Addressing the social determinants of health: a case study from the Mitanin (community health worker) programme in India

The aim of this research was to document how and why the Mitanin Community Health Workers in Chhattisgarh state, India have been able to act on the social determinants of health, describing the catalysts and processes involved and the enabling programmatic and organizational factors. A qualitative comparative case study of successful action by Mitanin was conducted in two ‘blocks’, purposefully selected as positive exemplars in two districts of Chhattisgarh. The factors underpinning successful action on social determinants were identified as the significance of the original intent and vision of the programme, and how this was carried through into all aspects of programme design, the role of the Mitanins and their identification with village women, ongoing training and support, and the relative autonomy of the programme.

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Nandi S, Schneider H. Addressing the social determinants of health: a case study from the Mitanin (community health worker) programme in India. Health Policy and Planning. 2014; 29(suppl 2):ii71-ii81. doi:10.1093/heapol/czu074