Assessment of Community Health Volunteers contribution and factors affecting their health care service delivery in selected urban wards of Puducherry – A mixed-methods operational research study
Introduction: Community participation gained its importance from the Alma Ata declaration in 1978. Improving coverage of these services depends on factors like availability, accessibility, and quality of service delivery. Involving Community Health Volunteers to deliver health services would help in...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-09-01
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| Series: | Clinical Epidemiology and Global Health |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213398422001774 |
| _version_ | 1828283614721212416 |
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| author | Sathish Rajaa Swaroop Kumar Sahu Mahalakshmi Thulasingam |
| author_facet | Sathish Rajaa Swaroop Kumar Sahu Mahalakshmi Thulasingam |
| author_sort | Sathish Rajaa |
| collection | DOAJ |
| description | Introduction: Community participation gained its importance from the Alma Ata declaration in 1978. Improving coverage of these services depends on factors like availability, accessibility, and quality of service delivery. Involving Community Health Volunteers to deliver health services would help in decentralizing health care delivery. Methods: A mixed-method approach (Sequential experimental design) was employed to evaluate the contributions of CHVs. The data collection methods included Key Informant Interviews (KII) and a pre-tested semi-structured self-introspection questionnaire to capture both volunteer's and health system side perspectives of the intervention. The study was conducted from October 2017 to May 2018. Results: At the end of the intervention, only 33 volunteers (51%) had contributed to health care delivery in their respective anganwadis. We compiled the contributions made by the CHV during the intervention period. We explored the facilitating, hindering factors that influenced the outcome and gathered suggestions for the same. The CHVs felt that they have contributed adequately to the delivery of health care. Discussion and conclusion: The study explores the contributions of CHVs and their evaluation using a mixed-methods design capturing the perspectives of various stakeholders. Our study results highlight the spectrum of contributions that can be rendered through CHV's if adequately trained, who can be utilized as an effective workforce in resource-poor settings. |
| first_indexed | 2024-04-13T08:47:51Z |
| format | Article |
| id | doaj.art-89bb0dae6fa64325a08b23962b95c750 |
| institution | Directory Open Access Journal |
| issn | 2213-3984 |
| language | English |
| last_indexed | 2024-04-13T08:47:51Z |
| publishDate | 2022-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Clinical Epidemiology and Global Health |
| spelling | doaj.art-89bb0dae6fa64325a08b23962b95c7502022-12-22T02:53:37ZengElsevierClinical Epidemiology and Global Health2213-39842022-09-0117101135Assessment of Community Health Volunteers contribution and factors affecting their health care service delivery in selected urban wards of Puducherry – A mixed-methods operational research studySathish Rajaa0Swaroop Kumar Sahu1Mahalakshmi Thulasingam2Department of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, 605008, IndiaCorresponding author.; Department of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, 605008, IndiaDepartment of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, 605008, IndiaIntroduction: Community participation gained its importance from the Alma Ata declaration in 1978. Improving coverage of these services depends on factors like availability, accessibility, and quality of service delivery. Involving Community Health Volunteers to deliver health services would help in decentralizing health care delivery. Methods: A mixed-method approach (Sequential experimental design) was employed to evaluate the contributions of CHVs. The data collection methods included Key Informant Interviews (KII) and a pre-tested semi-structured self-introspection questionnaire to capture both volunteer's and health system side perspectives of the intervention. The study was conducted from October 2017 to May 2018. Results: At the end of the intervention, only 33 volunteers (51%) had contributed to health care delivery in their respective anganwadis. We compiled the contributions made by the CHV during the intervention period. We explored the facilitating, hindering factors that influenced the outcome and gathered suggestions for the same. The CHVs felt that they have contributed adequately to the delivery of health care. Discussion and conclusion: The study explores the contributions of CHVs and their evaluation using a mixed-methods design capturing the perspectives of various stakeholders. Our study results highlight the spectrum of contributions that can be rendered through CHV's if adequately trained, who can be utilized as an effective workforce in resource-poor settings.http://www.sciencedirect.com/science/article/pii/S2213398422001774Community health volunteersMixed Methods researchOperational researchHealth Promotion |
| spellingShingle | Sathish Rajaa Swaroop Kumar Sahu Mahalakshmi Thulasingam Assessment of Community Health Volunteers contribution and factors affecting their health care service delivery in selected urban wards of Puducherry – A mixed-methods operational research study Clinical Epidemiology and Global Health Community health volunteers Mixed Methods research Operational research Health Promotion |
| title | Assessment of Community Health Volunteers contribution and factors affecting their health care service delivery in selected urban wards of Puducherry – A mixed-methods operational research study |
| title_full | Assessment of Community Health Volunteers contribution and factors affecting their health care service delivery in selected urban wards of Puducherry – A mixed-methods operational research study |
| title_fullStr | Assessment of Community Health Volunteers contribution and factors affecting their health care service delivery in selected urban wards of Puducherry – A mixed-methods operational research study |
| title_full_unstemmed | Assessment of Community Health Volunteers contribution and factors affecting their health care service delivery in selected urban wards of Puducherry – A mixed-methods operational research study |
| title_short | Assessment of Community Health Volunteers contribution and factors affecting their health care service delivery in selected urban wards of Puducherry – A mixed-methods operational research study |
| title_sort | assessment of community health volunteers contribution and factors affecting their health care service delivery in selected urban wards of puducherry a mixed methods operational research study |
| topic | Community health volunteers Mixed Methods research Operational research Health Promotion |
| url | http://www.sciencedirect.com/science/article/pii/S2213398422001774 |
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