{"id":4521,"date":"2023-03-27T02:13:24","date_gmt":"2023-03-27T00:13:24","guid":{"rendered":"https:\/\/www.jphres.org\/?p=4521"},"modified":"2023-04-06T06:51:32","modified_gmt":"2023-04-06T04:51:32","slug":"a-qualitative-evaluation-of-an-integrated-health-and-livelihood-development-project-for-marginalized-communities-in-india","status":"publish","type":"page","link":"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/2142\/","title":{"rendered":"A qualitative evaluation of an integrated health and livelihood development project for marginalized communities in India"},"content":{"rendered":"<div class=\"item doi\"><span class=\"value\"><a href=\"https:\/\/doi.org\/10.4081\/jphr.2021.2142\">https:\/\/doi.org\/10.4081\/jphr.2021.2142<\/a><\/span><\/div>\n<ul class=\"item authors\">\n<li><span class=\"name\"><strong>Shantanu Sharma<\/strong><br \/>\n<span class=\"affiliation\">Department of Clinical Sciences, Lund University, Sk\u00e5ne University Hospital, Malm\u00f6, Sweden.<\/span><span class=\"orcid\"><a href=\"https:\/\/orcid.org\/0000-0002-5064-4782\" target=\"_blank\" rel=\"noopener\">\u00a0https:\/\/orcid.org\/0000-0002-5064-4782<\/a><\/span><\/span><\/li>\n<li><span class=\"name\"><strong>Faiyaz Akhtar<\/strong><br \/>\n<\/span><span class=\"affiliation\">Department of Reproductive, Maternal, Child, and Adolescent Health, MAMTA-Health Institute for Mother and Child, Delhi, India.<\/span><\/li>\n<li><span class=\"name\"><strong>Rajesh Kumar Singh<\/strong><br \/>\n<\/span><span class=\"affiliation\">Department of Reproductive, Maternal, Child, and Adolescent Health, MAMTA-Health Institute for Mother and Child, Delhi, India.<\/span><\/li>\n<li><span class=\"name\"><strong>Sunil Mehra<\/strong><br \/>\n<\/span><span class=\"affiliation\">Department of Reproductive, Maternal, Child, and Adolescent Health, MAMTA-Health Institute for Mother and Child, Delhi, India.<\/span><\/li>\n<\/ul>\n<div class=\"item abstract\">\n<h3 class=\"label\">ABSTRACT<\/h3>\n<p><em>Background<\/em>: A community-based intervention was implemented to improve maternal, child, and adolescent health practices, promote financial literacy and enhance livelihood opportunities for young people in marginalized communities. A hypothesis related to our intervention was that peer-led education sessions on health and nutrition in conjunction with community mobilization would change communities\u2019 perceptions towards maternal and child health.<br \/>\n<em><br \/>\nDesign and methods<\/em>: This three-year intervention was done in the two districts of Rajasthan, India, namely Nagaur and Pali. The paper explored the changes in perceptions and practices that resulted from this intervention among women and adolescents. We performed a retrospective, qualitative effect evaluation of the project. Focus group discussions with married women (15-49 years) and adolescents (10-19 years), and in-depth interviews with frontline workers and village health committees were done. The qualitative data were translated, coded, and analyzed thematically using an inductive approach.<br \/>\n<em><br \/>\nResults<\/em>: Overall, 4853 women and 8158 adolescents were engaged in the intervention. The study seemed to have brought a change in some of the practices like postnatal care uptake, breastfeeding, and uptake of antenatal care among women, and enhanced awareness about sexual and reproductive health and harms of substance abuse among adolescents was noted. Around 23% and 67% of the young people from Nagaur and Pali, respectively, were linked with jobs in computer training centres, tailoring centres, and beauty parlours.<br \/>\n<em><br \/>\nConclusions<\/em>: The intervention was perceived successful in improving many health and nutrition practices and livelihood opportunities among project beneficiaries, calling for a comprehensive and multi-dimensional intervention to target social determinants of health.