title: Impact of Integrated Watershed Management on Complex Interlinked Factors Influencing Health: Perceptions of Professional Stakeholders in a Hilly Tribal Area of India.
abstract: Lack of access to water has a significant impact on the health of people in tribal areas, where water in households as well as for productive purposes is essential for life. In resource-limited settings such as hilly tribal areas, implementation of an integrated watershed management programme (IWMP) can have a significant impact on public health by providing a solution to water scarcity and related problems. The professional stakeholders in rural healthcare and development administration are important pillars of the system that implements various programmes and policies of government and non-government organizations, and act as facilitators for the improvement of public health in tribal areas. Information about the perceptions of these stakeholders on public health implications of the integrated watershed management programme is important in this context. A qualitative study was conducted using face to face semi-structured interviews and focus group discussions (FGDs) with stakeholders involved in healthcare provision, education and development administration. The transcripts of interviews and FGDs were analyzed using manifest and latent content analysis. The perceptions and experiences shared by healthcare and development administration stakeholders suggest that implementation of IWMP in tribal areas helps efficient water and agriculture management, which results in improved socio-economic conditions that lead to positive health outcomes.
authors.affiliation: Department of Public Health Sciences, Global Health-Health Systems and Policy, Karolinska Institutet, Stockholm SE-171 77, Sweden. san_ner@rediffmail.com.|Department of Environmental Medicine, Indian Initiative for Management of Antibiotic Resistance, R.D. Gardi Medical College, Ujjain 456010, India. san_ner@rediffmail.com.
authors.forename: Sandeep S
authors.initials: SS
authors.lastname: Nerkar
authors.affiliation: Department of Public Health Sciences, Global Health-Health Systems and Policy, Karolinska Institutet, Stockholm SE-171 77, Sweden. ejetee@gmail.com.|Department of Environmental Medicine, Indian Initiative for Management of Antibiotic Resistance, R.D. Gardi Medical College, Ujjain 456010, India. ejetee@gmail.com.|N.G. Acharya and D.K. Marathe College, Chembur, Mumbai 400071, India. ejetee@gmail.com.
authors.forename: Ashok J
authors.initials: AJ
authors.lastname: Tamhankar
authors.affiliation: Department of Public Health Sciences, Global Health-Health Systems and Policy, Karolinska Institutet, Stockholm SE-171 77, Sweden. eva.johansson@ki.se.
authors.forename: Eva
authors.initials: E
authors.lastname: Johansson
authors.affiliation: Department of Public Health Sciences, Global Health-Health Systems and Policy, Karolinska Institutet, Stockholm SE-171 77, Sweden. Cecilia.Stalsby.Lundborg@ki.se.
authors.forename: Cecilia Stålsby
authors.initials: CS
authors.lastname: Lundborg
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003247:Conservation of Natural Resources / Q000379:methods*; D005260:Female; D017144:Focus Groups; D005618:Fresh Water; D006282:Health Personnel / Q000523:psychology*; D006304:Health Status; D006801:Humans; D007194:India; D008297:Male; D008875:Middle Aged; D044382:Population Groups / Q000706:statistics & numerical data; D011634:Public Health; D036301:Qualitative Research; D012424:Rural Population / Q000706:statistics & numerical data; D062066:Water Resources / Q000600:supply & distribution*; D014881:Water Supply / Q000379:methods*; D055815:Young Adult
keywords: agriculture; education; healthcare providers; integrated watershed management; public health; qualitative study