Kumar Harish, Sarin Enisha, Alwadhi Vaishali, Chaurasia Shailesh Kumar, Martolia Kuldeep Singh, Mohanty Jaya Swarup, Bisht Nitin, Joshi Naresh Chandra, Saboth Prasant Kumar, Gupta Sachin
IPE Global, New Delhi, India.
St. Stephens Hospital, New Delhi, India.
Indian J Community Med. 2022 Jan-Mar;47(1):66-71. doi: 10.4103/ijcm.ijcm_1011_21. Epub 2022 Mar 16.
Maternal and child health implementation plan development in districts of India lacks systematic process and capacity resulting in suboptimal health improvements. There is ineffective and limited participation and lack of autonomy to effect changes in district priorities.
Primary objective was to demonstrate a systematic planning approach to develop evidence-based district implementation plans for mothers and children.
A planning tool named RAASTA (RMNCH + A Action Agenda using Strategic Approach for evidence-based district work plans) adapted from WHO (World Health Organization) program review tools was used in the states of Uttarakhand and Jharkhand. The tool was implemented in the two states for the development of implementation plans in a 6-step process by prioritizing district health goals; reviewing maternal, neonatal, child, and family planning intervention coverage; and linking them with activity implementation status; assessing strengths, and weaknesses of previous implementation plans and developing solutions based on current gaps in intervention coverage's.
Tool was used for capacity building of 59 participants and also identification of prioritized activities based on their available data. Several newer activities were identified. The districts mainstreamed them as action plans, many of which were incorporated in the state Program Implementation Plan for budgetary provisions under state NHM (National Health Mission) funds.
The use of a tool facilitated the systematic development of evidence-based district implementation plans.
印度各地区妇幼健康实施计划的制定缺乏系统流程和能力，导致健康改善效果欠佳。在影响地区优先事项的改变方面，参与度低且效果不佳，自主性也不足。
主要目标是展示一种系统的规划方法，以制定基于证据的地区妇幼实施计划。
在北阿坎德邦和贾坎德邦使用了一种名为RAASTA（利用基于证据的地区工作计划战略方法制定的妇幼保健和计划生育+艾滋病行动议程）的规划工具，该工具改编自世界卫生组织的项目审查工具。该工具在这两个邦分6个步骤实施，用于制定实施计划，包括确定地区卫生目标的优先级；审查孕产妇、新生儿、儿童和计划生育干预措施的覆盖情况；将它们与活动实施状况相联系；评估先前实施计划的优势和劣势，并根据当前干预措施覆盖方面的差距制定解决方案。
该工具用于59名参与者的能力建设，还根据现有数据确定了优先活动。确定了几项新活动。各地区将其纳入行动计划的主流，其中许多被纳入邦国家卫生使命基金预算拨款的邦项目实施计划。
使用该工具促进了基于证据的地区实施计划的系统制定。
