Community Health Workers' Challenges during COVID-19: An Intersectionality Study.
Accredited social health activists (ASHAs) and auxiliary nurse midwives (ANMs) as community health workers (CHWs) have been crucial in providing health assistance and information during the COVID-19 pandemic. These CHWs face various challenges, such as discrimination, long hours of work, and low wag...
| Publicado en: | Indian Journal of Community Medicine Vol. 50; no. 3; pp. 520 - 525 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wolters Kluwer India Pvt Ltd
May/Jun2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=185074250&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 185074250 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09700218 1CQJ jtl: Indian Journal of Community Medicine issn: 09700218 maglogo: N pubinfo: dt: May/Jun2025 vid: 50 iid: 3 pid: 16919 pub: Wolters Kluwer India Pvt Ltd artinfo: ui: 185074250 185074250 185074250 10.4103/ijcm.ijcm_53_23 185074250 ppf: 520 ppct: 5 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Community Health Workers' Challenges during COVID-19: An Intersectionality Study. aug: au: Kurapati, Jyothi Anitha, C T affil: Department of Public Health, School of Medical Sciences, University of Hyderabad, Hyderabad, Telangana, India sug: subj: Community Health Workers Psychosocial Factors Frontline Personnel Psychosocial Factors COVID-19 Pandemic Intersectionality India Human Female Adult Middle Age Qualitative Studies Primary Health Care Interviews Female Employees Midwives Thematic Analysis Discrimination Social Class Race Factors Workload Protective Devices Patient Assault Violence Rural Population Educational Status Stigma Medical Records Adaptation, Psychological Adult: 19-44 years Middle Aged: 45-64 years Female ab: Accredited social health activists (ASHAs) and auxiliary nurse midwives (ANMs) as community health workers (CHWs) have been crucial in providing health assistance and information during the COVID-19 pandemic. These CHWs face various challenges, such as discrimination, long hours of work, and low wages, which were exacerbated during the pandemic. The study uses an intersectionality framework to understand CHWs' marginalization and challenges. A qualitative study with ASHAs and ANMs was conducted in selected primary health centers (PHCs) and subcenters in Suryapet district, Telangana, in 2021. The in-depth interviews of 60 CHWs were analyzed using the software Atlas-ti. The inductive thematic analysis highlighted several challenges faced by CHWs. These challenges include barriers such as discrimination based on class and caste, pay parity, increased workload, lack of training, inadequate safety equipment, and instances of assaults and mistreatment. CHWs, who are often rural women with minimal education, face stigmatization and attacks from community members. They struggled with maintaining records and understanding online training and dealt with rapid adaptation to technology. The study highlights the importance of implementing policies and support systems to protect and empower community health workers. This includes training, fair compensation, safety equipment, and measures against discrimination and violence. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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