Experiences of junior public health nurses in delivery of maternal healthcare services to tribal women in Kerala

Background: The maternal health care indicators are better in Kerala even in the tribal districts than the national averages. The tribal population scattered in hilly areas or other difficult terrains heavily constraints the MPHW female (Junior Public Health Nurse in Kerala) from providing services....

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Main Authors: Jinu A Jose, Sonali Sarkar, Sitanshu S Kar, S Ganesh Kumar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2013-01-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:http://www.jfmpc.com/article.asp?issn=2249-4863;year=2013;volume=2;issue=1;spage=60;epage=63;aulast=Jose
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author Jinu A Jose
Sonali Sarkar
Sitanshu S Kar
S Ganesh Kumar
author_facet Jinu A Jose
Sonali Sarkar
Sitanshu S Kar
S Ganesh Kumar
author_sort Jinu A Jose
collection DOAJ
description Background: The maternal health care indicators are better in Kerala even in the tribal districts than the national averages. The tribal population scattered in hilly areas or other difficult terrains heavily constraints the MPHW female (Junior Public Health Nurse in Kerala) from providing services. The study was intended to describe the experiences of the Junior Public Health Nurses (JPHN) in delivery of maternal health care services to tribal women in Kerala. Materials and Methods: JPHNs posted in Thariode panchayat under the sub centers of CHC Thariode in Wayanad district of Kerala. This is a Qualitative study with in-depth interview of the JPHNs using an interview guide. Results and Inferences: The various difficulties experienced by JPHNs in delivering the services in tribal areas were lack of sufficient time for field work, travel difficulties faced due to the hilly terrain and lack of public transport facilities, more time spent on travel than actual time spent for field work, cultural and language barriers and extra inputs put up in service delivery to tribal women. Conclusion and Recommendations: The JPHNs serving in tribal areas overcame various constraints in service delivery like hilly terrain, limited public transport facilities, long hours spent in travelling, cultural and language barriers by putting in extra effort, time and personal money to fulfill their responsibilities. It is suggested that the JPHNs be given compensatory off to complete records and extra remuneration to cover their out of pocket expenditure on travelling to difficult areas.
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spelling doaj.art-f5498fdd94bd4988a109e2e2d956c5dc2022-12-22T02:36:42ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632013-01-0121606310.4103/2249-4863.109948Experiences of junior public health nurses in delivery of maternal healthcare services to tribal women in KeralaJinu A JoseSonali SarkarSitanshu S KarS Ganesh KumarBackground: The maternal health care indicators are better in Kerala even in the tribal districts than the national averages. The tribal population scattered in hilly areas or other difficult terrains heavily constraints the MPHW female (Junior Public Health Nurse in Kerala) from providing services. The study was intended to describe the experiences of the Junior Public Health Nurses (JPHN) in delivery of maternal health care services to tribal women in Kerala. Materials and Methods: JPHNs posted in Thariode panchayat under the sub centers of CHC Thariode in Wayanad district of Kerala. This is a Qualitative study with in-depth interview of the JPHNs using an interview guide. Results and Inferences: The various difficulties experienced by JPHNs in delivering the services in tribal areas were lack of sufficient time for field work, travel difficulties faced due to the hilly terrain and lack of public transport facilities, more time spent on travel than actual time spent for field work, cultural and language barriers and extra inputs put up in service delivery to tribal women. Conclusion and Recommendations: The JPHNs serving in tribal areas overcame various constraints in service delivery like hilly terrain, limited public transport facilities, long hours spent in travelling, cultural and language barriers by putting in extra effort, time and personal money to fulfill their responsibilities. It is suggested that the JPHNs be given compensatory off to complete records and extra remuneration to cover their out of pocket expenditure on travelling to difficult areas.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2013;volume=2;issue=1;spage=60;epage=63;aulast=JoseDifficultiesmaternal healthmulti purpose health worker femaletribal areas
spellingShingle Jinu A Jose
Sonali Sarkar
Sitanshu S Kar
S Ganesh Kumar
Experiences of junior public health nurses in delivery of maternal healthcare services to tribal women in Kerala
Journal of Family Medicine and Primary Care
Difficulties
maternal health
multi purpose health worker female
tribal areas
title Experiences of junior public health nurses in delivery of maternal healthcare services to tribal women in Kerala
title_full Experiences of junior public health nurses in delivery of maternal healthcare services to tribal women in Kerala
title_fullStr Experiences of junior public health nurses in delivery of maternal healthcare services to tribal women in Kerala
title_full_unstemmed Experiences of junior public health nurses in delivery of maternal healthcare services to tribal women in Kerala
title_short Experiences of junior public health nurses in delivery of maternal healthcare services to tribal women in Kerala
title_sort experiences of junior public health nurses in delivery of maternal healthcare services to tribal women in kerala
topic Difficulties
maternal health
multi purpose health worker female
tribal areas
url http://www.jfmpc.com/article.asp?issn=2249-4863;year=2013;volume=2;issue=1;spage=60;epage=63;aulast=Jose
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