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Community Action for Health in India's National Rural Health Mission: One policy, many paths.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.ORCID iD: 0000-0001-7234-3510
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.ORCID iD: 0000-0001-7087-1467
2017 (English)In: Social Science and Medicine, ISSN 0277-9536, E-ISSN 1873-5347, Vol. 188, 82-90 p., S0277-9536(17)30419-7Article in journal (Refereed) Published
Abstract [en]

Community participation as a strategy for health system strengthening and accountability is an almost ubiquitous policy prescription. In 2005, with the election of a new Government in India, the National Rural Health Mission was launched. This was aimed at 'architectural correction' of the health care system, and enshrined 'communitization' as one of its pillars. The mission also provided unique policy spaces and opportunity structures that enabled civil society groups to attempt to bring on to the policy agenda as well as implement a more collective action and social justice based approach to community based accountability. Despite receiving a lot of support and funding from the central ministry in the pilot phase, the subsequent roll out of the process, led in the post-pilot phase by the individual state governments, showed very varied outcomes. This paper using both documentary and interview based data is the first study to document the roll out of this ambitious process. Looking critically at what varied and why, the paper attempts to derive lessons for future implementation of such contested concepts.

Place, publisher, year, edition, pages
2017. Vol. 188, 82-90 p., S0277-9536(17)30419-7
Keyword [en]
Community action for health, Community participation, India, National Rural Health Mission India, Policy implementation
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-138466DOI: 10.1016/j.socscimed.2017.06.043PubMedID: 28732238OAI: oai:DiVA.org:umu-138466DiVA: diva2:1135575
Available from: 2017-08-23 Created: 2017-08-23 Last updated: 2017-08-23

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