IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v188y2017icp82-90.html
   My bibliography  Save this article

Community Action for Health in India’s National Rural Health Mission: One policy, many paths

Author

Listed:
  • Gaitonde, Rakhal
  • San Sebastian, Miguel
  • Muraleedharan, V.R.
  • Hurtig, Anna-Karin

Abstract

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.

Suggested Citation

  • Gaitonde, Rakhal & San Sebastian, Miguel & Muraleedharan, V.R. & Hurtig, Anna-Karin, 2017. "Community Action for Health in India’s National Rural Health Mission: One policy, many paths," Social Science & Medicine, Elsevier, vol. 188(C), pages 82-90.
    • Handle: RePEc:eee:socmed:v:188:y:2017:i:c:p:82-90
    DOI: 10.1016/j.socscimed.2017.06.043
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953617304197
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2017.06.043?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Cornwall, Andrea & Shankland, Alex, 2008. "Engaging citizens: Lessons from building Brazil's national health system," Social Science & Medicine, Elsevier, vol. 66(10), pages 2173-2184, May.
    2. Michael Hill & Peter Hupe, 2003. "The multi-layer problem in implementation research," Public Management Review, Taylor & Francis Journals, vol. 5(4), pages 471-490, December.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Hongxun Xiang & Xunhua Wang & Yue Wang & Yang Yang & Can Yang & Xinyi Huang & Yangfan Bu & Menglong Wang, 2023. "What Is the Rational Choice of Community Governance Policy," Sustainability, MDPI, vol. 15(3), pages 1-15, January.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Hildebrand Sean, 2015. "Coerced Confusion? Local Emergency Policy Implementation After September 11," Journal of Homeland Security and Emergency Management, De Gruyter, vol. 12(2), pages 273-298, June.
    2. Bloom, Gerald & Wolcott, Sara, 2013. "Building institutions for health and health systems in contexts of rapid change," Social Science & Medicine, Elsevier, vol. 96(C), pages 216-222.
    3. Maya Unnithan & Carolyn Heitmeyer, 2014. "Challenges in ‘Translating’ Human Rights: Perceptions and Practices of Civil Society Actors in Western India," Development and Change, International Institute of Social Studies, vol. 45(6), pages 1361-1384, November.
    4. Carlos Octávio Ocké-Reis, 2009. "Série Seguridade Social - A Constituição de um Modelo de Atenção à Saúde Universal: Uma Promessa não Cumprida pelo SUS?," Discussion Papers 1376, Instituto de Pesquisa Econômica Aplicada - IPEA.
    5. Paulo Ivo Garrido, 2020. "Health, development, and institutional factors: The Mozambique case," WIDER Working Paper Series wp-2020-131, World Institute for Development Economic Research (UNU-WIDER).
    6. May, Anthony D. & Page, Matthew & Hull, Angela, 2008. "Developing a set of decision-support tools for sustainable urban transport in the UK," Transport Policy, Elsevier, vol. 15(6), pages 328-340, November.
    7. Bloom, Gerald & Standing, Hilary & Lloyd, Robert, 2008. "Markets, information asymmetry and health care: Towards new social contracts," Social Science & Medicine, Elsevier, vol. 66(10), pages 2076-2087, May.
    8. Dale, Elina & Peacocke, Elizabeth F. & Movik, Espen & Voorhoeve, Alex & Ottersen, Trygve & Kurowski, Christoph & Evans, David B. & Norheim, Ole Frithjof & Gopinathan, Unni, 2023. "Criteria for the procedural fairness of health financing decisions: a scoping review," LSE Research Online Documents on Economics 119799, London School of Economics and Political Science, LSE Library.
    9. World Bank Group, 2014. "Strategic Framework for Mainstreaming Citizen Engagement in World Bank Group Operations," World Bank Publications - Books, The World Bank Group, number 21113, December.
    10. Mæhle, Per Magnus & Smeland, Sigbjørn, 2021. "Implementing cancer patient pathways in Scandinavia how structuring might affect the acceptance of a politically imposed reform," Health Policy, Elsevier, vol. 125(10), pages 1340-1350.
    11. Bloom, Gerald, 2011. "Building institutions for an effective health system: Lessons from China's experience with rural health reform," Social Science & Medicine, Elsevier, vol. 72(8), pages 1302-1309, April.
    12. Waters, Hugh R. & Bós, Antonio M., 2008. "The financial protection impact of the public health system and private insurance in Brazil," Revista CEPAL, Naciones Unidas Comisión Económica para América Latina y el Caribe (CEPAL), August.
    13. Chitralada Chaiya & Mokbul Morshed Ahmad, 2021. "Success or Failure of the Thai Higher Education Development—Critical Factors in the Policy Process of Quality Assurance," Sustainability, MDPI, vol. 13(17), pages 1-29, August.
    14. Bos, J.J. & Brown, R.R., 2014. "Assessing organisational capacity for transition policy programs," Technological Forecasting and Social Change, Elsevier, vol. 86(C), pages 188-206.
    15. Landry Signé, 2017. "Policy Implementation – A synthesis of the Study of Policy Implementation and the Causes of Policy Failure," Research papers & Policy papers 1703, Policy Center for the New South.
    16. Marco Giulio & Giancarlo Vecchi, 2019. "Multilevel policy implementation and the where of learning: the case of the information system for school buildings in Italy," Policy Sciences, Springer;Society of Policy Sciences, vol. 52(1), pages 119-135, March.
    17. Nunes, João & Lotta, Gabriela, 2019. "Discretion, power and the reproduction of inequality in health policy implementation: Practices, discursive styles and classifications of Brazil's community health workers," Social Science & Medicine, Elsevier, vol. 242(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:188:y:2017:i:c:p:82-90. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.