for informed decision-making and policy decisions was lacking. Conclusion: Better interdepartmental coordination and ownership, streamlining the reporting system and web-based monitoring system need to be prioritized to improve the effectiveness of the programme. The three key departments involved must strengthen the evaluation process for sustained outcomes to reduce anemia burden.
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spelling doaj.art-4ccc6855c9724b5b8f19f885b93b956a2022-12-21T19:12:27ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632019-01-01841365136910.4103/jfmpc.jfmpc_68_19Challenges in supervision, monitoring, and reporting in anemia programme implementation in Odisha, India: A qualitative process documentationVikas BhatiaPreetam MahajanSwayam P ParidaSourvav BhattacharjeeSoumya S SahooIntroduction: Anemia is a major public health challenge in India. Despite national programmes and targeted interventions over the years, the decline has been unsatisfactory. National Iron Plus Initiative (NIPI) was launched by the Government of India with a vision to combat anemia. In this context, we discuss the programmatic facilitators and issues in the monitoring, supervision, and reporting aspects of NIPI implementation. Materials and Methods: A process documentation study was undertaken in four districts of Odisha to assess the NIPI implementation. A total of 170 interviews were conducted during March–May 2016 among officials and frontline workers through qualitative techniques such as in-depth interviews, focus group discussions, and process observation. Data analysis was thematic using NVivo software. Results: Monitoring and supervision consisted primarily of visiting field sites by supervisors and review of the progress in meetings with inadequate documentation. Lack of coordination and ownership among the various departments involved were observed as revealed in the interviews. Some of the reporting formats were outdated and missed section for IFA syrup. Focus had been on the collection of data, but its utilization for informed decision-making and policy decisions was lacking. Conclusion: Better interdepartmental coordination and ownership, streamlining the reporting system and web-based monitoring system need to be prioritized to improve the effectiveness of the programme. The three key departments involved must strengthen the evaluation process for sustained outcomes to reduce anemia burden.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2019;volume=8;issue=4;spage=1365;epage=1369;aulast=BhatiaAnemiaICDSmonitoringreportingsupervision
spellingShingle Vikas Bhatia
Preetam Mahajan
Swayam P Parida
Sourvav Bhattacharjee
Soumya S Sahoo
Challenges in supervision, monitoring, and reporting in anemia programme implementation in Odisha, India: A qualitative process documentation
Journal of Family Medicine and Primary Care
Anemia
ICDS
monitoring
reporting
supervision
title Challenges in supervision, monitoring, and reporting in anemia programme implementation in Odisha, India: A qualitative process documentation
title_full Challenges in supervision, monitoring, and reporting in anemia programme implementation in Odisha, India: A qualitative process documentation
title_fullStr Challenges in supervision, monitoring, and reporting in anemia programme implementation in Odisha, India: A qualitative process documentation
title_full_unstemmed Challenges in supervision, monitoring, and reporting in anemia programme implementation in Odisha, India: A qualitative process documentation
title_short Challenges in supervision, monitoring, and reporting in anemia programme implementation in Odisha, India: A qualitative process documentation
title_sort challenges in supervision monitoring and reporting in anemia programme implementation in odisha india a qualitative process documentation
topic Anemia
ICDS
monitoring
reporting
supervision
url http://www.jfmpc.com/article.asp?issn=2249-4863;year=2019;volume=8;issue=4;spage=1365;epage=1369;aulast=Bhatia
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