Workload and perceived constraints of Anganwadi workers
|
|
- Adam Robbins
- 6 years ago
- Views:
Transcription
1 Workload and perceived constraints of Anganwadi workers Damanpreet Kaur, Manjula Thakur, Amarjeet Singh, Sushma Kumari Saini Abstract : Integrated Child Development Service scheme is most important nutritional programme in the field of child welfare. Its effectiveness depends upon the efficiency of its functionaries at grass root level i.e. Anganwadi workers. This cross sectional exploratory study was conducted to assess the workload and perceived constraints of Anganwadi workers in a north Indian city. Convenient sampling was used to select sample of fourteen Anganwadi centres and Anganwadi workers. Total 2 observations were carried out at 1 Anganwadi centres and observation record sheet was used to record the activities performed and time consumed. In-depth interview guide was used to identify the perceived constraints with 10 Anganwadi workers in carrying out their duties. Descriptive (percentage, mean and standard deviation) and inferential statistics (one sample t test and independent t test) was used for analysis. Anganwadi workers was not able to work as per the activities specified in recommended time as records maintenance consumed lot of time i.e. three times more than the recommended time. Due to this, time spent in preschool education and home visit was less than the recommended time. Low honorarium, register work, meeting out of duty hours, short attendance of children and adolescent girls, not adequate space in Anganwadi centre, no government building for Anganwadi centre were some of the problems reported by Anganwadi workers. Anganwadi workers were unable to render services as per the recommended time because considerable time was spent in maintaining records and other activities. So, time allocation pattern for ICDS activities need to be reviewed. Keywords Anganwadi worker, workload, perceived constraints Correspondence at Damanpreet Kaur Sister Grade II PGIMER, Chandigarh Introduction Children are the first call on the agenda of human resource development of every nation, not only because young children are the most vulnerable, but because the foundation for lifelong learning and human development is laid in these crucial, early years. Various projects and schemes have been run by the Indian government in order to raise the health status of children and mothers since independence eg. Balwadi Nursing and Midwifery Research Journal, Vol-12, No. 1, January
2 nutrition programme, special nutrition programme, applied nutrition programme. But in 1972, inter ministerial survey revealed that none of the programme was having the desired impact due to resource constraints, inadequate coverage, and a fragmented approach. Moreover the maternal mortality and infant mortality rates were high in the country due to drought in So, keeping all these issues in view a new progmramme ICDS was launched on 2nd October, 1975 during the 5th five year 1 plan in pursuance of national policy. Integrated child development scheme is one of the largest programmes launched on children nutrition. ICDS is a centrally sponsored programme implemented by the Department of Women and Child development and Ministry of Human Resource Development of the government of India. The ICDS services are delivered by an honorary worker i.e. Anganwadi worker. Anganwadi Worker is a community based frontline honorary worker of the ICDS Programme selected from the local community. National Institute of Public Cooperation and Child Development (NIPCCD) had recommended time distribution of various activities to be performed by Anganwadi. Main activities of anganwadi worker included supplementary nutrition, preschool education, immunization, health check-ups and referral services. With time Anganwadi worker was expected to do the additional jobs. Since attainment of ICDS goals depends heavily upon the effectiveness of anganwadi workers, on the other hand performing and discharging many duties in a limited time leads to stress and discontent among the 2 AWWs. Previous research studies have reported that Anganwadi worker were rather overloaded with work which affected their performance. So workload of anganwadi worker has been under scrutiny. Against this background, the present study was undertaken with an objective to assess the workload and perceived constraints of anganwadi workers. Methods A cross sectional exploratory study was undertaken to assess the workload and perceived constraints of Anganwadi workers in selected Anganwadi centres of a north Indian City. Supervisor of the respective Anganwadi centre was informed. Convenient sampling was used to select the Anganwadi centres for time and distance constraints. Fourteen Anganwadi centres and Anganwadi workers were chosen conveniently. Tools used for data collection were