Abstract
This paper examines the impact of institutional innovation in the healthcare delivery system in rural India. With the launch of the National Rural Health Mission (NRHM), the approach to healthcare delivery has changed from a top-down model to bottom-up and participatory system. The implementation of NRHM has resulted in an increase in institutional delivery and reduction in IMR and MMR substantially. The appointment of Accredited Social Health Activists (ASHA) and formation of Village Health, Sanitation and Nutrition Committee (VHSNCs) and Rogi Kalyan Samities (RKS) have helped bring a behavioural change among the rural healthcare users. The circular flow of information between the health practitioners (innovators) and users (rural women and children) through ASHA, Anganwadi workers and ANM has facilitated interactive learning and further innovation in the healthcare delivery system. The new institutional arrangement for healthcare provisioning has brought a turnaround in healthcare use by the rural households. Analytically, the paper uses the innovation systems framework to explain the performance of the healthcare programme. It contributes to the innovation systems literature by (i) highlighting the need for and role of institutional innovation, and (ii) emphasising that institutional innovation that leads to transformation in innovation performance demands opportunities and spaces for interactive learning.
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Das, A. (2020). Turnaround in Maternal and Child Healthcare: Institutional Innovation and Interactive Learning. In: Raina, R., Das, K. (eds) Inclusive Innovation. India Studies in Business and Economics. Springer, New Delhi. https://doi.org/10.1007/978-81-322-3929-1_8
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DOI: https://doi.org/10.1007/978-81-322-3929-1_8
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