Effects of an mHealth intervention for community health workers on maternal and child nutrition and health service delivery in India: Protocol for a quasi-experimental mixed-methods evaluation

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dc.creatorNimmagadda, Sneha
dc.creatorGopalakrishnan, Lakshmi
dc.creatorAvula, Rasmi
dc.creatorDhar, Diva
dc.creatorDiamond-Smith, Nadia
dc.creatorMani, Sneha
dc.creatorMenon, Purnima
dc.creatorNguyen, Phuong Hong
dc.date2019-12-31
dc.date2024-06-21T09:09:02Z
dc.date2024-06-21T09:09:02Z
dc.date.accessioned2026-06-27T15:30:22Z
dc.descriptionIntroduction -- Millions of children in India still suffer from poor health and under-nutrition, despite substantial improvement over decades of public health programmes. The Anganwadi centres under the Integrated Child Development Scheme (ICDS) provide a range of health and nutrition services to pregnant women, children <6 years and their mothers. However, major gaps exist in ICDS service delivery. The government is currently strengthening ICDS through an mHealth intervention called Common Application Software (ICDS-CAS) installed on smart phones, with accompanying multilevel data dashboards. This system is intended to be a job aid for frontline workers, supervisors and managers, aims to ensure better service delivery and supervision, and enable real-time monitoring and data-based decision-making. However, there is little to no evidence on the effectiveness of such large-scale mHealth interventions integrated with public health programmes in resource-constrained settings on the service delivery and subsequent health and nutrition outcomes. Methods and analysis -- This study uses a village-matched controlled design with repeated cross-sectional surveys to evaluate whether ICDS-CAS can enable more timely and appropriate services to pregnant women, children <12 months and their mothers, compared with the standard ICDS programme. The study will recruit approximately 1500 Anganwadi workers and 6000+ mother-child dyads from 400+ matched-pair villages in Bihar and Madhya Pradesh. The primary outcomes are the proportion of beneficiaries receiving (a) adequate number of home visits and (b) appropriate level of counselling by the Anganwadi workers. Secondary outcomes are related to improvements in other ICDS services, and knowledge and practices of the Anganwadi workers and beneficiaries.
dc.identifierhttps://hdl.handle.net/10568/146848
dc.identifier.urihttp://hdl.handle.net/123456789/106378
dc.languageen
dc.publisherBMJ
dc.rightsOpen Access
dc.sourceNimmagadda, Sneha; Gopalakrishnan, Lakshmi; Avula, Rasmi; Dhar, Diva; Diamond-Smith, Nadia; Mani, Sneha; Menon, Purnima; Nguyen, Phuong Hong; et al. 2019. Effects of an mHealth intervention for community health workers on maternal and child nutrition and health service delivery in India: Protocol for a quasi-experimental mixed-methods evaluation. BMJ Open 9(3): e025774. https://doi.org/10.1136/bmjopen-2018-025774
dc.subjectmaternal and child health
dc.subjectchild nutrition
dc.subjecthealth
dc.subjectmalnutrition
dc.subjectnutrition
dc.subjectchildren
dc.subjecthealth services
dc.subjectpublic health
dc.titleEffects of an mHealth intervention for community health workers on maternal and child nutrition and health service delivery in India: Protocol for a quasi-experimental mixed-methods evaluation
dc.typeJournal Article

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Instituto Internacional de Investigación sobre Políticas Alimentarias (IFPRI)