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1.
J Family Med Prim Care ; 11(2): 701-707, 2022 Feb.
Article in English | MEDLINE | ID: mdl-35360799

ABSTRACT

Introduction: Doing quality medical research that improves patient care, improves medical education, reduces expenditures, and benefits society at large is an important responsibility, though often underrated. Appropriate measures are required to be taken when a medical college is new. Hence, this provided an opportunity to conduct a study at a current medical institution with the aim of identifying the barriers faced by research in various domains. Methods: This cross-sectional study included currently working faculties, including senior residents and demonstrators, as subjects. A structured questionnaire with close-ended responses was used, which covered the baseline characteristics of subjects and perceived research barriers among researchers. After obtaining institutional ethical approval, the study was initiated. During the analysis of the data, an association between variables was significant for P value < 0.05. Results: In the present study, out of 105 eligible subjects, only 98 of them participated. The mean age of the subjects was 36.06 ± 6.48 years. The most frequent barriers expressed were a lack of research training facilities to solve individual research problems (45.9%) and a lack of a sufficient financial budget for research activities (57.1%). The organizational-managerial level domain was significantly associated with the subject's age, designation, and gender (P < 0.05). Conclusions: The present study identified the barriers faced by the researcher at various levels. Despite the presence of a young workforce, it was surprising to notice that more than half of the faculty members had poor research barrier scores in each of six domains, probably due to a lack of mentorship and acknowledgement, and a lack of skill in using computer-based hardware and software.

2.
J Family Med Prim Care ; 11(10): 5940-5955, 2022 Oct.
Article in English | MEDLINE | ID: mdl-36618140

ABSTRACT

Background: There is a paucity of knowledge regarding challenges faced by the coronavirus disease 2019 (COVID-19) vaccinators in resource constraint settings like district Shahdol, Central India. Hence, the present study was planned to explore the perceived challenges of vaccinators regarding COVID-19 vaccination. Methods: In October 2021, district health authorities conducted a one-day workshop with the auxiliary nurse midwives, staff nurses, and lady health visitors who work as vaccinators. It had three distinct but mutually connected phases. In the first phase, a free listing exercise was performed to list out their perceived challenges that are prominent and representative of their cultural domain. In the second phase, the pile-sorting exercise with the challenges mentioned in the above step was performed to produce similar data in the form of a matrix, based on a perceived similarity between them by multi-dimensional scaling analysis. In the final phase, the transcripts generated during the discussion on the free listing and pile sorting exercises was used for the thematic analysis to find plausible explanations for the findings. Result: A total of 15 vaccinators took part in the workshop. In the free listing exercise, a total of 14 items were identified as perceived challenges for COVID-19 vaccinators. The three items with the highest Smith's S value were overtime duty, no holidays, and lack of monetary incentive. The analysis of pile-sorting suggested that participants clustered their 14 perceived challenges into five groups; 1) beneficiaries related, 2) vaccination schedule related, 3) lack of facilities at vaccination site, 4) lack of monetary incentive, and 5) issues related to digital data handling. Thematic analysis suggested that their main challenges were overtime duty, no monetary incentive, and lack of toilet, food, and transport facility at the session site. Conclusion: Vaccinators perceive overtime duty and lack of holidays as their top two challenges and expect monetary incentives for this. The study recommends better basic amenities like toilet facility, sustained and effective community engagement, a monetary incentive, and a better ecosystem for digital data handling for the vaccinators.

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