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Understanding barriers in implementation and scaling up WIFS from providers perspective: A mixed-method study,
Meenakshi Khapre1, Hemant D Shewade2,3,4, Surekha Kishore1
1All India Institute of Medical Sciences (AIIMS), Rishikesh, India.
The Weekly Iron and Folic acid Supplementation (WIFS) program in Rishikesh, India, showed poor implementation and high anemia rates among adolescent girls. Strengthening program ownership and supervision is crucial for its success.
Area of Science:
- Public Health
- Adolescent Nutrition
- Program Evaluation
Background:
- The Weekly Iron and Folic acid Supplementation (WIFS) program was implemented in India in 2013.
- Comprehensive evaluations of the WIFS program are lacking.
- This study addresses the need for evaluating WIFS implementation in public schools.
Purpose of the Study:
- To assess the coverage of WIFS among adolescent girls in Rishikesh, India.
- To identify barriers to WIFS implementation in public schools.
- To propose solutions for improving WIFS program delivery.
Main Methods:
- A sequential explanatory mixed-methods study design was employed.
- Quantitative data collected through a community-based cross-sectional survey.
- Qualitative data gathered via document review, non-participant observation, and nominal group discussions with stakeholders.
Main Results:
- Only 16% of adolescent girls received weekly iron-folic acid (IFA) supplements; 79% were anemic.
- Significant barriers included IFA stock-outs for 10 months and irregular reporting.
- One out of ten schools never implemented the WIFS program.
Conclusions:
- WIFS implementation was suboptimal in a region with high anemia prevalence.
- Enhancing program ownership and supervision are critical for WIFS success.
- Ensuring consistent IFA stock and improving reporting are key recommendations.
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