DOI: 10.7910/dvn/w2qymo
title: Alive & Thrive India MIYCN and Private Health Care Sector
title: Assessment of knowledge and practices regarding Maternal, Infant and Young Child Nutrition (MIYCN) among the FOGSI and IAP members working in private health care establishments (HCE)

description: The private health care sector plays an important role in the Indian healthcare delivery
system. Private sector health services are accessed by most of the Indian population (around 70%) for maternity and child care services, predominantly at out-patient or OPD sites and for in-patient care. However, this sector is not well regulated and there are gaps in provision of evidence-based quality care. Professional medical associations can play an influential role in improving the practices of their individual members, especially those in private health facilities, by advocating for emerging best practices and undertaking continued skill development for evidence-based standard practices, such as integrating maternal nutrition interventions in antenatal care (ANC) , promoting, protecting and supporting optimal breastfeeding, and creating a mother and baby friendly environment. The goal of this survey was to assess the current maternal, infant, and young child nutrition (MICYN) knowledge and practices pertaining among the FOGSI and IAP members working in private health care establishments; understand the key bottlenecks/barriers and identify opportunities in adopting the evidence-based MIYCN guidelines in a private health care establishment. // Key Objectives: · To assess current knowledge pertaining to globally recommended evidence based MIYCN guidelines among health care providers in private health care establishments. · To understand the current practices and willingness to adopt the evidence based MIYCN guidelines in private health care establishments. · To understand systems and processes to strengthen evidence based MIYCN clinical practice in private health care establishments. · To identify the bottlenecks/challenges in adopting evidence-based MIYCN guidelines in private health care establishments.
description: This quantitative study had two parts: (1) online survey; (2) in-person semi-structured survey with obstetricians and pediatricians. // The first survey was carried out with an online nationwide representative sample of all IAP and FOGSI members. The survey had a nationwide representative sample of private sector providers who were members of two professional associations i.e. IAP and FOGSI, working in the private health care establishments. These establishments could be single person clinic or Poly clinics or Multispecialty or Corporate Hospitals. The minimum Sample size required (per stratum) = 381 + 50 percent non-response due to online survey = ~572. Thus, we required a sample of 572 IAP and 572 FOGSI members (Total 1144) spread across India. This sample was further spread across 3 sub-groups within each category or group i.e. within FOGSI members, a representative proportion of sample was drawn for 3 subcategories or sub-groups i.e., Single person clinic / Poly clinics / Multispecialty-Corporate Hospitals. // A semi-structured in-person survey was also conducted in three cities of each of the five states (Bihar, Uttar Pradesh, Rajasthan/Gujarat, Maharashtra, and Karnataka) with representation from different type of private health facilities. Quota sampling was used to select the health care providers and the health facilities. In this case sampling unit will be health facility, with a total of 120 selected; 24 per each of 5 states.
description: Online surveys
description: Semi-structured interviews