It is on Social Network Analysis to understand mother's social ties regarding child health care seeking.

1. Understanding knots in mothers’ social ties with child health: reflections from Indian Sundarbans
UpasonaGhosh, RittikaBrahmachari, ShibajiBose

2. Guiding logic behind the research
Mother’s social ties are instrumental in resource mobilization for child health and health care seeking
Exposure to natural calamities increases mothers’ vulnerabilityand dependenceupon their social ties
Scenario worsenin case of women headed households.
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3. The Sundarbans……
Geographical barriers
Frequent climatic shocks

4. Sundarbans’ Health SystemChallenges of Accessibility, Affordability Acceptability and Parallel Health Market
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AccessibilityAffordability
AcceptabilityParallel health Market

5. To identify:
•Key communityand householdlevel playersimpacting child health seeking behavior
•Gapwithin the mothers’ network
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Objectives

6. Conceptual Framework
Mothers’ SocialNetwork
Supportive Network
Leveraging Network
Practical
Emotional
Material
Cognitive
*Adapted from Adams et al., 2009

7. Methodology: Qualitative Social Network Analysis
How people perceivethe network
What is the explicit content and meaning of tiesTool:Participatory Network Mapping

8. Study Design
Settings:Two villages of Indian Sundarbans
Respondents: Mothers having at least one 0-6yearsof children with -
a) seasonal migranthusband
b) Non-migranthusband
oSample: 20mothers (10from each category)
oData analysis: Open Access Software Gephi
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9. Mother’s supportive network with relatives and neighbors: Both supportive and detrimental

10. Mother’s cognitive network: complete dependency on community level players greatly influence seeking quality care

11. Linkages with health institutions: fading away with increasing geographical distance

12. Near absence of linkage with grass root level organizations

13. Conclusions:
Mothers’withmigranthusbandshavemoredependencyontheirsupportivenetworkformaterialandpracticalresourcesforchildcareseekingthannon-migrantcounterpart
Decisionmakingforchildcareseekingiscompletelydependuponhouseholdlevelplayerformotherswithnon-migranthusbandandcommunitylevelplayersformotherswithmigranthusband
Gappersistwithinthenetworkbetweenbothgroupofmothersandgrassrootlevelhealthandnon-healthorganizations
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14. Priority issues to be addressed:
1.Mothers with migrant husband should come under alternative income generation schemes on a priority basis
2.Household level decision making players should be incorporated in awareness generation and Behavioral Change Campaign
3.Initiative should be taken to strengthen linkage between mothers and the community based organizations
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15. THANK YOU
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