一项关于中印度社区卫生工作者的支持性监督的混合方法研究
G Revadi1, Ankur Joshi2, Abhijit P Pakhare2
1Department of Community Medicine, Sri Manakula Vinayagar Medical College and Hospital, Puducherry, India.
辅助监督由辅导者显著影响社区卫生工作者 (CHW) 的表现. 然而,CHW辅导员面临着诸如CHW教育和资源不足等挑战,需要强烈的动机来改善CHW的功能.
科学领域:
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
- 社区健康 社区健康
背景情况:
- 支持性监督对于社区卫生工作者 (CHW) 在卫生计划中的有效性至关重要.
- 阿莎·萨赫约基尼 (ASHA Sahyogini) 作为促进者,监督印度的医疗保健中心.
- 了解促进者-CHW关系是改善医疗保健服务的关键.
研究的目的:
- 调查CHW辅导员知识/技能与CHW绩效之间的联系.
- 确定CHW辅导员在支持CHW时所面临的挑战.
- 评估CHW对其辅导员支持性监督的看法.
主要方法:
- 印度中邦农村地区的混合方法解释性研究.
- 将CHW分为高性能和低性能组.
- 使用问卷,技能评估和焦点小组讨论.
主要成果:
- 辅导员的支持性监督得分与CHW的表现有显著的相关性.
- 促进者面临的问题包括CHW教育差距,低激励和后勤问题.
- 一些CHW报告了良好的支持,而另一些则独立运作.
结论:
- CHW的表现不仅仅取决于促进者的表现.
- 无法修改的挑战需要辅导员强烈激励CHW.
- 加强支持和动机对于改善CHW功能至关重要.
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