Table 1

Study respondents defined

Acronym (used in SNA plots)RespondentDefinition
SHG structure
GMSHG memberPart of SHG group, involved in saving and borrowing, weekly SHG meetings.
G1SS and G2SSSHG swasthya sakhi (two per village)SHG member who has received special training in health.
VOSSVillage organisation’s swasthya sakhiSHG leader at village level trained in health and linkages strategy to coordinate health activities.
VOM and VOM2Village organisation member (two per village)Leader from two village VOs trained in linkages strategy to coordinate health activities.
VOBVillage organisation office bearerSHG member who holds a post at the federation of SHGs at the village level called VO.
MSMeeting sakhiSHG member who organises weekly SHG meetings.
BOBBlock organisation office bearerSHG and VO member who holds a post at the federation level called BO.
BORBlock organisation representative from VO A member of the BO representing her village organisation.
BOPRBlock organisation poverty reduction committee member A dedicated committee in the BO responsible for development strategies on mobilising women from poor households into SHGs.
RGMVP staff
RGRGMVPFull time field staff who works for the non-government organisation (RGMVP) at block level.
RGFRGMVP field officerFull-time field staff who acts as a link between RGMVP and SHGs.
RGVRGMVP volunteer (community volunteer)A part-time volunteer from the community who supports the full-time field staff in implementation activities.
RGTRGMVP trainerRGMVP professional trainer who conducts field trainings for SHGs.
ISCInternal social capital Nominated SHG member who is trained to support health implementation in villages by facilitating discussions in various SHG meetings.
Government health and nutrition
ASHAAccredited social health activistCommunity health volunteer paid honorarium to promote basic preventative maternal and child services and is supervised by ANM.
ANMAuxiliary nurse midwifeGovernment-trained community health worker who conducts monthly outreach clinics providing maternal and child care. ANM supervises ASHA and works with AWW.
AWWAnganwadi workerGovernment community worker providing food supplements to young children, adolescent girls and lactating women, along with preschool child education services in government-operated village creches.
ANMS/LHVAuxiliary nurse midwife supervisor/female health visitorANMs who have been promoted to oversee six subcentres covering a population of 30 000.
ICDSsIntegrated child development scheme supervisorGovernment worker appointed who supervises 25 village-level creches called Anganwadi Centres where the AWW works.
CDPOCommunity development programme officerGovernment worker in charge of the ICDS Project at block level who oversees the ICDS supervisor at block level.
BDOBlock development officerGovernment social worker appointed under the ICDS scheme and entrusted with the overall responsibility of the ICDS at block level.
PHMPrimary health centre medical officerGovernment medical doctor and primary administrator of primary health centres.
PHNPrimary health centre nurseGovernment nurse providing nursing services in primary health centres.
PHCPrimary health centre staffApproximately 13 government staff appointed to administer primary care services at primary health centres.
PHSPHC otherExtra support staff appointed at high-delivery load primary health centres.
CHNCommunity health centre nurseGovernment nurse appointed at community health centres, which constitute the secondary level of healthcare.
CHMCommunity health centre medical officerGovernment medical officer who works at the community health centre to provide clinical services.
CHCCommunity health centre staffThe total strength of staff (approx. 46) appointed by the government to administer specialist and referral care services at the community health centre.
CMOChief medical officer-in-chargeGovernment medical doctor who works as the programme director at the district level.
CHSCommunity health centre otherExtra staff appointed at high patient load community health centres.
DHNDistrict hospital nurseGovernment nurse working in a 300-bed district hospital for providing comprehensive secondary healthcare.
DHMDistrict hospital medical officerGovernment medical officer who works at the district hospital to provide clinical services.
DHOBDistrict hospital OB/GYNGovernment medical specialist appointed at the district hospital to provide specialist OB/GYN care for women.
RKSRogi Kalyan SamitiA patient welfare committee set-up at the government hospital to ensure accountability and protection of patients’ rights.
Other stakeholders
PRIPradhan or village headElected head of a village-level constitutional body of local self-government called the panchayat, who acts as focal point of contact between government officers and the village community.
RLReligious leaderLeader of a religion recognised at the community (village) level.
RMPRural medical practitioner (unqualified)An unqualified medical practitioner who is not formally trained in providing healthcare services in villages. RMPs are culturally recognised and are often the first point of healthcare in communities.
DrMedical doctor (qualified)Formally trained and accredited medical doctor that provides healthcare.
PFPrivate health facility providerAccredited medical doctor providing health services in a private health facility.
DSDrug shop ownerOwner of a private chemist shop in villages who dispenses drugs and health advice
BPRIBlock Panchayat Raj InstitutionThe middle tier of the system of local self-government in India operating at the administrative level of block that links villages with districts.
  • *TSU project workers.

  • BO, block organisation; ICDS, integrated child development scheme; OB/GYN, obstetrics and gynaecology; RGMVP, Rajiv Gandhi Mahila Vikas Pariyojana; SHG, self-help group; SNA, social network analysis; TSU, technical support unit; TSUB, TSU block coordinator; TSUC, TSU community specialist; TSUN, TSU nurse mentor; VO, village organisation.