Measuring the Role of Accredited Social Health Activists (ASHAS) for upliftment of Health Services Under NHM: Myth or Reality DOI Open Access
Neetu Kumari,

Divya Divya

Authorea (Authorea), Journal Year: 2023, Volume and Issue: unknown

Published: Sept. 21, 2023

Purpose: The purpose of this paper is to evaluate the work done by ASHAs in upliftment health services selected villages and improvements rural due ASHA schemes. Design/methodology/approach: Both primary secondary sources were used, data collected with help self-structured questionnaire using purposive sampling from 90 respondents ten Garnai i.e. Gangal, lota Garnai, Upper Kriya, Dela, Nagallia, Bishora, Padder, Mulgal Bai, Tunday Tlay five point likert scale, in-depth interview villagers. PLS technique was used for analyzing data. Findings: worker plays a pivotal role Reproductive Child Health care (RCH) family planning, gain high degree acceptability study area. village community members paying attention advice given taking immunization vaccine like DPT, BCG, OPV TT injections their children also seeking guidance regarding problems. Counselling Service Delivery accepted, hence H1a H1c accepted. However, Availability support are not significantly contributing service delivery, hypothesis H1b H1d rejected. result indicate that delivery impacting quality services. Hence H2 Research limitations/implications: limited only one sub centre future more centres can be included research. further extended across various regions, states establish validity NHRM Originality: workers playing crucial during drive emphasizing on child survival, promoting reproductive health, safe motherhood, ensure birth healthy child, spacing planning child.

Language: Английский

Examining the Implementation Experience of Primary Health Care Networks (PCNs) in Kenya: A Qualitative Study DOI
Beatrice Amboko, Jacinta Nzinga, Anita Musiega

et al.

Research Square (Research Square), Journal Year: 2025, Volume and Issue: unknown

Published: April 17, 2025

Abstract Background: Kenya has identified Primary Health Care Networks (PCNs) as a key reform to strengthen (PHC) delivery. It enacted the Act of 2023 facilitate their implementation. PCNs were piloted in Kisumu and Garissa counties 2020 rolled out nationally 2023. This study examined implementation experience PCN Kenya. Methods: We used cross-sectional qualitative process evaluation design. collected data at national level five purposefully selected using in-depth interviews (n=65) document reviews between February June 2024. Participants included stakeholders from (Ministry Health, development implementing partners, Council Governors), county (county health departments, sub-county managers, multi-disciplinary team (MDT) members, facility frontline workers), community (community committee chairs workers). reviewed policy documents reports on for reviews. analysed thematic approach. Results: The emergence was motivated by technocratic that underlying challenges PHC service delivery proposed solution, well political interest support facilitated adoption. effectiveness across varied, with critical aspects design, such establishment MDTs digitisation inadequately implemented. compromised capacity gaps foundational systems, including financing, human resources, commodities, information systems. PCNs’ further undermined limited integration functions – resource management, commodity supply chains, care coordination. Conclusion: Strengthening requires investment effective Foundational systems must be reinforced. design should refined enhance coordination functions.

Language: Английский

Citations

0
Employing the policy capacity framework for health system strengthening DOI Creative Commons
Fabiana da Cunha Saddi, Stephen Peckham, Gerald Bloom

et al.

Policy and Society, Journal Year: 2023, Volume and Issue: 42(1), P. 1 - 13

Published: Jan. 25, 2023

Abstract The policy capacity framework offers relevant analytical ideas that can be mobilized for health system strengthening. However, the employment of this in field constitutes a interdisciplinary gap knowledge. This themed issue explores relationships between and strengthening, multidimensional way, high-income low–middle-income countries. introduction unpacks dynamic interrelationships bringing together common distinct elements from both fields summarizing possible them. analysis shows increase our knowledge on policies system’s critical themes reforms. challenge could followed by exploring convergences them, as far concepts/themes (types capacities other themes) levels are concerned. Although varied ways, papers (based European countries, China, Canada, New Zealand, India, Australia, Brazil) advance use or They give two main contributions. Critical incorporated into strengthening—capacity to adapt, contexts mixed complex systems, view capacity, relational power. Policy is contextually interpreted (relative problem frame) adaptive (processual relational), relation properties system, particularly with regard existing developing systems.

Language: Английский

Citations

9
Understanding, being, and doing of bioethics; a state-level cross-sectional study of knowledge, attitude, and practice among healthcare professionals DOI Creative Commons

Poovishnu Devi Thangavelu,

Balamurugan Janakiraman, Renuka Pawar

et al.

