Applying the ‘Candidacy’ Model to understand access to key nutrition, food & health services in LMIC contexts: a qualitative study in Odisha, India
-
Published:2023-04-04
Issue:3
Volume:15
Page:649-660
-
ISSN:1876-4517
-
Container-title:Food Security
-
language:en
-
Short-container-title:Food Sec.
Author:
Mitchell RebeccaORCID, Gordon JessicaORCID, Bhoi Gopal KrushnaORCID, Nisbett NicholasORCID
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.
Publisher
Springer Science and Business Media LLC
Subject
Agronomy and Crop Science,Development,Food Science
Reference47 articles.
1. Adeagbo, O., Herbst, C., Blandford, A., McKendry, R., Estcourt, C., Seeley, J., & Shahmanesh, M. (2019). Exploring people's candidacy for mobile health-supported hiv testing and care services in Rural KwaZulu-Natal, South Africa: Qualitative Study. Journal of Medical Internet Research, 21(11). 2. Avula, R., Kim, S. S., Chakrabarti, S., Tyagi, P., Kohli, N., Kadiyala, S., & Menon., P. (2015). Delivering for Nutrition in Odisha: Insights from a Study on the State of Essential Nutrition Interventions. Retrieved from New Delhi. 3. Balani, S. (2013). Functioning of the Public Distribution System. PRS Legislative Research, New Delhi. 4. Barros, F. C., Victora, C. G., Scherpbier, R., & Gwatkin, D. (2010). Socioeconomic inequities in the health and nutrition of children in low/middle income countries. Revista de Saúde Pública, 44, 1–16. 5. Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., De Onis, M., ... Martorell, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet, 382(9890), 427–451.
|
|