M-Sakhi – Mobile health solutions to help community providers promote maternal and infant nutrition and health

A description of development of the Program Impact Pathway using Theory of Change

Dados Bibliográficos

ID15097147
AutoresArchana B Patel, Archana Patel (0000-0002-2558-7421, Lata Medical Research Foundation, autor correspondente), Priyanka Kuhite (0000-0002-3503-7810, Lata Medical Research Foundation), Samreen Sadaf Khan (0000-0003-0692-2623, Lata Medical Research Foundation), Amrita Puranik (0000-0003-0013-7317, Lata Medical Research Foundation), Ashraful Alam (0000-0001-7034-1095, The University of Sydney), Michael J Dibley (0000-0002-1554-5180, The University of Sydney)
Ano2024
Volume27
Fascículo1
Páginase217-e217
Data de publicação2024-01-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoPublic Health Nutrition (JOURNAL)
Identificadores do periódicoISSN: 1368-9800 • E-ISSN: 1475-2727
EditoraCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980024001265
PMID39436271
OpenAlexW4403640860
IdiomaEN
Citações recebidas1
Referências citadas27

Objective: Behaviour Change Communication (BCC) intervention programmes often lack documentation of successful processes. This manuscript aims to describe the development of Program Impact Pathway (PIP) using Theory of Change (ToC) approach for a mHealth BCC intervention titled ‘Mobile Solutions Aiding Knowledge for Health Improvement (M-SAKHI)’ aimed at reducing stunting in infants at 18 months of age. Design: The PIP was developed using ToC to design the intervention and plan its implementation. Literature review and data from previous pilots helped to identify health service gaps that needed to be addressed by the PIP of this intervention. Setting: M-SAKHI was implemented in 244 villages under governance of forty primary health centres of Nagpur and Bhandara districts of eastern Maharashtra in central India. Participants: The study investigators and the public health stakeholders participated in developing the PIP. M-SAKHI evaluation study recruited 2501 pregnant women who were followed up through delivery until their infants were 18 months old. Results: The PIP was developed, and it identified the following pathways for the final impact: (1) improving maternal and infant nutrition, (2) early recognition of maternal and infant danger signs, (3) improving access and utilisation to healthcare services, (4) improving hygiene, sanitation and immunisation practices, and (5) improving implementation and service delivery of community health workers through their training, monitoring and supervision in real time. Conclusion: This paper will illustrate the significance of development of PIP for M-SAKHI. It can aid other community-based programmes to design their PIP for nutrition-based BCC interventions

Behavior change communication · Breastfeeding · Business · Community health · Community mobilization · Documentation · Economic growth · Environmental health · Health intervention · Health services · Hygiene · Intervention (counseling · mHealth · Population · Program evaluation · Psychological intervention · Public health · Sanitation · Service (business · Service delivery framework · Service provider · Theory of change · Breastfeeding Practices and Influences · Child Nutrition and Water Access · Global Maternal and Child Health · Medicine · Nursing · Pediatrics