BMC Medical Ethics, Journal Year: 2024, Volume and Issue: 25(1)

Published: March 18, 2024

Abstract Background The field of bioethics examines the moral and ethical dilemmas that arise in biological sciences, healthcare, medical practices. There has been a rise negligence cases, complaints against healthcare workers, public dissatisfaction with professionals, according to reports from Indian Medical Council other associations. We intend assess level knowledge, attitude, practice among registered professionals (HCPs) Maharashtra, India. Methods A State-level online survey was conducted HCPs ( n = 2143) casing all five regions Maharashtra state using pre-tested self-administered questionnaire. responses were expressed as mean, proportions their standard deviation 95% CI respectively. Binary logistic regression multivariate model used determine factors associated bioethics. Results Of 2143 included this study, most them (65.2%) had adequate knowledge Adequate lower age, profession (nurses dentists), employment private sector, HCPS at Marathwada Pune, higher educational attainment. About 3 5 (59.4%) favorable attitude towards bioethics, profession, place work, region practice, work experience. distribution unethical practices 10 items proportionally high, only 34.4% reported good/fair practice. common allowing patients be examined by interns, not informing about professional misconduct regulatory bodies. Conclusion Most which is encouraging would favor laying foundation for forming good framework. Only 3/5 demonstrated observed alarmingly common. serious consideration evaluate compliance periodically measures educate, sensitize, train warranted.

Language: Английский

Citations

3
Policy capacity research: An overview and bibliography of the international literature, 1978 to 2023 DOI Creative Commons
Bobby Thomas Cameron, Bryan Evans

International Review of Public Policy, Journal Year: 2024, Volume and Issue: 6:1, P. 110 - 141

Published: Jan. 1, 2024

The purpose of this article is to provide an overview and bibliography international policy capacity research that has developed over the past 40 years highlight themes constitute field. Through multi-disciplinary synthesis 311 English abstracts in 172 peer-reviewed journals, we find been driven by a handful widely cited researchers, maintained predominantly qualitative methodology, focused on governments located West. Empirical needed understand dynamics outside West, with focus developing actionable recommendations for practitioners improve quality public their respective jurisdictions. This paper fulfils need comprehensive use both academics practitioners.

Language: Английский

Citations

2
Gendered Vulnerability of Community Health Works in Light of COVID-19: A Note from the Floodplains of Assam, India DOI

Sampurna Das

Published: Jan. 1, 2024

Language: Английский

Citations

0
Exploring the link between rural–urban health inequalities and health spending in India DOI
Rimon Saha, Udaya S. Mishra

Journal of Social and Economic Development, Journal Year: 2024, Volume and Issue: unknown

Published: Dec. 5, 2024

Language: Английский

Citations

0
Gendered Vulnerability of Community Health Workers in Light of COVID-19: A Note from the Floodplains of Assam, India DOI

Sampurna Das

Published: Jan. 1, 2024

Language: Английский

Citations

0
Measuring the Role of Accredited Social Health Activists (ASHAS) for upliftment of Health Services Under NHM: Myth or Reality DOI Open Access
Neetu Kumari,

Divya Divya

Authorea (Authorea), Journal Year: 2023, Volume and Issue: unknown

Published: Sept. 21, 2023

Purpose: The purpose of this paper is to evaluate the work done by ASHAs in upliftment health services selected villages and improvements rural due ASHA schemes. Design/methodology/approach: Both primary secondary sources were used, data collected with help self-structured questionnaire using purposive sampling from 90 respondents ten Garnai i.e. Gangal, lota Garnai, Upper Kriya, Dela, Nagallia, Bishora, Padder, Mulgal Bai, Tunday Tlay five point likert scale, in-depth interview villagers. PLS technique was used for analyzing data. Findings: worker plays a pivotal role Reproductive Child Health care (RCH) family planning, gain high degree acceptability study area. village community members paying attention advice given taking immunization vaccine like DPT, BCG, OPV TT injections their children also seeking guidance regarding problems. Counselling Service Delivery accepted, hence H1a H1c accepted. However, Availability support are not significantly contributing service delivery, hypothesis H1b H1d rejected. result indicate that delivery impacting quality services. Hence H2 Research limitations/implications: limited only one sub centre future more centres can be included research. further extended across various regions, states establish validity NHRM Originality: workers playing crucial during drive emphasizing on child survival, promoting reproductive health, safe motherhood, ensure birth healthy child, spacing planning child.

Language: Английский

Citations

0