Applying the ‘Candidacy’ Model to understand access to key nutrition, food & health services in LMIC contexts: a qualitative study in Odisha, India

Rebecca Mitchell (), Jessica Gordon, Gopal Krushna Bhoi and Nicholas Nisbett
Additional contact information
Rebecca Mitchell: Institute of Development Studies
Jessica Gordon: Institute of Development Studies
Gopal Krushna Bhoi: DCor Consulting
Nicholas Nisbett: DCor Consulting

Food Security: The Science, Sociology and Economics of Food Production and Access to Food, 2023, vol. 15, issue 3, No 5, 649-660

Abstract: Abstract In order to make progress towards Sustainable Development Goal 2 – Zero Hunger - we must acquire a better understanding of what continues to hamper achieving food security, particularly in contexts where progress has been achieved, but has then faltered. This article investigates access to nutrition and food services in three of the Indian state of Odisha’s traditionally poorer districts, where a large number of the state’s most marginalised populations live. Semi-structured interviews were carried out in 11 villages. The Dixon-Woods Candidacy Model was employed to provide greater insight into the experiences of access to health and nutrition services, from both the supply and the demand sides. We found that there are many points along the journey that hamper access. We identified two levels of gatekeepers that can create (or remove) barriers, the first as front-line service providers and the second as high-level officials. The candidacy model shows that marginalisation caused by identity, poverty and education disparities hampers progress throughout this journey. This article aims to provide a view to improve our understanding of access to health, food and nutrition services, to improve food security, and to show the value of the candidacy model applied to an LMIC health setting.

Keywords: Candidacy; Food security; Health; Nutrition; India; Access; Barriers (search for similar items in EconPapers)
Date: 2023
References: View references in EconPapers View complete reference list from CitEc
Citations:

Downloads: (external link)
http://link.springer.com/10.1007/s12571-023-01357-5 Abstract (text/html)
Access to the full text of the articles in this series is restricted.

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:spr:ssefpa:v:15:y:2023:i:3:d:10.1007_s12571-023-01357-5

Ordering information: This journal article can be ordered from
http://www.springer. ... ulture/journal/12571

DOI: 10.1007/s12571-023-01357-5

Access Statistics for this article

Food Security: The Science, Sociology and Economics of Food Production and Access to Food is currently edited by R.N. Strange

More articles in Food Security: The Science, Sociology and Economics of Food Production and Access to Food from Springer, The International Society for Plant Pathology
Bibliographic data for series maintained by Sonal Shukla () and Springer Nature Abstracting and Indexing ().