The role of frontline community health workers in the non-communicable disease screening program in Assam, India: Current trends, challenges and scope - A time and motion study
The role of frontline community health workers in the non-communicable disease screening program in Assam, India: Current trends, challenges and scope - A time and motion study
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DOI：
10.1016/j.jcpo.2020.100254
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发表时间：
2020-12-01
影响因子：
1.3
通讯作者：
Purushotham, Arnie
中科院分区：
文献类型：
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作者：
Oswal, Kunal;Kanodia, Rishav;Purushotham, Arnie
工作背景：辅助护士助产士（ANM）和认可的社会健康活动家（阿莎）是社区工作者，他们在印度国家癌症预防和控制计划下的意识，动员，筛查和转诊方面发挥着关键作用。本研究的目的是评估阿萨姆邦社区工作者的时间利用和影响工作的因素。了解如何将癌症控制计划更好地融入现有的工作模式。方法：在阿萨姆邦的两个地区，对ASHA和ANM及其主管进行了一项观察性横断面研究（Jorhat和Dhubri）2018年9月。这包括a）使用ASHA和ANM进行时间和动作研究，以捕获完成相应任务所花费的时间。B）结构化访谈ASHAs，ANMs和他们的主管了解的看法主管的作用ANMs和ASHAs发挥在癌症相关的activity.Results：在任何工作日，ANMs花费了平均255分钟（4小时15分钟）和ASHAs 246分钟（4小时6分钟）的工作，包括旅行时间。孕产妇和儿童健康得到最优先考虑，ANM平均花费11分钟，ASHA平均花费28分钟来解决这些问题。ANM和ASHA平均只花了几分钟来讨论癌症意识和筛查。适当的培训，监督和支持他们的运输是其中几个因素强调的ASHAs和ANMs的改进，使他们的作用更有效的NCDS.Conclusion：政策制定者应该重新评估所需的劳动力和工作量的社区卫生工作者的目标是改善癌症的结果。
Background: Auxiliary Nurse Midwife (ANM) and Accredited Social Health Activist (ASHA) are community workers who play a critical role in awareness, mobilization, screening and referral under the National Cancer Prevention and Control Programme in India.The aim of this study was to assess the time utilisation and factors affecting the work of community workers in Assam, to understand how the cancer control programme could be better integrated into their existing work pattern.Methods: An observational cross-sectional study was conducted with ASHAs and ANMs and their supervisors across two districts of Assam (Jorhat and Dhubri) in September 2018. This included a) Time and motion study with ASHAs and ANMs to capture time spent to accomplish respective tasks. b) Structured interviews with ASHAs, ANMs and their supervisors to understand perceptions of supervisors about the role ANMs and ASHAs play in cancer-related activities.Results: On any working day, the ANMs spent an average of 255 min (4 h 15 min) and ASHAs 246 min (4 h 6 min) on the job including travel time. Maternal and child health received greatest priority with ANMs on average spending 11 min and ASHAs 28 min to address these issues. Both ANMs and ASHAs spent only a few minutes on average to discuss cancer awareness and screening. Proper training, supervision and support for transport for them were among several factors highlighted by ASHAs and ANMs for improvement to make their role more effective in NCDs.Conclusion: Policymakers should re-evaluate the required workforce and workload of community health workers with the goal of improving cancer outcomes.