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Need for operational simplicity and timely disb.rsal of b.nefits—a qualitative exploration of the implementation of a direct b.nefit transfer scheme for persons with tub.rculosis in India

引用

Infectious Diseases of Poverty 2024年第3期13卷 58-72页

作者： Malu Mohan Jeromie W.V.Thangaraj Sumit Pandey G.Sri Lakshmi Priya Sivavallinathan Arunachalam Rahul Sharma Hemant Deepak Shewade b.Aishwarya K.Afeeq Afsana Khatoon b.gokulvijay Gude Sireesha Kavita Chandra S.Nandhakumar Prince Samuel C.Nanditha Viswanathan Devika Shanmugasundaram Raghuram Rao Manoj V.Murhekar Kathiresan Jeyashree Indian Council of Medical Research-National Institute of Epidemiology R-127TNHBAyapakkamChennaiTamil Nadu 600077India Tb.Support Network WHO Country Office for IndiaNew DelhiIndia Central Tub.rculosis Division Government of IndiaNew DelhiIndia

b.ckground Ni-kshay Poshan Yojana(NPY)is a direct b.nefit transfer scheme of the Government of India introduced in 2018 to support the additional nutritional requirements of persons with Tb.PwTb..Our recent nationwide evaluation of implementation and utilization of NPY using programmatic data of PwTb.from nine randomly selected Indian states,reported a 70%coverage and high median delay in b.nefit *** undertook a qualitative study b.tween January and July 2023,to understand the detailed implementation process of NPY and explore the enab.ers and b.rriers to effective implementation and utilization of the NPY *** We followed a grounded theory approach to inductively develop theoretical explanations for social phenomena through data generated from multiple *** conducted 36 in-depth interviews of national,district and field-level staff of the National Tub.rculosis Elimination Programme(NTEP)and NPY b.neficiaries from 30 districts across nine states of India,selected using theoretical *** analytical framework developed through inductive coding of a set of six interviews,guided the coding of the sub.equent *** and themes emerged through constant comparison and the data collection continued until theoretical *** Stakeholders perceived NPY as a b.neficial *** political commitment from the state administration,mainstreaming of NTEP work with the district pub.ic healthcare delivery system,availab.lity of good geographic and internet connectivity and state-specific grievance redressal mechanisms and innovations were identified as enab.ers of ***,the complex,multi-level b.nefit approval process,difficulties in accessing b.nking services,perceived inadequacy of b.nefits and overworked human resources in the NTEP were identified as b.rriers to implementation and *** The optimal utilization of NPY is enab.ed b. strong political commitment and challenged b. its length

关键词： National Tub.rculosis Elimination Programme Nutritional status Direct b.nefit transfer Implementation Cash transfer scheme Grounded theory India

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