Lessons in Scale-up of a Public Sector Zinc ORS Intervention for Childhood Diarrhoea Management in the Indian State of Bihar
Bibliographic record
Abstract
The Government of India introduced guidelines on therapeutic supplementation of zinc in the management of childhood diarrhoea in the year 2007, but programmatic constraints delayed its introduction into public health programs. Micronutrient Initiative, with support from a donor, initiated a program in 2010 to demonstrate and scale-up the use of zinc through public sector channels, in the state of Bihar. Methods: The project was implemented in 15 demonstration districts with a population of 36 million. Over 40,000 community level health workers were oriented on use of zinc. Support was provided to strengthen procurement and supply chain mechanisms. A robust system of monitoring and evaluation was introduced to track performance. Meaningful engagement with the government ensued throughout the demonstration phase. Results: Use of Community-level volunteers (CLVs) is a pre-requisite to scaling-up access to care. More than one-million children were reported to be provided care. The CLVs need to be engaged through a relevant supportive supervision model. Supply chain mechanisms need to be strengthened to prevent stock-outs at service delivery points. Simple reporting tools need to be introduced for improved case-reporting. Conclusions: It is feasible and viable to introduce and scale-up therapeutic zinc supplementation Conference
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.003 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".