Health layering of self-help groups: impacts on reproductive, maternal, newborn and child health and nutrition in Bihar, India
Self-help group (SHG) interventions have been widely studied in low and middle income countries. However, there is little data on specific impacts of health layering, or adding health education modules upon existing SHGs which were formed primarily for economic empowerment. We examined three SHG int...
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| Veröffentlicht in: | Journal of global health 2020-12, Vol.10 (2), p.021007 |
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| creator | Mehta, Kala M Irani, Laili Chaudhuri, Indrajit Mahapatra, Tanmay Schooley, Janine Srikantiah, Sridhar Abdalla, Safa Ward, Victoria Carmichael, Suzan L Bentley, Jason Creanga, Andreea Wilhelm, Jess Tarigopula, Usha Kiran Bhattacharya, Debarshi Atmavilas, Yamini Nanda, Priya Weng, Yingjie Pepper, Kevin T Darmstadt, Gary L |
| description | Self-help group (SHG) interventions have been widely studied in low and middle income countries. However, there is little data on specific impacts of health layering, or adding health education modules upon existing SHGs which were formed primarily for economic empowerment. We examined three SHG interventions from 2012-2017 in Bihar, India to test the hypothesis that health-layering of SHGs would lead to improved health-related behaviours of women in SHGs.
A model for health layering of SHGs -
- was developed by the non-governmental organisation (NGO), Project Concern International, in 64 blocks of eight districts. Layering included health modules, community events and review mechanisms. The health layering model was adapted for use with government-led SHGs, called JEEViKA
HL, in 37 other blocks of Bihar. Scale-up of government-led SHGs without health layering (JEEViKA) occurred contemporaneously in 433 other blocks, providing a natural comparison group. Using Community-based Household Surveys (CHS, rounds 6-9) by CARE India, 62 reproductive, maternal, newborn and child health and nutrition (RMNCHN) and sanitation indicators were examined for SHGs with health layering (
SHGs and JEEViKA+HL SHGs) compared to those without. We calculated mean, standard deviation and odds ratios of indicators using surveymeans and survey logistic regression.
In 2014, 64% of indicators were significantly higher in
members compared to non-members residing in the same blocks. During scale up, from 2015-17, half (50%) of indicators had significantly higher odds in health layered SHG members (
or JEEViKA+HL) in 101 blocks compared to SHG members without health layering (JEEViKA) in 433 blocks.
Health layering of SHGs was demonstrated by an NGO-led model (
), adapted and scaled up by a government model (JEEViKA+HL), and associated with significant improvements in health compared to non-health-layered SHGs (JEEViKA). These results strengthen the evidence base for further layering of health onto the SHG platform for scale-level health change.
ClinicalTrials.gov number NCT02726230. |
| doi_str_mv | 10.7189/jogh.10.021007 |
| format | Article |
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A model for health layering of SHGs -
- was developed by the non-governmental organisation (NGO), Project Concern International, in 64 blocks of eight districts. Layering included health modules, community events and review mechanisms. The health layering model was adapted for use with government-led SHGs, called JEEViKA
HL, in 37 other blocks of Bihar. Scale-up of government-led SHGs without health layering (JEEViKA) occurred contemporaneously in 433 other blocks, providing a natural comparison group. Using Community-based Household Surveys (CHS, rounds 6-9) by CARE India, 62 reproductive, maternal, newborn and child health and nutrition (RMNCHN) and sanitation indicators were examined for SHGs with health layering (
SHGs and JEEViKA+HL SHGs) compared to those without. We calculated mean, standard deviation and odds ratios of indicators using surveymeans and survey logistic regression.
In 2014, 64% of indicators were significantly higher in
members compared to non-members residing in the same blocks. During scale up, from 2015-17, half (50%) of indicators had significantly higher odds in health layered SHG members (
or JEEViKA+HL) in 101 blocks compared to SHG members without health layering (JEEViKA) in 433 blocks.
Health layering of SHGs was demonstrated by an NGO-led model (
), adapted and scaled up by a government model (JEEViKA+HL), and associated with significant improvements in health compared to non-health-layered SHGs (JEEViKA). These results strengthen the evidence base for further layering of health onto the SHG platform for scale-level health change.
