Understanding the emergence of 'Communitization' under India's National Rural Health Mission (NRHM): Findings from two Witness Seminars
India's experience with the National Rural Health Mission (NRHM) is notable on account of nationally formalising - at scale - community action in service delivery, monitoring, and planning of health services. A study was undertaken to document and create a historical record of NRHM's '...
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| Veröffentlicht in: | Global public health 2024, Vol.19 (1), p.2306466 |
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| creator | Kakoti, Misimi Srivastava, Siddharth Chatterjee, Prabir Mishra, Shraddha Nambiar, Devaki |
| description | India's experience with the National Rural Health Mission (NRHM) is notable on account of nationally formalising - at scale - community action in service delivery, monitoring, and planning of health services. A study was undertaken to document and create a historical record of NRHM's 'communitization' processes. The oral history method of the Witness Seminar was adopted and two virtual seminars with five and nine participants, respectively, were conducted, and supplemented with 4 in depth interviews. Analysis of transcripts was done using ATLAS.ti 22 with the broad themes of emergence, evolution, and evaluation and impact of 'communitization' under NRHM. This paper engages with the theme of 'emergence' and adopts the Multiple Streams Framework (MSF) conceptualised by John Kingdon for analysis. Key findings include the pioneering role of boundary spanning decision makers and the Jan Swasthya Abhiyan (JSA) in advocacy and design of 'communitization' structures, and the legacy of rights based social mobilizations and state-civil society partnerships in health during the 1990s influencing the ethos underlying 'communitization'. Democracy, leadership from the civil society in policy design and implementation, and state-civil society partnerships are linked to the positive results witnessed as part of 'communitization' in NRHM. |
| doi_str_mv | 10.1080/17441692.2024.2306466 |
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| subjects | Advocacy Civil society Community action Decision makers Democracy Health planning health reform Health services Humans India Interviews as Topic Leadership Oral history Partnerships Qualitative Research Rural Health Rural Health Services Seminars social participation for health witness seminar |
| title | Understanding the emergence of 'Communitization' under India's National Rural Health Mission (NRHM): Findings from two Witness Seminars |
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