ABSTRACT
Background: The increasing burden of Non communicable diseases calls for added role on the part of health professionals. The female Health workers being the closest to population play an important role in alleviating the problem to great extent. Objective of this study was to assess the Knowledge, and skills of female health workers (FHWs) regarding selected non communicable diseases risk reduction and the client satisfaction with NCD skill services performed by FHWs.Methods: This study was undertaken at selected health centres of Jodhpur. FHWs working at these centres and women receiving health services from FHWs were recruited for the study. Data were collected using predesigned NCD knowledge questionnaire, skill checklist and client satisfaction scale. Method of data collection were paper pencil questionnaire, observation and interview. Descriptive and inferential statistics were calculated to summarize demographics and key variables.Results: Nearly 24% and 35% of FHWs had average knowledge regarding HTN/ diabetes, breast and cervical cancer respectively. 47% of subjects had good level of knowledge regarding mental health. Most of FHWs (77%) had adequate BP measurement and RBS testing skills. Majority had inadequate breast examination and waist circumference measurement skills. Level of knowledge related to hypertension and diabetes were found to be significantly associated with NCD training of health workers in past (p level=0.03). Nearly 67% of the women were satisfied with the NCD health services provided by FHWs.Conclusions: Overall FHWs had average level of awareness regarding different NCDs’ prevention and control. Routine skills pertaining to NCDs screening methods such as BP and blood glucose measurement were adequate among FHWs. Overall women were satisfied with the NCD related health services provided by FHWs. Being an important concern there is need to plan refresher training programs for these health workers so that their services can be effectively utilized for prevention and control of NCDs.
ABSTRACT
Auxiliary Nurse Midwives (ANMs) are the back bone of primary health care services in India. The horizontal integration of various national health programmes has increased their responsibility and workload. So a need was felt to conduct a study to assess the workload and performance of ANMs. The objective of the study was to explore the workload and performance of ANMs in selected health care settings in North India. An exploratory cross-sectional study was conducted in two selected health care settings of North India. The study was conducted on all the 7 ANMs working in the selected health care settings. Data was collected by observing the activities of ANMs using time activity record sheet. The nursing care procedures performed were observed and scored by using performance check list. T-test was used to compare actual time against standard time for performing procedures. ANMs spent 2/3rd of their time in indirect care activities. Direct care and personal activities accounted for 19 % of their time. Their performance was rated as good. Majority of the time spent by ANMs was utilized in performing indirect care activities. This study recommends that more time is needed to be devoted to direct care by ANMs.