ClinicalTrials.gov number NCT02726230.</description><identifier>ISSN: 2047-2978</identifier><identifier>EISSN: 2047-2986</identifier><identifier>DOI: 10.7189/jogh.10.021007</identifier><identifier>PMID: 33425331</identifier><language>eng</language><publisher>Scotland: Edinburgh University Global Health Society</publisher><subject>Adult ; Child Health ; Childrens health ; Collective action ; Empowerment ; Female ; Global health ; Health Education ; Health Status ; Humans ; India ; Infant ; Infant Health ; Infant, Newborn ; Intervention ; Male ; Maternal & child health ; Maternal Health ; Microfinance ; Newborn babies ; NGOs ; Nongovernmental organizations ; Nutrition ; Nutritional Status ; Postpartum period ; Pregnancy ; Prenatal care ; Reproductive Health ; Research Theme 6: Lessons from Ananya Programme in Bihar ; Sanitation ; Self help ; Self-Help Groups ; Support groups</subject><ispartof>Journal of global health, 2020-12, Vol.10 (2), p.021007</ispartof><rights>Copyright © 2020 by the Journal of Global Health. All rights reserved.</rights><rights>Copyright © 2020 by the Journal of Global Health. All rights reserved. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2020 by the Journal of Global Health. All rights reserved. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7759023/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7759023/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,861,882,27905,27906,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33425331$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mehta, Kala M</creatorcontrib><creatorcontrib>Irani, Laili</creatorcontrib><creatorcontrib>Chaudhuri, Indrajit</creatorcontrib><creatorcontrib>Mahapatra, Tanmay</creatorcontrib><creatorcontrib>Schooley, Janine</creatorcontrib><creatorcontrib>Srikantiah, Sridhar</creatorcontrib><creatorcontrib>Abdalla, Safa</creatorcontrib><creatorcontrib>Ward, Victoria</creatorcontrib><creatorcontrib>Carmichael, Suzan L</creatorcontrib><creatorcontrib>Bentley, Jason</creatorcontrib><creatorcontrib>Creanga, Andreea</creatorcontrib><creatorcontrib>Wilhelm, Jess</creatorcontrib><creatorcontrib>Tarigopula, Usha Kiran</creatorcontrib><creatorcontrib>Bhattacharya, Debarshi</creatorcontrib><creatorcontrib>Atmavilas, Yamini</creatorcontrib><creatorcontrib>Nanda, Priya</creatorcontrib><creatorcontrib>Weng, Yingjie</creatorcontrib><creatorcontrib>Pepper, Kevin T</creatorcontrib><creatorcontrib>Darmstadt, Gary L</creatorcontrib><creatorcontrib>Ananya Study Group</creatorcontrib><title>Health layering of self-help groups: impacts on reproductive, maternal, newborn and child health and nutrition in Bihar, India</title><title>Journal of global health</title><addtitle>J Glob Health</addtitle><description>Self-help group (SHG) interventions have been widely studied in low and middle income countries. However, there is little data on specific impacts of health layering, or adding health education modules upon existing SHGs which were formed primarily for economic empowerment. We examined three SHG interventions from 2012-2017 in Bihar, India to test the hypothesis that health-layering of SHGs would lead to improved health-related behaviours of women in SHGs.
A model for health layering of SHGs -
- was developed by the non-governmental organisation (NGO), Project Concern International, in 64 blocks of eight districts. Layering included health modules, community events and review mechanisms. The health layering model was adapted for use with government-led SHGs, called JEEViKA
HL, in 37 other blocks of Bihar. Scale-up of government-led SHGs without health layering (JEEViKA) occurred contemporaneously in 433 other blocks, providing a natural comparison group. Using Community-based Household Surveys (CHS, rounds 6-9) by CARE India, 62 reproductive, maternal, newborn and child health and nutrition (RMNCHN) and sanitation indicators were examined for SHGs with health layering (
SHGs and JEEViKA+HL SHGs) compared to those without. We calculated mean, standard deviation and odds ratios of indicators using surveymeans and survey logistic regression.