observation record sheet to record the activities performed by Anganwadi workers, in- depth interview guide to identify the perceived constraints by Anganwadi workers. So observation and interview were the techniques used for data collection. Tools were developed after reviewing relevant literature and validated by experts from nursing and Community medicine, PGIMER, Chandigarh. The data was collected during the month of August and September 2013.Written consent was taken from Anganwadi workers prior to data collection. The data was collected on all the working days of week i.e. from Monday to Saturday. During observation, the activities performed by Anganwadi worker to deliver the ICDS services and the time consumed for each activity was recorded. Total 2 observations were recorded. In depth interviews were conducted with 10 Anganwadi workers based on in depth interview guide for anganwadi worker to identify the perceived constraints as after 10 indepth interviews, the responses were similar. The collected data was analyzed using descriptive (percentage, mean and Nursing and Midwifery Research Journal, Vol-12, No. 1, January
3 standard deviation) and inferential statistics Results (one sample t test and independent t test). Out of total recommended time by NIPCCD Calculations were done with the help of (National Institute Of Public Cooperation SPSS v.16.0 program. And Child Development) i.e. 270 minutes per day, on an average anganwadi worker spent Table 1: Mean time spent by AWW against recommended time per activity per day in all the AWCs (N=306) Activity recommended Recommended Mean time Mean % t, df, p by NIPPCD time (min.) per spent spent NIPCCD (%) (minutes) time 1. Preschool education 120(.) 28.12± ,23, Supplementary nutrition 30(11.1) 28.6± ,23, Treatment of minor illness* 30(11.1) Records 30(11.1) 83.0± ,23, Home visit 60(22.2) 6.82± ,22,0.001 Total (recommended ± ,23,0.001 activities) Other activities** ± Unspecified work*** ± Grand total #One sample t test applied *no case was reported during the observation period ** health education to beneficiaries,listening to their problems,meeting with ANM,MO,training at CHC,pulse polio duty,talking with other AWW on clarification of doubts,visiting other AWC *** unspecified work include tea time, coming late to AWW, going early from centre, going out for personal work 83.0±7.9 minutes in maintaining records against recommended time of 30 minutes (p < 0.001) (table 1). In supplementary nutrition almost same time was devoted which was recommended i.e. 30 minutes. Mean time spent in preschool education in all the Anganwadi centre was 28.12± minutes against the recommended time of 120 minutes (p < 0.001). Mean time spent on home visit was only 6.082±13.8 minutes against the recommended time of 60 minutes (p < 0.001). Time spent on the specified activities by NIPCCD was only 5% while 26 % of time was spent on other activities, which included health education to beneficiaries, listening to their problem, meeting with ANM, MO, Training at CHC, Pulse Polio duty, talking with other AWW on clarification of doubts and visiting other Anganwadi centres. Some (20%) of total time was spent by Anganwadi workers in unspecified work i.e. personal work. (Table 1 & Fig 1) Nursing and Midwifery Research Journal, Vol-12, No. 1, January
4 Fig 1 : Mean percent time spent on different activities by anganwadi worker in respect to total available time on different activities in all the AWCs 20% specified activities 26% 5% other activities unspecified work Ten Anganwadi workers were interviewed for perceived constraints and their mean age was 35.7 ± 6.05 years. Six of the Anganwadi worker had studied up to 10+2 whereas one of them was also graduated. Half of the Anganwadi worker had working experience of years and the mean working experience was 11 ± 7. 0 years. All of them were trained. Only four of them were residing in the same area.one fourth of Anganwadi worker had their residence at distance of less than 1 km from Anganwadi centre. Six of them were working in urban Anganwadi centre. Seven of Anganwadi worker were running Anganwadi centre in rented buildings. Low honorarium, more register work, meeting out of duty hours, short attendance of children and adolescent girls, not adequate space in Anganwadi centre, no help from community leaders, no seasonal vacations, no government building for Anganwadi centre were the main problems reported by Anganwadi workers. Discussion Now days the role of Anganwadi Worker is not limited to the basic ICDS programme activity. Presently, the AWWs also have to be involved in the Pulse Polio Immunization programme and disease control programs, election duties that require door to door visits beyond the working hours, which further stress them. They are also the member of Mahila Mandal and Village Health and sanitation committee in some states. As she has to perform a no. of responsibilities within the restricted working hours, so quality of services provided is affected within the limited time. NIPCCD has given the recommended time for carrying out different activities of ICDS. Nursing and Midwifery Research Journal, Vol-12, No. 1, January
