Education and work incentives for frontline workers and household socioeconomic status influence delivery of health and nutrition interventions in Bihar, India

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cg.authorship.typesCGIAR single centreen
cg.contributor.crpAgriculture for Nutrition and Health
cg.coverage.countryIndia
cg.coverage.iso3166-alpha2IN
cg.coverage.regionSouthern Asia
cg.coverage.regionAsia
cg.creator.identifierRasmi Avula: 0000-0003-0066-6964
cg.creator.identifierParul Tyagi: 0000-0002-3817-428X
cg.creator.identifierBrian Holtemeyer: 0000-0002-4064-5570
cg.creator.identifierKatrina Kosec: 0000-0002-5126-5215
cg.creator.identifierPurnima Menon: 0000-0001-5988-2894
cg.identifier.doihttps://doi.org/10.1096/fasebj.28.1_supplement.624.5en
cg.identifier.projectIFPRI - Poverty, Health, and Nutrition Division
cg.identifier.projectIFPRI - Development Strategy and Governance Division
cg.identifier.projectIFPRI - South Asia Office
cg.identifier.publicationRankNot ranked
cg.isijournalISI Journalen
cg.issueS1en
cg.journalFASEB Journalen
cg.reviewStatusInternal Reviewen
cg.volume28en
dc.contributor.authorAvula, Rasmien
dc.contributor.authorKosec, Katrinaen
dc.contributor.authorHoltemeyer, Brianen
dc.contributor.authorTyagi, Parulen
dc.contributor.authorHausladen, Stephanieen
dc.contributor.authorMenon, Purnimaen
dc.date.accessioned2024-08-01T02:57:05Zen
dc.date.available2024-08-01T02:57:05Zen
dc.identifier.urihttps://hdl.handle.net/10568/151399
dc.titleEducation and work incentives for frontline workers and household socioeconomic status influence delivery of health and nutrition interventions in Bihar, Indiaen
dcterms.abstractIn Bihar, India, coverage of essential nutrition interventions is low, but little is known about the factors associated with service delivery by FLW and utilization of services by HH. Data: A cross‐sectional survey of 790 FLWs and 6002 HH from 400 villages in 1 district in Bihar. Analysis: Multivariate regression analysis to examine supply‐ and demand‐side determinants of whether HH receive immunization, food supplements (FS), pregnancy care information (PCI) or nutrition information (NI). Supply side determinants varied by outcome: incentives for FLW were marginally positively associated (p<0.1) with immunization; FLW living outside their service areas was negatively associated with FS to HH (p<0.1); FLW education (p<0.05), use of pregnancy registers (p<0.05) and incentives (p<0.05) were positively associated with PCI. Demand side determinants varied by outcome: having a more educated HH head was associated with greater immunization; lower SES HH were more likely to get FS (p<0.05), but higher SES HH (p<0.05) and HH who had visited nutrition centers (p<0.05) were more likely to get NI. Conclusion: FLW education, proximity to area of service, and incentives affect service delivery outcomes, but HH factors are also important. Recruiting more educated candidates as FLW, investing in incentives, and enhancing HH contacts with nutrition centers through demand creation could improve service delivery outcomes.Grant Funding Source: Supported by Bill & Melinda Gates Foundation, through POSHAN led by IFPRIen
dcterms.accessRightsLimited Access
dcterms.bibliographicCitationAvula, Rasmi; Kosec, Katrina; Holtemeyer, Brian; Tyagi, Parul; Hausladen, Stephanie; and Menon, Purnima. 2014. Education and work incentives for frontline workers and household socioeconomic status influence delivery of health and nutrition interventions in Bihar, India. FASEB Journal 28(1 Supplement): 624.5. https://doi.org/10.1096/fasebj.28.1_supplement.624.5en
dcterms.issued2014
dcterms.languageen
dcterms.licenseCopyrighted; all rights reserved
dcterms.publisherWileyen
dcterms.replaceshttps://ebrary.ifpri.org/digital/collection/p15738coll5/id/4406en
dcterms.subjecteducationen
dcterms.subjecthealthen
dcterms.subjecthouseholdsen
dcterms.subjectnutritionen
dcterms.subjectsocioeconomic organizationen
dcterms.typeAbstract

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