Understanding barriers in implementation and scaling up WIFS from providers perspective: A mixed-method study, Rishikesh, India

Journal of Family Medicine and Primary Care
Meenakshi P KhapreAmol R Dongre

Abstract

Since the implementation of Weekly Iron and Folic acid Supplementation (WIFS) program in India in 2013, little effort has been made to comprehensively evaluate the program. This study was carried out to assess the coverage of WIFS among adolescent girls, explore implementation barriers, and suggest solutions to improve WIFS through public schools in Rishikesh, India (2018-19). This was a sequential explanatory mixed-methods study. Quantitative component was a community-based cross-sectional survey to determine the prevalence of anemia and coverage of WIFS. Qualitative component added an explanation to understand WIFS implementation through document review and nonparticipant observation of WIFS session. We invited stakeholders for nominal group discussion on barriers and solutions. Variables were described as proportion and mean. Group discussion transcript was analyzed using content analysis. Of 400 adolescent girls, 16% (95% CI: 12.4, 19.6) received weekly and 45% ever received iron tablets over the last 3 months and 79% were anemic. From ten schools, one school never implemented WIFS. There was iron-folic acid (IFA) stock out for 10 months last year. Major barriers identified were nonavailability of IFA, and irregularity in s...Continue Reading

References

Jul 1, 1995·The American Journal of Clinical Nutrition·J D Cook, M B Reddy
Jan 1, 1995·The American Journal of Clinical Nutrition·W SchultinkP Matulessi
Oct 31, 2009·Indian Journal of Community Medicine : Official Publication of Indian Association of Preventive & Social Medicine·Sanjeev M Chaudhary, Vasant R Dhage
Apr 7, 2016·Indian Journal of Community Medicine : Official Publication of Indian Association of Preventive & Social Medicine·Shobha P ShahHoney Arora
Sep 1, 2017·African Journal of Emergency Medicine : Revue Africaine De La Médecine D'urgence·Christen Erlingsson, Petra Brysiewicz
Dec 6, 2019·Journal of Family Medicine and Primary Care·Meenakshi P KhapreAnusha Sharma

❮ Previous
Next ❯

Methods Mentioned

BETA
blood drawn

Software Mentioned

EpiData
EpiCollect5
Excel

Related Concepts

Related Feeds

Anemia

Anemia develops when your blood lacks enough healthy red blood cells. Anemia of inflammation (AI, also called anemia of chronic disease) is a common, typically normocytic, normochromic anemia that is caused by an underlying inflammatory disease. Here is the latest research on anemia.