5 It was found in the present study that Anganwadi worker was not able to devote the recommended 270 minutes per day on 3 the activities recommended by NIPCCD. Time spent on recommended activities was only 5% of the total time spent per day (fig 1). Moreover, the time spent on recommended activities was not proportionate i.e. prioritization of activities was wrong. Records maintenance consumed a lot of time i.e. three times more than the recommended time. Due to this, time spent in preschool education and home visit was less than the recommended time (fig 2). The present study revealed that the time spent on preschool education was minutes which was only 23% of the recommended time to be spent on preschool education. The time spent on preschool education was less than the recommended time because rest of the time was spent on records maintenance by Anganwadi worker, in dealing with beneficiaries, filling up forms, clarifying beneficiaries' doubts on schemes. The findings of the present study were similar to a study conducted in Orissa by Ray in which time spent on preschool education was 20 minutes. A survey in 28 states in 2009 showed that time spent on preschool education was 89 minutes which was also 5 less than the recommended time. Whereas different findings were reported in a study conducted by Pandey in 2008 in four states showed that overall 10% of the anganwadi worker were spending 3 hour on preschool education activities which was one and a half times more than the recommended 6 time. The recommended time for supplementary nutrition is 30 minutes per day by NIPCCD and the present study showed that the time spent on supplementary nutrition was 28.6 minutes per day which is 95% of the recommended time to be spent on it which showed that time allocated for supplementary nutrition was adequate. But Ray (1990) reported that 10 minutes were utilized for supplementary nutrition in a study conducted in Orissa. The time spent on supplementary nutrition in the former studies was within the recommended time because cooked food was supplied and only distribution and feeding was done at the Anganwadi centre. Whereas more than the recommended time was spent in Anganwadi centre where food was cooked at the Anganwadi centre and distributed as shown in the following studies. A survey in 28 states showed that time spent on supplementary nutrition was 5 51 minutes. A study conducted by Phillips and Kurian in 1986 in Madhya Pradesh revealed that time spent on supplementary nutrition was 120 minutes which is almost four times the recommended time for supplementary nutrition. The time spent was appropriate because food for supplementary nutrition was prepared at the Anganwadi centre. Another study by Rane and Narayan in 1989 had shown that 180 minutes were spent in supplementary 2 nutrition. Pandey in 2008 conducted a study in four states showed that out of total 57% of the Anganwadi worker were spending less than one hour on 6 supplementary nutrition. The recommended time for home visit by NIPCCD is 60 minutes. It was found in the present study that the mean time spent by Anganwadi worker was 6.82 minutes per day which was 11% of the recommended time for home visit. Whereas in another study in 1989 by Rane and Narayan had shown that time spent in home visit was 60 minutes which was equal to the 5 recommended time. The major problems Nursing and Midwifery Research Journal, Vol-12, No. 1, January
6 faced by Anganwadi workers were that women beneficiaries went out for work the whole day and hence could not be contacted and some of the women were hostile towards Anganwadi workers in sansi community and did not respond at all. The recommended time by NIPCCD for record maintenance is 30 minutes. Whereas present study showed that Anganwadi worker spent 83.0 minutes per day on records which was almost three times the recommended time.they focused more on maintaining records because their records were evaluated by the supervisors, CDPO (Child Development Project Officer), PO (Project Officer) and other inspecting teams and reflects their performance. Whereas in another study conducted by Ray in 1990 in Orissa showed that 100 minutes were utilized for maintaining records. Even a survey in 2009 in 28 states showed similar results i.e. 99 minutes were spent by Anganwadi worker in maintaining records whereas in study conducted by Rane and Narayan in 1989 had shown that time spent in maintaining records was 60 minutes. All the studies had shown that more than the recommended time was spent in maintaining records. Concerning