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Inclusive partnership and community mobilization approaches to improve maternal health care access among internal migrants in nine Indian cities

BACKGROUND: Disparities in healthcare access to internal migrants exist, and the gaps may widen further if appropriate steps are not taken. Innovative approaches are needed to better align the healthcare services with the migrants’ needs. AIM: The aim was to develop and test a supportive strategy of...

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Autores principales: Babu, Bontha V., Kusuma, Yadlapalli S., Sivakami, Muthusamy, Lal, Dharmesh K., Geddam, Jagjeevan B., Khanna, Anoop, Agarwal, Monika, Sudhakar, Godi, Sengupta, Paramita, Kerketta, Anna S., Sharma, Yogita
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9467881/
https://www.ncbi.nlm.nih.gov/pubmed/36110500
http://dx.doi.org/10.1016/j.jmh.2022.100130
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author Babu, Bontha V.
Kusuma, Yadlapalli S.
Sivakami, Muthusamy
Lal, Dharmesh K.
Geddam, Jagjeevan B.
Khanna, Anoop
Agarwal, Monika
Sudhakar, Godi
Sengupta, Paramita
Kerketta, Anna S.
Sharma, Yogita
author_facet Babu, Bontha V.
Kusuma, Yadlapalli S.
Sivakami, Muthusamy
Lal, Dharmesh K.
Geddam, Jagjeevan B.
Khanna, Anoop
Agarwal, Monika
Sudhakar, Godi
Sengupta, Paramita
Kerketta, Anna S.
Sharma, Yogita
author_sort Babu, Bontha V.
collection PubMed
description BACKGROUND: Disparities in healthcare access to internal migrants exist, and the gaps may widen further if appropriate steps are not taken. Innovative approaches are needed to better align the healthcare services with the migrants’ needs. AIM: The aim was to develop and test a supportive strategy of healthcare, which would achieve the desired level of access and delivery of maternal healthcare services to internal migrants living in nine Indian cities. METHODS: This intervention with the quasi-experimental design was conducted with pre- vs post-intervention comparisons within the interventional groups and with the control group. The intervention was implemented with an inclusive partnership approach. Advocacy and community mobilization were the main intervention components. FINDINGS: An increased proportion of women sought antenatal care during the intervention. More women initiated seeking antenatal care in the first trimester. Due to intervention, health workers’ prenatal (41.7% in the post- against 14.7% in the pre-interventional phase) and postnatal home visits increased (11.6% to 34.7%) considerably. CONCLUSIONS: Interventions with inclusive partnership would improve healthcare access to vulnerable communities such as migrants. Hence, efforts to strengthen the government healthcare system through novel strategies are crucial to provide better healthcare to migrants.
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spelling pubmed-94678812022-09-14 Inclusive partnership and community mobilization approaches to improve maternal health care access among internal migrants in nine Indian cities Babu, Bontha V. Kusuma, Yadlapalli S. Sivakami, Muthusamy Lal, Dharmesh K. Geddam, Jagjeevan B. Khanna, Anoop Agarwal, Monika Sudhakar, Godi Sengupta, Paramita Kerketta, Anna S. Sharma, Yogita J Migr Health Article BACKGROUND: Disparities in healthcare access to internal migrants exist, and the gaps may widen further if appropriate steps are not taken. Innovative approaches are needed to better align the healthcare services with the migrants’ needs. AIM: The aim was to develop and test a supportive strategy of healthcare, which would achieve the desired level of access and delivery of maternal healthcare services to internal migrants living in nine Indian cities. METHODS: This intervention with the quasi-experimental design was conducted with pre- vs post-intervention comparisons within the interventional groups and with the control group. The intervention was implemented with an inclusive partnership approach. Advocacy and community mobilization were the main intervention components. FINDINGS: An increased proportion of women sought antenatal care during the intervention. More women initiated seeking antenatal care in the first trimester. Due to intervention, health workers’ prenatal (41.7% in the post- against 14.7% in the pre-interventional phase) and postnatal home visits increased (11.6% to 34.7%) considerably. CONCLUSIONS: Interventions with inclusive partnership would improve healthcare access to vulnerable communities such as migrants. Hence, efforts to strengthen the government healthcare system through novel strategies are crucial to provide better healthcare to migrants. Elsevier 2022-09-05 /pmc/articles/PMC9467881/ /pubmed/36110500 http://dx.doi.org/10.1016/j.jmh.2022.100130 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Babu, Bontha V.
Kusuma, Yadlapalli S.
Sivakami, Muthusamy
Lal, Dharmesh K.
Geddam, Jagjeevan B.
Khanna, Anoop
Agarwal, Monika
Sudhakar, Godi
Sengupta, Paramita
Kerketta, Anna S.
Sharma, Yogita
Inclusive partnership and community mobilization approaches to improve maternal health care access among internal migrants in nine Indian cities
title Inclusive partnership and community mobilization approaches to improve maternal health care access among internal migrants in nine Indian cities
title_full Inclusive partnership and community mobilization approaches to improve maternal health care access among internal migrants in nine Indian cities
title_fullStr Inclusive partnership and community mobilization approaches to improve maternal health care access among internal migrants in nine Indian cities
title_full_unstemmed Inclusive partnership and community mobilization approaches to improve maternal health care access among internal migrants in nine Indian cities
title_short Inclusive partnership and community mobilization approaches to improve maternal health care access among internal migrants in nine Indian cities
title_sort inclusive partnership and community mobilization approaches to improve maternal health care access among internal migrants in nine indian cities
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9467881/
https://www.ncbi.nlm.nih.gov/pubmed/36110500
http://dx.doi.org/10.1016/j.jmh.2022.100130
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