دورية أكاديمية
How female community health workers navigate work challenges and why there are still gaps in their performance: a look at female community health workers in maternal and child health in two Indian districts through a reciprocal determinism framework
| العنوان: | How female community health workers navigate work challenges and why there are still gaps in their performance: a look at female community health workers in maternal and child health in two Indian districts through a reciprocal determinism framework |
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| المؤلفون: | Enisha Sarin, Sarah Smith Lunsford |
| المصدر: | Human Resources for Health, Vol 15, Iss 1, Pp 1-10 (2017) |
| بيانات النشر: | BMC, 2017. |
| سنة النشر: | 2017 |
| المجموعة: | LCC:Medicine (General) LCC:Public aspects of medicine |
| مصطلحات موضوعية: | Community health worker, Health worker performance, Social cognitive theory, Reproductive and maternal health, Gender norms, India, Medicine (General), R5-920, Public aspects of medicine, RA1-1270 |
| الوصف: | Abstract Background Accredited Social Health Activists (ASHAs) are community health workers tasked to deliver health prevention in communities and link them with the health care sector. This paper examines the social, cultural, and institutional influences that either facilitate or impede ASHAs’ abilities to deliver services effectively through the lens of the reciprocal determinism framework of social cognitive theory. Methods We conducted 98 semi-structured, in-depth interviews with ASHAs (n = 49) and their family members (n = 49) in Gurdaspur and Mewat districts. Data were analyzed by comparing and contrasting codes leading to the identification of patterns which were explained with the help of a theoretical framework. Results We found that while the work of ASHAs led to some positive health changes in the community, thus providing them with a sense of self-worth and motivation, community norms and beliefs as well as health system attitudes and practices limited their capacity as community health workers. Conclusion We outline potential mechanisms for improving ASHA capacity such as improved sensitization about religious, cultural, and gender norms; enhanced communication skills; and sensitization and advocating their work with health and state officials. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1478-4491 |
| Relation: | http://link.springer.com/article/10.1186/s12960-017-0222-3; https://doaj.org/toc/1478-4491 |
| DOI: | 10.1186/s12960-017-0222-3 |
| URL الوصول: | https://doaj.org/article/7e86cd10504c45b580acf385088ccdd1 |
| رقم الأكسشن: | edsdoj.7e86cd10504c45b580acf385088ccdd1 |
| قاعدة البيانات: | Directory of Open Access Journals |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 14784491 |
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| DOI: | 10.1186/s12960-017-0222-3 |