Document Detail

Quality of health assistants in primary health centres in rural maharashtra, India.
MedLine Citation:
PMID:  25114556     Owner:  NLM     Status:  PubMed-not-MEDLINE    
INTRODUCTION: Health assistants are important functionaries of the primary health care system in India. Their role is supervision of field-based services among other things. A quality assurance mechanism for these health assistants is lacking. The present study was undertaken with the objectives of developing a tool to assess the quality of health assistants in primary health centres (PHCs) and to assess their quality using this tool.
METHODOLOGY: Health assistants from three PHCs in the Wardha district of India were observed for a year using a tool developed from primary health care management Aavancement program modules. Data was collected by direct observation, interview, and review of records for quality of activities.
RESULTS: Staff strength of health assistants was 87.5%. None of the health assistants were clear about their job descriptions. A supervisory schedule for providing supportive supervision to auxiliary nurse midwives (ANMs) was absent; most field activities pertaining to maternal and child health received poor focus. Monthly meetings lacked a clear agenda, and comments on quality improvement of services provided by the ANMs were missing.
CONCLUSION: Continuous training with sensitization on quality issues is required to improve the unsatisfactory quality.
Enakshi Ganguly; Bishan S Garg
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Publication Detail:
Type:  Journal Article     Date:  2013-04-07
Journal Detail:
Title:  Health services insights     Volume:  6     ISSN:  1178-6329     ISO Abbreviation:  Health Serv Insights     Publication Date:  2013  
Date Detail:
Created Date:  2014-08-12     Completed Date:  2014-08-12     Revised Date:  2014-08-18    
Medline Journal Info:
Nlm Unique ID:  101624726     Medline TA:  Health Serv Insights     Country:  New Zealand    
Other Details:
Languages:  eng     Pagination:  9-13     Citation Subset:  -    
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