this issue, new comprehensive registers were designed by Ministry of Women and Child Development. This scheme had been implemented in some of the states. Anganwadi worker has to health educate beneficiaries, listen to their problems, meet with ANM (Auxiliary Nurse And Midwife), MO (Medical Officer), attend training at CHC (Community Health Centre), pulse polio duty, discuss with other Anganwadi workers on clarification of doubts, visit other Anganwadi centre. These all were the activities those were related to health aspect indirectly for which there is no specification of time in total recommended time of 270 minutes per day by NIPCCD. The time spent on other activities was minutes per day which accounts for 26% of the total time spent (fig 1). So, Anganwadi worker were unable to devote time to other important activities such as preschool education. Since they were supposed to spend 270 minutes for the specified activities, but it was found in the present study it was only minutes. Rest of the time was spent on unspecified work which includes tea time, coming late to Anganwadi centre, going early from centre; going out for personal work was minutes which accounts for 20% of the total time they are spending per day (fig 1). Some of these activities such as tea time, talking to helper on general issues are need of a human being for which no time is mentioned in the recommended time. Whereas in all other work settings, employees have separate time for tea and lunch. But for Anganwadi workers no such timings have been specified. In the present study, only four Anganwadi workers were residing in the same area within one Km distance from Anganwadi centre whereas rests were from outside the area. This should be 100% and should be kept in mind at the time of selection process. In a study by Desai and others found almost 87% Anganwadi workers were from same village where 7 the Anganwadi is located. It was found in the present study that seven Anganwadi workers were running Anganwadi centre in rented building and even two of the Anganwadi centre were situated on the second floor which was not convenient especially for the children and pregnant mothers as far as safety is concerned. Nursing and Midwifery Research Journal, Vol-12, No. 1, January
7 Problems reported by Anganwadi workers in the present study were of low honorarium, too much register work, meeting out of duty hours, short attendance of children and adolescent girls, not adequate space in Anganwadi centre, no help from community leaders, no seasonal vacations, no government building for Anganwadi centre. Out of the reported problems two similar problems of absenteeism of children, problems in getting low honorarium were faced by Anganwadi workers in a study conducted in Manglore and others were of bringing food from the office of social welfare office, problems in working with higher authorities in a study conducted by Maggie and [] D'Souza in In a study by Thakare and others, 75% of the workers complained of inadequate honorarium, complained of lack of help from community and other problems reported were infrastructure related supply, excessive work overload and 8 record maintenance. Conclusion It can be concluded that Anganwadi workers were burdened with records and devoted considerable time in maintaining records and other activities and they faced lots of problems in carrying out their job. To address all these issues, time allocation pattern for ICDS activities need to be reviewed and separate time for meetings and other activities should be allocated other than 270 minutes so that workload on Anganwadi workers can reduce and they can function effectively. Acknowledgements We are thankful to the social welfare department, Chandigarh and the Anganwadi workers. References 1. Rowe A, Savigny D, Lanata C. How can we achieve and maintain a high-quality performance of the health workers in low-resource settings? Lancet 2005; 366: Gupta A, Gupta S, Nongkynrih B. Integrated Child Development Services (ICDS) Scheme: A Journey of 37 years. Indian Journal of Community Health (IJCH) 2013; 25 (1): National institute of public cooperation and child development. (2006). Handbook for Anganwadi workers. Retrieved February 10, 2015 from: National institute of public cooperation and child development. Research on ICDS An Overview Volume 2; Retrieved February 11, 2015 from: URL: 5. Programme evaluation organization, planning commission. Govt. of India. (2011). Evaluation report on the integrated child development services.(peo report no. 218) Retrieved February 0 5, f r o m : oreport/peoevalu/peo_icds_v1.pdf 6. National institute of public cooperation and child development. (2010) Research abstracts on ICDS. Retrieved February 11, 2015 from: 7. Desai G, Pandit N, Sharma D.(2012) Changing role of Anganwadi workers, A study conducted in Vadodara district. Journal of Indian Association of Preventive and Social Medicine 2012, 3 (1), Thakare MM, Kurll BM, Doibale MK, Goel NK. Knowlegde of Anganwadi workers and their problems in an urban ICDS block. Journal of Medical College Chandigarh 2011, 1(1), Nursing and Midwifery Research Journal, Vol-12, No. 1, January
