Why are UP and Bihar not developed

Team-based goals and incentives for community health workers to promote maternal and child health in Bihar, India

Short Summary

This study is designed to assess the impact of team-based and performance-based goals on incentives for community health workers to engage in health-promoting behaviors in women related to the health and nutrition of reproductive, maternal, newborn and child in Bihar, India.

The intervention was funded by the Bill and Melinda Gates Foundation (BMGF) and implemented from 2012 to 2014. Health sub-centers in the catchment areas of five blocks (subdistricts) of Bengusarai District were randomly assigned to treatment or control arms (38) each was assigned sub-centers ). Data were collected in the areas of intervention and control from mothers of infants 0-12 months at baseline and after 2.5 years of follow-up in order to assess the impact of the intervention on quality and quantity of FLW home visits, postnatal health behavior and for older infants / young children, complementary feeding and vaccination. Difference-in-difference analyzes were used to assess the outcome effects in this quasi-experimental study.

The TBGI intervention was carried out in areas where the BMGF-funded Ananya program was (officially) carried out (title: Bihar Family Health Initiative) was also implemented. Thus, the effect of [TBGI intervention + Ananya] versus [Ananya alone]. The Ananya program was developed and implemented through a partnership between the BMGF and the government of Bihar. Ananya's ultimate purpose was to lower maternal, newborn and infant mortality; Fertility; and child malnutrition in Bihar, India. Ananya included multi-tiered interventions to build Front Line Health Worker (FLW) capacities and reach for communities and households, as well as strengthening public health facilities and quality of care to improve mother and newborn care and health behavior and thus survival. It was implemented from 2012 to 2014. Eight priority districts in western and central Bihar received Ananya, while 30 districts did not.