How female community health workers navigate work challenges and why there are still gaps in their performance: a look at female community health workers in maternal and child health in two Indian districts through a reciprocal deReportar como inadecuado




How female community health workers navigate work challenges and why there are still gaps in their performance: a look at female community health workers in maternal and child health in two Indian districts through a reciprocal de - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

Human Resources for Health

, 15:44

First Online: 01 July 2017Received: 19 September 2016Accepted: 25 June 2017

Abstract

BackgroundAccredited Social Health Activists ASHAs are community health workers tasked to deliver health prevention in communities and link them with the health care sector. This paper examines the social, cultural, and institutional influences that either facilitate or impede ASHAs’ abilities to deliver services effectively through the lens of the reciprocal determinism framework of social cognitive theory.

MethodsWe conducted 98 semi-structured, in-depth interviews with ASHAs n = 49 and their family members n = 49 in Gurdaspur and Mewat districts. Data were analyzed by comparing and contrasting codes leading to the identification of patterns which were explained with the help of a theoretical framework.

ResultsWe found that while the work of ASHAs led to some positive health changes in the community, thus providing them with a sense of self-worth and motivation, community norms and beliefs as well as health system attitudes and practices limited their capacity as community health workers.

ConclusionWe outline potential mechanisms for improving ASHA capacity such as improved sensitization about religious, cultural, and gender norms; enhanced communication skills; and sensitization and advocating their work with health and state officials.

KeywordsCommunity health worker Health worker performance Social cognitive theory Reproductive and maternal health Gender norms India AbbreviationsANCAntenatal care

ANMAuxiliary nurse midwife

ASHAsAccredited Social Health Activists

CHWCommunity health worker

NHMNational Health Mission

NRHMNational Rural Health Mission

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Autor: Enisha Sarin - Sarah Smith Lunsford

Fuente: https://link.springer.com/







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