Abstract
Mother–child is an integral part of overall global development planning, as evident from substantive investments, lasting socio-economic priority and the thorough implementation of various public policy programmes like the National Health Mission (NHM). There is a need to impregnate evidence about the acceptability, cost-effectiveness and scalability of transformative public health programmes like NHM through management sciences and by impact evaluation and implementation studies. The study examines the implementation dynamics of the NHM programme in the context of maternal and child service architecture and measures the average impact of NHM on maternal and child health outcomes. This study uses a multilevel, mixed, cross-sectional field design of impact measurement, using a multiphase approach to devise impact models from interrupted time series longitudinal panel data, and uses counterfactual impact model development using autoregressive integrated moving average (ARIMA). The findings of the study show that there has been a significant decline in mortality indicators of maternal and child health, with NHM having the maximum positive impact on institutional deliveries and deliveries by skilled birth attendants. The study shows that NHM has proved to be a successful population-level health interventional programme and has emerged as a crucial structural-equity modelling reform programme. The policy implication is that a broad-based approach with the inclusion of socio-structural determinants is needed for improving the health of the mother–child ecosystem, with access to basic comprehensive maternal emergency care.
Published Version
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