Interpersonal Challenges Faced By Community Health Officers at Health and Wellness Centres in Delivery of Comprehensive Primary Health Care in Tribal Setting of Gujarat: A Mixed Methods Study
Introduction: Multi skilling and expansion of the team members involved in operationalizing Sub-Health Centres (SHCs) to Sub-health Centres-Health and Wellness Centres (SHC-HWCs) in India tends to be a challenge. New roles are being assigned to Community Health Officer (CHO) in an exponential manner...
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| Format: | Article |
| Language: | English |
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Indian Association of Preventive and Social Medicine
2023-06-01
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| Series: | Healthline |
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| Online Access: | https://www.healthlinejournal.org/index_pdf/487.pdf |
| _version_ | 1797774762571726848 |
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| author | Neha Das Bankim Gandhi Amol R. Dongre |
| author_facet | Neha Das Bankim Gandhi Amol R. Dongre |
| author_sort | Neha Das |
| collection | DOAJ |
| description | Introduction: Multi skilling and expansion of the team members involved in operationalizing Sub-Health Centres (SHCs) to Sub-health Centres-Health and Wellness Centres (SHC-HWCs) in India tends to be a challenge. New roles are being assigned to Community Health Officer (CHO) in an exponential manner. Objective: To identify the team-based interpersonal challenges encountered by Community Health Officers (CHOs)in terms of human relations in professional forefront and extract probable solutions from them for overcoming these challenges. Method: It was a sequential type of mixed method done in two-step process, quantitative survey of the defined indicators at SHC-HWCs followed by group discussion among CHOs for qualitative data. Quantitative survey was aimed at finding utilization of services. (Triangulation of both the data) whereas qualitative survey was aimed at finding out interpersonal challenges faced for adequate service delivery. Authors targeted to collect data from all the SHC-HWCs (N=53) in Dahod block for quantitative and qualitative survey. Results: The service utilization related to Maternal health and child health; childhood and adolescent health were found in range of 90-95%, followed by community participation (70%). The qualitative analysis of data revealed that CHOs were overburdened by their superiors and perceived lack of co-operation, dedication, and accountability from fellow team members.
Conclusion: Utilization of certain services like non-communicable diseases (NCD), palliative care, mental health was found to be suboptimal. Significant lack of motivation and coordination were possibly some of the contributors.
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| first_indexed | 2024-03-12T22:24:55Z |
| format | Article |
| id | doaj.art-a7e6222e7f474ec0bd177a307fa4bd69 |
| institution | Directory Open Access Journal |
| issn | 2320-1525 2229-337X |
| language | English |
| last_indexed | 2024-03-12T22:24:55Z |
| publishDate | 2023-06-01 |
| publisher | Indian Association of Preventive and Social Medicine |
| record_format | Article |
| series | Healthline |
| spelling | doaj.art-a7e6222e7f474ec0bd177a307fa4bd692023-07-22T06:04:19ZengIndian Association of Preventive and Social MedicineHealthline2320-15252229-337X2023-06-01142143149https://doi.org/10.51957/Healthline_%20500_2023Interpersonal Challenges Faced By Community Health Officers at Health and Wellness Centres in Delivery of Comprehensive Primary Health Care in Tribal Setting of Gujarat: A Mixed Methods StudyNeha Das0Bankim Gandhi1Amol R. Dongre2Assistant Professor, Department of Community Medicine, Pramukhswami Medical College, Bhaikaka University, Karamsad, Anand, Gujarat, IndiaProject Manager, Department of Extension Programmes, Amrita Patel Centre for Public Health, Bhaikaka University, Karamsad, Anand, Gujarat, IndiaHead, Department of ExtensionProgrammes, Amrita Patel Centre for Public, Bhaikaka University, Karamsad, Anand, Gujarat, IndiaIntroduction: Multi skilling and expansion of the team members involved in operationalizing Sub-Health Centres (SHCs) to Sub-health Centres-Health and Wellness Centres (SHC-HWCs) in India tends to be a challenge. New roles are being assigned to Community Health Officer (CHO) in an exponential manner. Objective: To identify the team-based interpersonal challenges encountered by Community Health Officers (CHOs)in terms of human relations in professional forefront and extract probable solutions from them for overcoming these challenges. Method: It was a sequential type of mixed method done in two-step process, quantitative survey of the defined indicators at SHC-HWCs followed by group discussion among CHOs for qualitative data. Quantitative survey was aimed at finding utilization of services. (Triangulation of both the data) whereas qualitative survey was aimed at finding out interpersonal challenges faced for adequate service delivery. Authors targeted to collect data from all the SHC-HWCs (N=53) in Dahod block for quantitative and qualitative survey. Results: The service utilization related to Maternal health and child health; childhood and adolescent health were found in range of 90-95%, followed by community participation (70%). The qualitative analysis of data revealed that CHOs were overburdened by their superiors and perceived lack of co-operation, dedication, and accountability from fellow team members. Conclusion: Utilization of certain services like non-communicable diseases (NCD), palliative care, mental health was found to be suboptimal. Significant lack of motivation and coordination were possibly some of the contributors. https://www.healthlinejournal.org/index_pdf/487.pdfadolescentchildhealth facilitiesmotivationnon-communicable diseasessocial responsibility |
| spellingShingle | Neha Das Bankim Gandhi Amol R. Dongre Interpersonal Challenges Faced By Community Health Officers at Health and Wellness Centres in Delivery of Comprehensive Primary Health Care in Tribal Setting of Gujarat: A Mixed Methods Study Healthline adolescent child health facilities motivation non-communicable diseases social responsibility |
| title | Interpersonal Challenges Faced By Community Health Officers at Health and Wellness Centres in Delivery of Comprehensive Primary Health Care in Tribal Setting of Gujarat: A Mixed Methods Study |
| title_full | Interpersonal Challenges Faced By Community Health Officers at Health and Wellness Centres in Delivery of Comprehensive Primary Health Care in Tribal Setting of Gujarat: A Mixed Methods Study |
| title_fullStr | Interpersonal Challenges Faced By Community Health Officers at Health and Wellness Centres in Delivery of Comprehensive Primary Health Care in Tribal Setting of Gujarat: A Mixed Methods Study |
| title_full_unstemmed | Interpersonal Challenges Faced By Community Health Officers at Health and Wellness Centres in Delivery of Comprehensive Primary Health Care in Tribal Setting of Gujarat: A Mixed Methods Study |
| title_short | Interpersonal Challenges Faced By Community Health Officers at Health and Wellness Centres in Delivery of Comprehensive Primary Health Care in Tribal Setting of Gujarat: A Mixed Methods Study |
| title_sort | interpersonal challenges faced by community health officers at health and wellness centres in delivery of comprehensive primary health care in tribal setting of gujarat a mixed methods study |
| topic | adolescent child health facilities motivation non-communicable diseases social responsibility |
| url | https://www.healthlinejournal.org/index_pdf/487.pdf |
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