Using social network analysis to plan, promote and monitor intersectoral collaboration for health in rural India
Using social network analysis to plan, promote and monitor intersectoral collaboration for health in rural India
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DOI：
10.1371/journal.pone.0219786
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发表时间：
2019-07-17
期刊：
影响因子：
3.7
通讯作者：
Gupta, Shivam
中科院分区：
文献类型：
--
作者：
Hoe, Connie;Adhikari, Binita;Gupta, Shivam
背景由于人口健康和福祉受到跨越部门界限的多种因素的影响，人们日益认为，承认并利用发挥作用的多种决定因素、行为者和部门的跨部门办法对于实现有意义和持久的改善至关重要。在这项研究中，我们利用社会网络分析（SNA）来描述在印度北方邦的一个农村街区实施HCL基金会（HCLF）资助的HCL Samuday项目（2015-2017）之前和之后，致力于妇幼健康（MCH）和水与卫生（WASH）的组织之间的跨部门合作。虽然SNA已被用来检查公共卫生问题，很少有人用它来监测利益相关者的关系，干预，改善和促进项目的实施，涉及部门间的伙伴关系，特别是在低收入和中等收入的countries.MethodAn组织一级SNA进行了31个关键的线人从24个组织的妇幼保健和/或WASH在卡奇豪纳，北方邦，印度。数据是在2017年6月至9月期间通过面对面的半结构化访谈收集的。密度，中心性和同质性计算来描述网络和定性分析也进行了识别的优势和劣势的组织之间的合作，在妇幼保健和WASH.ResultsOverall，我们的研究结果表明，网络的组织工作在妇幼保健和WASH在卡奇豪纳的数量增长，因为Samuday的实施。HCLF迅速实现了中心地位，从而使该组织成为信息的守门人，并使其能够在网络中发挥协调作用。在这两个时间点，从事妇幼保健和讲卫生运动的其他组织之间的直接合作很少。与主要线人的采访表明，在增加组织间的互动和参与整个网络的广泛兴趣。ConclusionThis研究表明，SNA的可行性和实际应用的项目，如Samuday涉及跨部门的合作。它还提供了关于使用SNA的经验教训，以组织为分析单位，并在印度农村的背景下，包括挑战，实际考虑和限制。
BackgroundAs population health and well-being are influenced by multiple factors that cut across sectoral boundaries, an intersectoral approach that acknowledges and leverages the multiple determinants, actors and sectors at play is increasingly seen as critical for achieving meaningful and lasting improvements. In this study, we utilize social network analysis (SNA) to characterize the intersectoral collaboration between the organizations working on maternal & child health (MCH) and water & sanitation (WASH) before and immediately after the implementation of HCL Foundation (HCLF)-funded HCL Samuday Project (2015-2017) in a rural block of Uttar Pradesh state, India. While SNA has been used to examine public health issues, few have used it monitor stakeholder relationships, intervene, improve and facilitate project implementation involving intersectoral partnerships, particularly in the context of a low-and middle-income countries.MethodAn organization-level SNA was conducted with 31 key informants from 24 organizations working on MCH and/or WASH in Kachhauna, Uttar Pradesh, India. Data were collected using face-to-face, semi-structured interviews between June and September 2017. Density, centrality and homophily were calculated to describe the network and a qualitative analysis was also conducted to identify the strengths and weaknesses of collaboration between organizations working on MCH and WASH.ResultsOverall, our findings showed that the network of organizations working on MCH and WASH in Kachhauna grew in number since the implementation of Samuday. HCLF rapidly achieved centrality, thus positioning the organization to serve as a gatekeeper of information and enabling it to play a coordinator role within the network. Direct collaboration between other organizations working on MCH and WASH was low at both time points. Interviews with key informants indicated widespread interest in increasing interorganizational interactions and engagement throughout the network.ConclusionThis study demonstrates the feasibility and practical application of SNA for projects like Samuday that involve intersectoral collaboration. It also provides lessons about the use of SNA with organizations as the unit of analysis and in the context of rural India, including challenges, practical considerations, and limitations.