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Indian Journal of Communicable Diseases

Volume  3, Issue 1, January - June 2017, Pages 9-16
 

Original Article

A Cross-Sectional Study to Identify the Barriers and Challenges Faced by Health Workers in a Rural Area of Haryana, India

Meely Panda1 , B.M. Vashisht2 , Shalini Ray3

1 Senior Resident, Department of Community Medicine, Jamia Hamdard Institute of Medical Science and Research, New Delhi, 110062. 2 Professor, Department of Community Medicine, PGIMS, Rohtak, Haryana. 3 Assistant Professor, Department of Community Med

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DOI: DOI: http://dx.doi.org/10.21088/ijcd.2395.6631.3117.2

Abstract

Introduction: India, faces an acute shortage of health workforce, and this seems to be one of the prior reason of our country not being able to achieve the millennium development goals too. With only about 50% MPHW (M) being available, the MPHW (F) is heavily overworked, which affects outreach services in rural areas. Objective: Identify barriers in the working process of health workers in a rural area of Haryana. Methods: An entire PHC was taken up for the study to interview ASHA workers, AWW, MPHW (F), PRI about the various challenges they face in their day to day work process. Data collected was summed up and compiled to find out the various associations of the level of satisfaction with their work process. Result: It was found that none of the ASHAs were satisfied with the incentives drawn by them. About 60% felt their basic minimum should be fixed. depictions on group discussions denote that most of time (71%) group discussions were based on topics related to health followed by nutrition (50%), sanitation (42%) and family planning (46%). About 98% were a part of some or other sessions held. When questioned about whether they felt people tend to less utilize the health services provided to them, it was found that, about 90% felt so and just 10% did not feel so. Discussion: The study found a strong nexus between the healthcare delivery system’s status and the community health worker’s level of performance motivation. As demonstrated in similar settings, resource constraints such as limited transportation to escort mothers and stock-outs of commodities hindered the community’s trust on them. The communication gap among different actors led to delay in receiving the stocks and non-clarity on the responsibilities among health workers.

Keywords: Health Worker; Barriers; Incentives; Work Satisfaction.


Corresponding Author : Meely Panda1