Constraints to scaling-up health programmes: a comparative study of two Indian states

Shreelata Rao Seshadri
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Shreelata Rao Seshadri: Consultant Social Development Specialist, Postal: Consultant Social Development Specialist

Journal of International Development, 2003, vol. 15, issue 1, 101-114

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.

Date: 2003
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Persistent link: https://EconPapers.repec.org/RePEc:wly:jintdv:v:15:y:2003:i:1:p:101-114

DOI: 10.1002/jid.968

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