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Research Article
Constraints to scaling-up health programmes: a comparative study of two Indian states
Article first published online: 7 JAN 2003
DOI: 10.1002/jid.968
Copyright © 2003 John Wiley & Sons, Ltd.
Issue
1099-1328/asset/cover.gif?v=1&s=fd413a4d60b54785477481c87152296ee1c95e79 "Journal of International Development")
Journal of International Development
Special Issue: Expanding Access to Health Interventions in Low and Middle-Income Countries: Constraints and Opportunities for Scaling-Up
Volume 15, Issue 1, pages 101–114, January 2003
Additional Information
How to Cite
Seshadri, S. R. (2003), Constraints to scaling-up health programmes: a comparative study of two Indian states. J. Int. Dev., 15: 101–114. doi: 10.1002/jid.968
Publication History
- Issue published online: 7 JAN 2003
- Article first published online: 7 JAN 2003
- Abstract
- References
- Cited By
Abstract
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.