社区卫生工作者支付流程:对印度两个州的经验进行了定性评估
Kheya Melo Furtado1, Abha Mehndiratta1, Sebastian Bauhoff2
1Goa Institute of Management, Poriem, Sattari, Goa 403505, India.
社区卫生工作者 (CHWs) 的支付流程复杂,影响及时补偿. 支付数字化提高了及时性和满意度,但在其他支付阶段仍然存在挑战.
科学领域:
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
- 卫生经济学 卫生经济学
背景情况:
- 社区卫生工作者 (CHW) 的薪酬对激励和留守至关重要.
- 现有的研究往往侧重于激励设计,忽视了支付流程的细节.
- 缺乏关于CHW支付流程的系统数据,特别是关于数字化的数据.
研究的目的:
- 调查印度认可社会卫生活动家 (ASHAs) 的支付流程.
- 分析数字化对CHW补偿经验的作用和影响.
- 确定影响CHW支付效率和及时性的障碍和促进者.
主要方法:
- 定性研究涉及53次深入访谈和8次焦点小组讨论.
- 参与者包括两个印度州的ASHA工作者,监督员和经理.
- 围绕五个支付流程步骤组织数据的专题分析:记录,提交,验证,处理和支付.
主要成果:
- 每个支付阶段的复杂子流程对时间表,工作量和动机产生了负面影响.
- 当地的行政努力和积极的组织文化促进了流程简化和及时支付.
- 通过公共财务管理系统进行支付的全面数字化提高了及时性,透明度和CHW满意度.
结论:
- 改善CHW支付系统需要在所有流程阶段解决复杂性.
- 支付数字化是有益的,但其他领域的挑战仍然存在.
- 获得的见解可以为在低收入和中等收入国家有效补偿CHW的策略提供信息.
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