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. 2017 Jan-Mar;42(1):30-36.
doi: 10.4103/0970-0218.199795.

Is Focus on Prevention Missing in National Health Programs? A Situation Analysis of IEC/BCC/Health Promotion Activities in a District Setting of Punjab and Haryana

Jarnail Singh Thakur  1 , Nidhi Jaswal  1 , Ashoo Grover  2
Affiliations

Is Focus on Prevention Missing in National Health Programs? A Situation Analysis of IEC/BCC/Health Promotion Activities in a District Setting of Punjab and Haryana

Jarnail Singh Thakur et al. Indian J Community Med. 2017 Jan-Mar.

Abstract

Context: Health promotion (HP) has been an integral part of all national programs although it has been a low priority in India, which has resulted in a failure to achieve the desired results.

Settings and design: Situation analysis of information education communication (IEC)/behavior change communication (BCC)/HP activities within the existing national health programs was undertaken in the district of Hoshiarpur in Punjab and the district of Ambala in Haryana during 2013-14.

Materials and methods: Facility-based assessments were done by conducting in-depth interviews with stakeholders, program officers, medical officers, health workers, and counselors. Household survey (332 individuals) and exit interview (102 interviews) were conducted to assess the knowledge of the community regarding key risk factors.

Results: There was a high vacancy in the mass media division with 40% (2 out of 5) and 89% (8 out of 9) of the sanctioned positions vacant in Hoshiarpur and Ambala, respectively, with low capacity of staff and budget. There was no annual calendar, logbook of activities with poor recording of IEC material received and disseminated. The knowledge of community members regarding key risk factors such as tobacco use, salt intake, blood pressure level, anemia, and tuberculosis was 77.3%, 26.4%, 16.4%, 32.7%, and 91.8%, respectively, in the district of Ambala as compared to 77.5%, 37.5%, 33.3%, 25.8%, and 88.3%, respectively, in the district of Hoshiarpur. The village health and sanitation committee (VHSC) in the district of Hoshiarpur and village level core committee (VLCC) in the district of Ambala were found to be nonfunctional with no Iec/Bcc activities in the covered villages in the last month. Monitoring and supervision of Iec/Bcc activities were poor in both the districts.

Conclusions: Iec/Bcc/HP is a neglected area in national health programs in the selected districts with inadequate budget, human resources with poor implementation, and requires strengthening for better implementation of the national health programs.

Keywords: Analysis; health promotion (HP); information education communication (IEC)/behavior change communication (BCC); integrated; situation.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Showing the methodology adopted for situation analysis and community-based survey. This figure gives the separate methodology for situation analysis and community-based survey. It comprises the number of centers covered and the number of personnel interviewed
See this image and copyright information in PMC

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References

    1. World Health Organization [Internet] Health Work Force in India. 2007. [Last accessed on 2014 Nov 5]. Available from: http://www.whoindia.org/LinkFiles/Human_Resources_Health_Workforce_in_In... .
    1. John TJ, Dandona L, Sharma VP, Kakkar M. Continuing challenge of infectious diseases in India. Lancet. 2011;377:252–69. - PubMed
    1. Paul VK, Sachdev HS, Mavalankar D, Ramachandran P, Sankar MJ, Bhandari N, et al. Reproductive health, and child health and nutrition in India: Meeting the challenge. Lancet. 2011;377:332–49. - PMC - PubMed
    1. Patel V, Chatterji S, Chisholm D, Ebrahim S, Gopalakrishna G, Mathers C, et al. Chronic diseases and injuries in India. Lancet. 2011;377:413–28. - PubMed
    1. Riegelman RK, Garr DR. Evidence-based public health education as preparation for medical school. Acad Med. 2008;83:321–6. - PubMed