In 2014, 64% of indicators were significantly higher in
members compared to non-members residing in the same blocks. During scale up, from 2015-17, half (50%) of indicators had significantly higher odds in health layered SHG members (
or JEEViKA+HL) in 101 blocks compared to SHG members without health layering (JEEViKA) in 433 blocks.
Health layering of SHGs was demonstrated by an NGO-led model (
), adapted and scaled up by a government model (JEEViKA+HL), and associated with significant improvements in health compared to non-health-layered SHGs (JEEViKA). These results strengthen the evidence base for further layering of health onto the SHG platform for scale-level health change.
ClinicalTrials.gov number NCT02726230.</description><subject>Adult</subject><subject>Child Health</subject><subject>Childrens health</subject><subject>Collective action</subject><subject>Empowerment</subject><subject>Female</subject><subject>Global health</subject><subject>Health Education</subject><subject>Health Status</subject><subject>Humans</subject><subject>India</subject><subject>Infant</subject><subject>Infant Health</subject><subject>Infant, Newborn</subject><subject>Intervention</subject><subject>Male</subject><subject>Maternal & child health</subject><subject>Maternal Health</subject><subject>Microfinance</subject><subject>Newborn babies</subject><subject>NGOs</subject><subject>Nongovernmental organizations</subject><subject>Nutrition</subject><subject>Nutritional Status</subject><subject>Postpartum period</subject><subject>Pregnancy</subject><subject>Prenatal care</subject><subject>Reproductive Health</subject><subject>Research Theme 6: Lessons from Ananya Programme in Bihar</subject><subject>Sanitation</subject><subject>Self help</subject><subject>Self-Help Groups</subject><subject>Support 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Jason ; Creanga, Andreea ; Wilhelm, Jess ; Tarigopula, Usha Kiran ; Bhattacharya, Debarshi ; Atmavilas, Yamini ; Nanda, Priya ; Weng, Yingjie ; Pepper, Kevin T ; Darmstadt, Gary L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p294t-d147ef322ccb1781641caf51e25e4f75a279a86d6588f88f8137a723aa16baf73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Child Health</topic><topic>Childrens health</topic><topic>Collective action</topic><topic>Empowerment</topic><topic>Female</topic><topic>Global health</topic><topic>Health Education</topic><topic>Health Status</topic><topic>Humans</topic><topic>India</topic><topic>Infant</topic><topic>Infant Health</topic><topic>Infant, Newborn</topic><topic>Intervention</topic><topic>Male</topic><topic>Maternal & child health</topic><topic>Maternal Health</topic><topic>Microfinance</topic><topic>Newborn babies</topic><topic>NGOs</topic><topic>Nongovernmental organizations</topic><topic>Nutrition</topic><topic>Nutritional Status</topic><topic>Postpartum period</topic><topic>Pregnancy</topic><topic>Prenatal care</topic><topic>Reproductive Health</topic><topic>Research Theme 6: Lessons from Ananya Programme in Bihar</topic><topic>Sanitation</topic><topic>Self help</topic><topic>Self-Help Groups</topic><topic>Support groups</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mehta, Kala M</creatorcontrib><creatorcontrib>Irani, Laili</creatorcontrib><creatorcontrib>Chaudhuri, Indrajit</creatorcontrib><creatorcontrib>Mahapatra, Tanmay</creatorcontrib><creatorcontrib>Schooley, Janine</creatorcontrib><creatorcontrib>Srikantiah, Sridhar</creatorcontrib><creatorcontrib>Abdalla, Safa</creatorcontrib><creatorcontrib>Ward, Victoria</creatorcontrib><creatorcontrib>Carmichael, Suzan L</creatorcontrib><creatorcontrib>Bentley, Jason</creatorcontrib><creatorcontrib>Creanga, Andreea</creatorcontrib><creatorcontrib>Wilhelm, Jess</creatorcontrib><creatorcontrib>Tarigopula, Usha Kiran</creatorcontrib><creatorcontrib>Bhattacharya, Debarshi</creatorcontrib><creatorcontrib>Atmavilas, Yamini</creatorcontrib><creatorcontrib>Nanda, Priya</creatorcontrib><creatorcontrib>Weng, Yingjie</creatorcontrib><creatorcontrib>Pepper, Kevin T</creatorcontrib><creatorcontrib>Darmstadt, Gary L</creatorcontrib><creatorcontrib>Ananya Study Group</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium 