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Constraints to scaling‐up health programmes: a comparative study of two Indian states
Author(s) -
Seshadri Shreelata Rao
Publication year - 2003
Publication title -
journal of international development
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.533
H-Index - 66
eISSN - 1099-1328
pISSN - 0954-1748
DOI - 10.1002/jid.968
Subject(s) - tamil , psychological intervention , scale (ratio) , order (exchange) , scaling , economic growth , public economics , computer science , business , economics , mathematics , medicine , geography , philosophy , linguistics , geometry , cartography , finance , psychiatry
This paper analyses constraints to scaling‐up successful health interventions and opportunities for relaxing such constraints in Tamil Nadu and Karnataka states. The analytical framework used in the paper categorizes constraints by the level at which they operate. A comparison of the implementation of selected health programmes in Karnataka and Tamil Nadu is appropriate since there are good chances of replicating each others' successes. The case study indicates that in order to scale‐up interventions, a combination of actions is required, including: adequate community involvement; clear focusing of objectives and information systems for measuring achievements against them; good technical design; and specific measures to address constraints at the policy and strategic management level. Copyright © 2003 John Wiley & Sons, Ltd.