Time-motion study of auxiliary nurse midwives of a primary health center from Wardha District of Maharashtra

Ishwari Bhombe, A. Raut, M. Taywade, P. Deshmukh
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引用次数: 5

Abstract

Introduction: In the rural health-care delivery system of India, auxiliary nurse midwife (ANM) is the key frontline field-level functionary who interacts directly with the community. A heavy responsibility of implementation of health programs rests on the shoulders of ANMs. As ANMs are central to the delivery of services under the National Rural health Mission including supervision of the work done by the accredited social health activist, we thought it prudent to analyze their work pattern so that their efficiency could be improved upon. Objective: The objective was to study the workload and work pattern of ANMs and identify the causes for improving work efficiency of ANMs. Materials and Methods: This was an observational cross-sectional study conducted among four purposively chosen ANMs from a primary health center (PHC) in Central India using time-motion study as the tool. An ANM's work pattern and workload were studied by constructing 24-h recall. One ANM was followed for a week, similarly the other ANM for another week so that the activities of entire month were covered. To ensure quality, work schedules reported by the ANMs each day were cross-checked with the concerned supervisor or medical officer PHC. Results: A free-listing and pile-sorting exercise was performed with the ANMs, and the 41 activities reported by them were clubbed in to five major categories. It was found that on meeting day, meeting and record keeping were the most performed tasks, whereas other tasks were hardly performed. On the day of home visits, ANMs performed the disease-related activity for most of their time, and record keeping or supporting tasks were the second most performed activities. Majority of ANM's time spent over the week was on supporting tasks which were not directly related to their job profile. Conclusion: We conclude that clarity about job responsibilities of ANMs is lacking and available working time is not effectively utilized. Time spent on supporting tasks such as travel and waiting is maximum. Training to manage time for priority tasks and to improve skills is required.
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马哈拉施特拉邦瓦尔达区初级保健中心辅助护士助产士的时间运动研究
简介:在印度农村卫生保健提供系统中,辅助护士助产士(ANM)是直接与社区互动的关键一线现场级工作人员。执行卫生规划的重任落在了卫生主管部门的肩上。由于农村护士是国家农村保健特派团提供服务的核心,包括监督经认可的社会保健活动家所做的工作,我们认为分析他们的工作模式是谨慎的,以便提高他们的效率。目的:研究护士的工作量和工作模式,找出提高护士工作效率的原因。材料和方法:这是一项观察性横断面研究,在印度中部的一家初级卫生中心(PHC)中故意选择了四名ams,使用时间运动研究作为工具。通过构建24小时回忆来研究ANM的工作模式和工作量。一个ANM被跟踪了一个星期,同样地,另一个ANM也被跟踪了一个星期,这样整个月的活动都被覆盖了。为确保质量,每日由助理护士报告的工作时间表与有关主管或初级保健医务官进行交叉核对。结果:对ANMs进行了自由清单和堆分类练习,并将他们报告的41项活动分为五大类。结果发现,在会议当天,会议和记录是完成最多的任务,而其他任务几乎没有完成。在家访当天,护士大部分时间都在进行与疾病相关的活动,记录保存或支持任务是第二多的活动。ANM在这一周的大部分时间都花在支持任务上,这些任务与他们的工作没有直接关系。结论:护士工作职责不明确,工作时间未得到有效利用。花在支持任务上的时间是最多的,比如旅行和等待。需要培训来管理优先任务的时间和提高技能。
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发文量
4
审稿时长
27 weeks
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