A Study To Assess The Knowledge On Anaemia Mukt Bharat Strategy Among The Rural Population In Uttar Pradesh
Abstract
Anemia remains a critical public health challenge in India, affecting diverse populations including women, children, and adolescents. Despite efforts through programs like the National Nutritional Anemia Prophylaxis Program (NNAPP), the National Nutritional Anemia Control Programme (NNACP), and the Intensified National Iron Plus Initiative (INIPI), challenges such as poor coverage, inadequate training, and weak supply chains persist. This study evaluates the understanding and perception of the Anemia Mukt Bharat (AMB) strategy among beneficiaries in rural Greater Noida using a cross-sectional quantitative approach. Data were collected from 60 participants aged 15-45 years through a Demographic Performa and a Self-Structured Knowledge Questionnaire. Results show that 40% of participants had poor knowledge, 46.7% had average knowledge, and 13.3% had good knowledge of the AMB strategy. Significant knowledge gaps were noted, particularly related to occupation and birth order. Findings indicate a need for enhanced educational initiatives and targeted outreach to improve awareness and implementation of the AMB program. Recommendations include developing tailored educational campaigns, integrating AMB education into existing health policies, and further research into socio-cultural factors influencing anemia knowledge. Addressing these gaps is crucial for the program's success and for improving anemia control in rural areas.
References
2. Sarna A, Porwal A, Ramesh S, Agrawal PK, Acharya R, Johnston R, et al. Characterisation of the types of anaemia prevalent among children and adolescents aged 1–19 years in India: a population-based study. Lancet Child Adolesc Heal. 2020;4: 515–525. pmid:32562633
3. Chaparro CM, Suchdev PS. Anemia epidemiology, pathophysiology, and etiology in low- and middle-income countries. Ann N Y Acad Sci. 2019;1450: 15–31. pmid:31008520
4. Kassebaum NJ, Jasrasaria R, Naghavi M, Wulf SK, Johns N, Lozano R, et al. A systematic analysis of global anemia burden from 1990 to 2010. Blood. 2014;123: 615–624. pmid:24297872
5. Vijayaraghavan K, Brahmam GNV, Nair KM, Akbar D, Pralhad Rao N. Evaluation of national nutritional anemia prophylaxis programme. Indian J Pediatr. 1990;57: 183–190. pmid:2246014
6. Kapil U, Kapil R, Gupta A. National Iron Plus Initiative: Current status & future strategy. Indian J Med Res. 2019;150: 239–247. pmid:31719294
7. Atinga RA, Dery S, Katongole SP, Aikins M. Capacity for optimal performance of healthcare supply chain functions: competency, structural and resource gaps in the Northern Region of Ghana. J Health Organ Manag. 2020; 34: 899–914. pmid:33029993
8. Paul VK, Singh A, Sneha Palit D. Poshan abhiyaan: Making nutrition a jan andolan. Proc Indian Natl Sci Acad. 2018;84: 835–841.
9. Joe W, Rinju , Patel N, Alambusha R, Kulkarni B, Yadav K, et al. Coverage of iron and folic acid supplementation in India: progress under the Anemia Mukt Bharat strategy 2017–20. Health Policy Plan. 2022;37: 597–606. pmid:35257147
10. Saini A, Shukla R, Joe W, Kapur A. Improving nutrition budgeting in health sector plans: Evidence from India’s anaemia control strategy. Matern Child Nutr. 2022;18. pmid:35231160
11. Wendt AS, Stephenson R, Young MF, Verma P, Srikantiah S, Webb-Girard A, et al. Identifying bottlenecks in the iron and folic acid supply chain in Bihar, India: A mixed-methods study. BMC Health Serv Res. 2018;18: 1–12. pmid:29650002
12. Varghese JS, Swaminathan S, Kurpad A V., Thomas T. Demand and supply factors of iron-folic acid supplementation and its association with anaemia in North Indian pregnant women. PLoS One. 2019;14. pmid:30699167
13. Diamond-Smith NG, Gupta M, Kaur M, Kumar R. Determinants of Persistent Anemia in Poor, Urban Pregnant Women of Chandigarh City, North India. Food Nutr Bull. 2016;37: 132–143. pmid:27009090
14. Chakma T, Rao PV, Meshram PK. Factors associated with high compliance/feasibility during iron and folic acid supplementation in a tribal area of Madhya Pradesh, India. Public Health Nutr. 2013; 16: 377–380. https://doi.org/10.1017/S1368980012002704 PMID: 22640719
15. Khapre M, Shewade H, Kishore S, Ramaswamy G, Dongre A. Understanding barriers in implementation and scaling up WIFS from providers perspective: A mixed-method study, Rishikesh, India. J Fam Med Prim Care. 2020; 9: 1497. https://doi.org/10.4103/jfmpc.jfmpc_1014_19 PMID: 32509640
16. Ministry of Health and Family Welfare. Anemia Mukt Bharat. Intensified National Iron Plus Initiative (INIPI): Operational Guidelines for Programme Managers. 2018. Available: https://anemiamuktbharat.info/resources/#operational-guideline
17. 17. Abidi H, De Leeuw S, Klumpp M. Measuring Success in Humanitarian Supply Chains. Int J Bus Manag Invent ISSN. 2013; 2: 31–39. Available: www.ijbmi.org
18. 18. Behera SK, Kannan S. Assessing the performance of multiple drug supply chain management in Odisha health services using LSAT score and stock-out situation. http://www.editorialmanager.com/ cogentbusiness. 2018;5: 1–19. https://doi.org/10.1080/23311975.2018.1534578
19. Dixit A, Routroy S, Dubey SK. Analysis of government-supported health-care supply chain enablers: a case study. J Glob Oper Strateg Sourc. 2020; 13: 1–16. https://doi.org/10.1108/JGOSS-02-2019-0011/FULL/XML
20. 20. Kumar D, Kumar D. Managing the essential medicines stock at rural healthcare systems in India. Int J Health Care Qual Assur. 2018; 31: 950–965. https://doi.org/10.1108/IJHCQA-12-2016-0186 PMID:30415612
21. Powell-Jackson T., Purohit B., Saxena D., Golechha M., Fabbri C., Ganguly P.S., et al. 2019. Measuring management practices in India’s district public health bureaucracy. Social Science & Medicine, 220, 292–300. https://doi.org/10.1016/j.socscimed.2018.10.031 PMID: 30476742
22. Mandal S. Influence of human capital on healthcare agility and healthcare supply chain performance. JBus Ind Mark. 2018; 33: 1012–1026. https://doi.org/10.1108/JBIM-06-2017-0141/FULL/XML
23. Kokilam MB, Joshi HG, Kamath VG. Strengthening the Pharmaceutical Supply Chain Management with Information Communication Technology Intervention: A Windfall to the Indian Rural Public Health care System. 2016; 18: 274–289. https://doi.org/10.1177/0972063416637719
24. Samuel C, Gonapa K, Chaudhary PK, Mishra A. Supply chain dynamics in healthcare services. Int J Health Care Qual Assur. 2010; 23: 631–642. https://doi.org/10.1108/09526861011071562 PMID: 21125959 25.
25. Singh PV, Tatambhotla A, Kalvakuntla RR, Chokshi M. Replicating Tamil Nadu’s drug procurement model. Economic and Political Weekly. 2012; 39 26–29. Available: https://www.epw.in/journal/2012/39/ commentary/replicating-tamil-nadus-drug-procurement-model.html
26. Kapil U, Singh P, Pradhan R. Addressing the burden of anemia in India: A public health challenge. Indian J Community Med. 2019;44(2):87-91.