在COVID-19期间社区卫生工作者面临的挑战:一个交叉性研究
1Department of Public Health, School of Medical Sciences, University of Hyderabad, Hyderabad, Telangana, India.
概括
社区卫生工作者,包括认可的社会卫生活动家 (ASHAs) 和辅助护士助产士 (ANMs),在COVID-19大流行期间面临着歧视和增加工作量等重大挑战. 解决这些问题对于支持这些基本的医疗保健提供者至关重要.
科学领域:
- 公共卫生 公共卫生
- 卫生社会学 卫生社会学
- 健康劳动力研究 卫生劳动力研究
背景情况:
- 社区卫生工作者 (CHWs),如认可的社会卫生活动家 (ASHAs) 和助理护士助产士 (ANMs),对于医疗保健提供至关重要,特别是在农村环境中.
- 随着COVID-19大流行,医疗保健工作者面临的现有挑战加剧了,包括歧视,长时间工作和不充分的补偿.
- 跨学科性框架对于理解CHW所经历的复杂的边缘化层面至关重要.
研究的目的:
- 探索在COVID-19大流行期间作为CHW工作的ASHA和ANM遇到的多方面的挑战.
- 分析歧视,工作量和技术适应对医疗保健工作者的福祉和有效性的影响.
- 确定政策和支持系统的需求,以赋权和保护CHWs.
主要方法:
- 一项定性研究于2021年在泰兰加纳州的Suryapet地区进行.
- 进行了深入采访,对60名阿莎和ANM进行了深入采访.
- 通过使用Atlas-ti软件进行感应主题分析来分析数据.
主要成果:
- 医疗保健工作者经历了基于阶级和种姓的歧视,工资不平等以及工作量增加.
- 报告称缺乏适当的培训,安全设备不足,虐待和袭击的情况.
- 医疗保健工作者,通常是受教育程度有限的农村妇女,面临着耻辱化,并努力保持记录并适应在线培训和技术.
结论:
- 该研究强调,迫切需要制定政策和支持系统,以保护和赋予CHW权力.
- 建议包括加强培训,公平补偿,提供安全设备,以及打击歧视和暴力的措施.
- 赋予医疗保健工作者权力对于有弹性的公共卫生系统至关重要,特别是在后疫情时代.
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