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USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of global health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mehta, Kala M</au><au>Irani, Laili</au><au>Chaudhuri, Indrajit</au><au>Mahapatra, Tanmay</au><au>Schooley, Janine</au><au>Srikantiah, Sridhar</au><au>Abdalla, Safa</au><au>Ward, Victoria</au><au>Carmichael, Suzan L</au><au>Bentley, Jason</au><au>Creanga, Andreea</au><au>Wilhelm, Jess</au><au>Tarigopula, Usha Kiran</au><au>Bhattacharya, Debarshi</au><au>Atmavilas, Yamini</au><au>Nanda, Priya</au><au>Weng, Yingjie</au><au>Pepper, Kevin T</au><au>Darmstadt, Gary L</au><aucorp>Ananya Study Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Health layering of self-help groups: impacts on reproductive, maternal, newborn and child health and nutrition in Bihar, India</atitle><jtitle>Journal of global health</jtitle><addtitle>J Glob Health</addtitle><date>2020-12-01</date><risdate>2020</risdate><volume>10</volume><issue>2</issue><spage>021007</spage><pages>021007-</pages><issn>2047-2978</issn><eissn>2047-2986</eissn><abstract>Self-help group (SHG) interventions have been widely studied in low and middle income countries. However, there is little data on specific impacts of health layering, or adding health education modules upon existing SHGs which were formed primarily for economic empowerment. We examined three SHG interventions from 2012-2017 in Bihar, India to test the hypothesis that health-layering of SHGs would lead to improved health-related behaviours of women in SHGs.
A model for health layering of SHGs -
- was developed by the non-governmental organisation (NGO), Project Concern International, in 64 blocks of eight districts. Layering included health modules, community events and review mechanisms. The health layering model was adapted for use with government-led SHGs, called JEEViKA
HL, in 37 other blocks of Bihar. Scale-up of government-led SHGs without health layering (JEEViKA) occurred contemporaneously in 433 other blocks, providing a natural comparison group. Using Community-based Household Surveys (CHS, rounds 6-9) by CARE India, 62 reproductive, maternal, newborn and child health and nutrition (RMNCHN) and sanitation indicators were examined for SHGs with health layering (
SHGs and JEEViKA+HL SHGs) compared to those without. We calculated mean, standard deviation and odds ratios of indicators using surveymeans and survey logistic regression.
In 2014, 64% of indicators were significantly higher in
members compared to non-members residing in the same blocks. During scale up, from 2015-17, half (50%) of indicators had significantly higher odds in health layered SHG members (
or JEEViKA+HL) in 101 blocks compared to SHG members without health layering (JEEViKA) in 433 blocks.
Health layering of SHGs was demonstrated by an NGO-led model (
), adapted and scaled up by a government model (JEEViKA+HL), and associated with significant improvements in health compared to non-health-layered SHGs (JEEViKA). These results strengthen the evidence base for further layering of health onto the SHG platform for scale-level health change.
ClinicalTrials.gov number NCT02726230.</abstract><cop>Scotland</cop><pub>Edinburgh University Global Health Society</pub><pmid>33425331</pmid><doi>10.7189/jogh.10.021007</doi><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of global health, 2020-12, Vol.10 (2), p.021007 |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; PubMed Central Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Adult Child Health Childrens health Collective action Empowerment Female Global health Health Education Health Status Humans India Infant Infant Health Infant, Newborn Intervention Male Maternal & child health Maternal Health Microfinance Newborn babies NGOs Nongovernmental organizations Nutrition Nutritional Status Postpartum period Pregnancy Prenatal care Reproductive Health Research Theme 6: Lessons from Ananya Programme in Bihar Sanitation Self help Self-Help Groups Support groups |
| title | Health layering of self-help groups: impacts on reproductive, maternal, newborn and child health and nutrition in Bihar, India |
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