Table 2 Summary of roles, degree and key mechanisms of convergence, and salient factors by different administrative levels
Level | Main role/action | Convergence degree and key mechanism | Salient factor: (+) facilitators and (−) barriers |
|---|---|---|---|
State | -Establish state-wide programs and initiatives -Provide guidelines -Monitor and assess data -Allocate resources | Collaboration: -Developing guidelines -Meetings to discuss topics and plan and review programs and initiatives | (+) Shared motivation/goals (+) Recognized leadership for coordination (−) Different priority actions (−) Little data sharing (−) Lack of accountability and feedback mechanisms |
District | -Prioritize services and activities -Plan annually/monthly -Monitor data reports -Allocate resources -Train block staff and FLWs | Coordination: -Planning and review meetings -Data sharing -Joint training sessions | (+) Clear leadership (+) Mutual understanding of roles (−) Narrow priority topics related to health and disease (−) Low participation/poor attendance (−) Limited supervision |
Block | -Plan annually/monthly -Gather data records and registers and report -Supervise and feedback -Train/orient FLWs | Cooperation: -Planning and supervision | (+) Shared motivation (−) Lack of direction or guidelines (−) Heavy workload (−) Inadequate resources (−) Poor communication |
Village/Frontline | -Schedule and implement services and activities -Record/register and report -Build rapport and demand creation in community | Collaboration: -Delivery of services, through VHND and home visits | (+) Shared motivation (+) Close inter-personal communication and vicinity (+) Understanding of roles and responsibilities (−) Unbalanced incentives |