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

doi:10.1016/j.jmh.2022.100130

. 2022 Sep 5:6:100130.

doi: 10.1016/j.jmh.2022.100130. eCollection 2022.

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

Affiliations

¹ Division of Socio-Behavioural and Health Systems Research, Indian Council of Medical Research, Ansari Nagar, New Delhi 110 029, India.
² Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
³ Centre for Health and Social Sciences, School of Health Systems Studies, Tata Institute of Social Sciences, Mumbai, India.
⁴ International Institute of Health Management Research, New Delhi, India.
⁵ National Institute of Nutrition, Indian Council of Medical Research, Hyderabad, India.
⁶ Indian Institute of Health Management Research, Jaipur, India.
⁷ Department of Community Medicine and Public Health, KG Medical University, Lucknow, India.
⁸ Department of Human Genetics, Andhra University, Visakhapatnam, India.
⁹ Department of Community Medicine, Christian Medical College, Ludhiana, India.
¹⁰ Regional Medical Research Centre, Indian Council of Medical Research, Bhubaneswar, India.

PMID: 36110500
PMCID: PMC9467881
DOI: 10.1016/j.jmh.2022.100130

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

Bontha V Babu et al. J Migr Health. 2022.

. 2022 Sep 5:6:100130.

doi: 10.1016/j.jmh.2022.100130. eCollection 2022.

Authors

Affiliations

¹ Division of Socio-Behavioural and Health Systems Research, Indian Council of Medical Research, Ansari Nagar, New Delhi 110 029, India.
² Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
³ Centre for Health and Social Sciences, School of Health Systems Studies, Tata Institute of Social Sciences, Mumbai, India.
⁴ International Institute of Health Management Research, New Delhi, India.
⁵ National Institute of Nutrition, Indian Council of Medical Research, Hyderabad, India.
⁶ Indian Institute of Health Management Research, Jaipur, India.
⁷ Department of Community Medicine and Public Health, KG Medical University, Lucknow, India.
⁸ Department of Human Genetics, Andhra University, Visakhapatnam, India.
⁹ Department of Community Medicine, Christian Medical College, Ludhiana, India.
¹⁰ Regional Medical Research Centre, Indian Council of Medical Research, Bhubaneswar, India.

PMID: 36110500
PMCID: PMC9467881
DOI: 10.1016/j.jmh.2022.100130

Abstract

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.

Keywords: ANM, auxiliary-nurse-midwives; ASHA, accredited social and health activist; Community mobilization; Community-based intervention; IEC, information, education and communication; Internal migration; Maternal health; NGO, non-government organizations; NHM, national health mission; OPD, out-patient department; Partnership; Quasi-experimental; SPSS, statistical package for social sciences.

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Conflict of interest statement

Authors declare that they have no competing interests. And all authors had access to the data and a role in writing the manuscript.

Figures

Fig 1 — **Fig. 1**
Components of intervention showing various groups and actions.

Fig 2 — **Fig. 2**
Details of the sample of mother included for the antenatal care.

Fig 3 — **Fig. 3**
Details of the sample of mother included for the postnatal care.

See this image and copyright information in PMC

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Rahaman M, Das KC. Rahaman M, et al. J Migr Health. 2024 Jul 19;10:100246. doi: 10.1016/j.jmh.2024.100246. eCollection 2024. J Migr Health. 2024. PMID: 39169914 Free PMC article.

References

1. Anderson R.M. Revisiting the behavioral model and access to medical care: does it matter? J. Health Soc. Behav. 1995;36:1–10. - PubMed
1. Babu B.V., Borhade A.B., Kusuma Y.S., Chapter X.X.V. In: Migration and Health: A Research Methods Handbook. Schenker M, Castaneda X, Lainz AR, editors. University of California Press; Berkeley: 2014. Extended case study - a mixed-methods approach to understanding internal migrant access to healthcare and the health system's response in India; pp. 484–498.
1. Babu B.V., Kusuma Y.S., Sivakami M., Lal D.K., Marimuthu P., Geddam J.B., Akoijam B.S. Living conditions of internal labour migrants: a nationwide study in 13 Indian cities. Int. J. Migr. Bord. Stud. 2017;3(4):328–351.
1. Babu B.V., Sharma Y., Kusuma Y.S., et al. Internal migrants' experiences with and perceptions of frontline health workers: a nationwide study in 13 Indian cities. Int. J. Health Plan. Manag. 2018;33(3):e807–e820. - PubMed
1. Babu B.V., Swain B.K., Mishra S., Kar S.K. Primary healthcare services among a migrant indigenous population living in an eastern Indian city. J Immigr. Minor. Health. 2010;12:53–59. - PubMed

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[1] Anderson R.M. Revisiting the behavioral model and access to medical care: does it matter? J. Health Soc. Behav. 1995;36:1–10. - PubMed

[2] Anderson R.M. Revisiting the behavioral model and access to medical care: does it matter? J. Health Soc. Behav. 1995;36:1–10. - PubMed

[3] Babu B.V., Borhade A.B., Kusuma Y.S., Chapter X.X.V. In: Migration and Health: A Research Methods Handbook. Schenker M, Castaneda X, Lainz AR, editors. University of California Press; Berkeley: 2014. Extended case study - a mixed-methods approach to understanding internal migrant access to healthcare and the health system's response in India; pp. 484–498.

[4] Babu B.V., Borhade A.B., Kusuma Y.S., Chapter X.X.V. In: Migration and Health: A Research Methods Handbook. Schenker M, Castaneda X, Lainz AR, editors. University of California Press; Berkeley: 2014. Extended case study - a mixed-methods approach to understanding internal migrant access to healthcare and the health system's response in India; pp. 484–498.

[5] Babu B.V., Kusuma Y.S., Sivakami M., Lal D.K., Marimuthu P., Geddam J.B., Akoijam B.S. Living conditions of internal labour migrants: a nationwide study in 13 Indian cities. Int. J. Migr. Bord. Stud. 2017;3(4):328–351.

[6] Babu B.V., Kusuma Y.S., Sivakami M., Lal D.K., Marimuthu P., Geddam J.B., Akoijam B.S. Living conditions of internal labour migrants: a nationwide study in 13 Indian cities. Int. J. Migr. Bord. Stud. 2017;3(4):328–351.

[7] Babu B.V., Sharma Y., Kusuma Y.S., et al. Internal migrants' experiences with and perceptions of frontline health workers: a nationwide study in 13 Indian cities. Int. J. Health Plan. Manag. 2018;33(3):e807–e820. - PubMed

[8] Babu B.V., Sharma Y., Kusuma Y.S., et al. Internal migrants' experiences with and perceptions of frontline health workers: a nationwide study in 13 Indian cities. Int. J. Health Plan. Manag. 2018;33(3):e807–e820. - PubMed

[9] Babu B.V., Swain B.K., Mishra S., Kar S.K. Primary healthcare services among a migrant indigenous population living in an eastern Indian city. J Immigr. Minor. Health. 2010;12:53–59. - PubMed

[10] Babu B.V., Swain B.K., Mishra S., Kar S.K. Primary healthcare services among a migrant indigenous population living in an eastern Indian city. J Immigr. Minor. Health. 2010;12:53–59. - PubMed

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

Affiliations

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

Authors

Affiliations

Abstract

Conflict of interest statement

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References

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Abstract

Conflict of interest statement

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