<\/p>\n<h3 class=\"label\">REFERENCES<\/h3>\n<div class=\"value\">\n<p>Sachs J, Schmidt-Traub G, Kroll C, et al. Sustainable Development Report 2019. Accessed: 5 Oct 2019. 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J Health Popul Nutr 2018;37:2. DOI:\u00a0<a href=\"https:\/\/doi.org\/10.1186\/s41043-017-0129-6\">https:\/\/doi.org\/10.1186\/s41043-017-0129-6<\/a><\/p>\n<p>George AS, Mohan D, Gupta J, et al. Can community action improve equity for maternal health and how does it do so? Research findings from Gujarat, India. Int J Equity Health 2018;17:125. DOI:\u00a0<a href=\"https:\/\/doi.org\/10.1186\/s12939-018-0838-5\">https:\/\/doi.org\/10.1186\/s12939-018-0838-5<\/a><\/p>\n<p>Saggurti N, Porwal A, Atmavilas Y, et al. Effect of behavioral change intervention around new-born care practices among most marginalized women in self-help groups in rural India: analyses of three cross-sectional surveys between 2013 and 2016. J Perinatol 2019;39:990-9. DOI:\u00a0<a href=\"https:\/\/doi.org\/10.1038\/s41372-019-0358-1\">https:\/\/doi.org\/10.1038\/s41372-019-0358-1<\/a><\/p>\n<p>Saggurti N, Atmavilas Y, Porwal A, et al. 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DOI:\u00a0<a href=\"https:\/\/doi.org\/10.1891\/1541-6577.32.2.168\">https:\/\/doi.org\/10.1891\/1541-6577.32.2.168<\/a><\/p>\n<p>Government of Rajasthan, Department of Rural Development and Panchayati Raj. Rajasthan rural livelihood project. 2010. Accessed: 1 Dec 2019. Available from:\u00a0<a href=\"http:\/\/documents.worldbank.org\/curated\/en\/304151468267326628\/pdf\/IPP4550REVISED1blic10BOX353791B1pdf.pdf\">http:\/\/documents.worldbank.org\/curated\/en\/304151468267326628\/pdf\/IPP4550REVISED1blic10BOX353791B1pdf.pdf<\/a><\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>https:\/\/doi.org\/10.4081\/jphr.2021.2142 Shantanu Sharma Department of Clinical Sciences, Lund University, Sk\u00e5ne University Hospital, Malm\u00f6, Sweden.\u00a0https:\/\/orcid.org\/0000-0002-5064-4782 Faiyaz Akhtar Department of Reproductive, Maternal, Child, and Adolescent Health, MAMTA-Health Institute for Mother and Child, Delhi, India. Rajesh Kumar Singh Department of Reproductive, Maternal, Child, and Adolescent Health, MAMTA-Health Institute for Mother and Child, Delhi, India. Sunil Mehra Department of &#8230; <a title=\"A qualitative evaluation of an integrated health and livelihood development project for marginalized communities in India\" class=\"read-more\" href=\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/2142\/\" aria-label=\"More on A qualitative evaluation of an integrated health and livelihood development project for marginalized communities in India\">Read more<\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-4521","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>A qualitative evaluation of an integrated health and livelihood development project for marginalized communities in India - Journal of Public Health Research<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/2142\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"A qualitative evaluation of an integrated health and livelihood development project for marginalized communities in India - Journal of Public Health Research\" \/>\n<meta property=\"og:description\" content=\"https:\/\/doi.org\/10.4081\/jphr.2021.2142 Shantanu Sharma Department of Clinical Sciences, Lund University, Sk\u00e5ne University Hospital, Malm\u00f6, Sweden.\u00a0https:\/\/orcid.org\/0000-0002-5064-4782 Faiyaz Akhtar Department of Reproductive, Maternal, Child, and Adolescent Health, MAMTA-Health Institute for Mother and Child, Delhi, India. 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Rajesh Kumar Singh Department of Reproductive, Maternal, Child, and Adolescent Health, MAMTA-Health Institute for Mother and Child, Delhi, India. Sunil Mehra Department of ... 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