Quality of Health Assistants in Primary Health Centres in Rural Maharashtra, India.

Introduction: Health assistants are important functionaries of the primary health care system in India. Their role is supervision of field-based services among other things. A quality assurance mechanism for these health assistants is lacking. The present study was undertaken with the objectives of...

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Publicado en:Health Services Insights no. 6; pp. 9 - 14
Autores principales: Ganguly, Enakshi, Garg, Bishan S.
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. 2013
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Quality of Health Assistants in Primary Health Centres in Rural Maharashtra, India.
      aug:
        au:
          Ganguly, Enakshi
          Garg, Bishan S.
        affil: Department of Community Medicine, Mediciti Institute of Medical Sciences, Medchal Mandal, India
      sug:
        subj:
          Primary Health Care
          Rural Health Services Organizations
          Quality of Health Care
          Supervisors and Supervision
          Human
          Funding Source
          India
          Observational Methods
          Interviews
          Record Review
          Job Description
          Maternal-Child Health
          Quality Improvement Education
          Professional Role
          Job Characteristics
          Descriptive Research India
          Clinical Assessment Tools
      ab: Introduction: Health assistants are important functionaries of the primary health care system in India. Their role is supervision of field-based services among other things. A quality assurance mechanism for these health assistants is lacking. The present study was undertaken with the objectives of developing a tool to assess the quality of health assistants in primary health centres (PHCs) and to assess their quality using this tool. Methodology: Health assistants from three PHCs in the Wardha district of India were observed for a year using a tool developed from primary health care management Aavancement program modules. Data was collected by direct observation, interview, and review of records for quality of activities. Results: Staff strength of health assistants was 87.5%. None of the health assistants were clear about their job descriptions. A supervisory schedule for providing supportive supervision to auxiliary nurse midwives (ANMs) was absent; most field activities pertaining to maternal and child health received poor focus. Monthly meetings lacked a clear agenda, and comments on quality improvement of services provided by the ANMs were missing. Conclusion: Continuous training with sensitization on quality issues is required to improve the unsatisfactory quality.
      pubtype: Academic Journal
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      ougenre: Article
    language: English
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