The Invisible Work of Maintenance in Community Health Challenges and Opportunities for Digital Health to Support Frontline Health Workers in Karnataka, South India
The Invisible Work of Maintenance in Community Health Challenges and Opportunities for Digital Health to Support Frontline Health Workers in Karnataka, South India
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社区健康中的隐形维护工作数字医疗支持印度南部卡纳塔克邦一线卫生工作者的挑战和机遇
DOI：
10.1145/3449165
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发表时间：
2021
影响因子：
--
通讯作者：
Verdezoto N
中科院分区：
文献类型：
--
作者：
Verdezoto N
在中低收入国家，一线卫生工作者是获得基本卫生保健服务的第一个、往往也是唯一的途径。然而，一线卫生工作者所面临的工作和问题往往是医疗保健系统所看不到的，只有有限的资源来帮助他们。这项研究探讨了工作实践，挑战和一线卫生工作者在社区卫生中的作用，特别是在印度南部的孕期保健。利用维护和衔接工作的概念，我们描述了一线卫生工作者的维护工作，维护，预测，协调和支持护理基础设施超越数据收集实践。我们的研究结果突出了社会文化习俗，观念，地位和现有的系统如何影响维护工作的做法。根据我们的研究结果，我们建议超越重点培训和性能设计CSCW工具，以支持维护工作的一线卫生工作者作为“系统建设者”，使医疗基础设施在社区卫生工作。
Frontline health workers are the first and often the only access point to basic health care services in low-and-middle income countries. However, the work and the issues frontline health workers face are often invisible to the healthcare system, with limited resources to assist them. This study explores the work practices, challenges and roles of frontline health workers in community health with particular focus on pregnancy care in South India. Drawing on the notion of maintenance and articulation work, we describe the maintenance work of frontline health workers maintaining, anticipating, reconciling, and supporting care infrastructures beyond data collection practices. Our findings highlight how socio-cultural practices, perceptions, status, and existing systems influence maintenance work practices. Based on our findings, we suggest moving beyond the focus on training and performance to design CSCW tools to support the maintenance work of frontline health workers as 'system-builders' to make healthcare infrastructures work in community health.