Dedicated Services by AWWs beyond Unresolved Problems: A Cross Sectional Study in a Tribal Area of East Godavari District, Andhra Pradesh, India
ORIGINAL ARTICLE pissn 0976 3325 eissn 2229 6816 Open Access Article www.njcmindia.org Dedicated Services by AWWs beyond Unresolved Problems: A Cross Sectional Study in a Tribal Area of East Godavari District,
More informationfknowledge OF ANGANWADI WORKERS AND THEIR PROBLEMS IN ':AN URBAN ICDS BLOCK
Deptt. Keywords: Original Article fknowledge OF ANGANWADI WORKERS AND THEIR PROBLEMS IN ':AN URBAN ICDS BLOCK Thakare Meenal M; Kurll BM; * Doibale MK, '" Goel Naveen K of Community Medicine, Government
More informationModels of Supportive Supervision for IMNCI Implementation in Selected Districts of Bihar, Orissa and Rajasthan in India
224 Indian Journal of Public Health Research & Development. January-March 2013, Vol. 4, No. 1 Models of Supportive Supervision for IMNCI Implementation in Selected Districts of Bihar, Orissa and Rajasthan
More informationEXIT STRATEGIES STUDY: INDIA BEATRICE LORGE ROGERS, CARISA KLEMEYER, AMEYA BRONDRE
EXIT STRATEGIES STUDY: INDIA 1 BEATRICE LORGE ROGERS, CARISA KLEMEYER, AMEYA BRONDRE Overview of India Study 2 One program (CARE); one sector (health) Four states: AP, Orissa, Chhattisgarh, UP India contrasts
More informationNutritional Services at anganwadi centre in Integrated Child Development Scheme: A continuing challenge in rural zone of Jammu district
2017; 3(1): 213-217 ISSN: 2395-7476 IJHS 2017; 3(1): 213-217 2017 IJHS www.homesciencejournal.com Received: 03-11-2016 Accepted: 04-12-2016 Former Area Technical Manager- UP & Dehradun, VLCC Healthcare
More informationInternational Journal of Health Sciences and Research ISSN:
International Journal of Health Sciences and Research www.ijhsr.org ISSN: 2249-9571 Original Research Article Effectiveness of Self Instructional Module (SIM) on Current Trends of Vaccination in Terms
More informationGrowth of Primary Health Care System in Kerala-A comparison with India
Growth of Primary Health Care System in Kerala-A comparison with India Dr. Suby Elizabeth Oommen Assistant Professor Department of Economics, Christian College, Chengannur, Alappuzha, Kerala, INDIA, 689121
More informationReflection of Integrated Child Development Services (ICDS) in Implementation of Services at Bishnah and Purmandal Block, Jammu
Kamla-Raj 2012 Stud Home Com Sci, 6(1): 27-32 (2012) Reflection of Integrated Child Development Services (ICDS) in Implementation of Services at Bishnah and Purmandal Block, Jammu Shashi Manhas, Annpurna
More informationCHAPTER III ANGANAWADI WORKERS: A PROFILE
CHAPTER III ANGANAWADI WORKERS: A PROFILE 3.1 INTRODUCTION 3.2 CONCEPT OF ANGANWADI SYSTEM 3.3 FUNCTIONING OF ANGANAWADI SYSTEM WORK 3.4 ANGANWADI WORKER RESPONSIBILITIES 3.5 ROLE OF ANGANAWADI s TO THE
More informationInternational Journal of Academic Research ISSN: : Vol.2, Issue-4(5), October-December, 2015 Impact Factor : 1.855
Gopi M, Research Scholar, PG and Research department of Social Work, Sacred Heart College Tiruppattur,Vellore ( Dist ),Tamil Nadu. Dr. J Henry Rozario, Associate Professor Department of Social Work, Sacred
More informationRequest for Qualifications: Designing impact evaluations for Gram Varta and Nodal Anganwadi Centre initiatives under SWASTH, Bihar, India
International Initiative for Impact evaluation Improving lives through impact evaluation Request for Qualifications: Designing impact evaluations for Gram Varta and Nodal Anganwadi Centre initiatives under
More informationInventory Management Practices for Biomedical Equipment in Public Hospitals : An Evaluative Study
2017 IJSRST Volume 3 Issue 1 Print ISSN: 2395-6011 Online ISSN: 2395-602X Themed Section: Science and Technology Inventory Management Practices for Biomedical Equipment in Public Hospitals : An Evaluative
More informationAn evaluative Study of ICDS in Kashmir
International Journal of Scientific and Research Publications, Volume 3, Issue 10, October 2013 1 An evaluative Study of ICDS in Kashmir Shamasul Haque and Naseer Ahmad Wani Research Scholars, Department
More informationContinuum of Care Services: A Holistic Approach to Using MOTECH Suite for Community Workers
CASE STUDY Continuum of Care Services: A Holistic Approach to Using MOTECH Suite for Community Workers Providing coordinated care across the continuum of maternal and child health in Bihar, India PROJECT
More informationJanani Suraksha Yojana (JSY) State Institute of Health & Family Welfare, Jaipur
Janani Suraksha Yojana (JSY) State Institute of Health & Family Welfare, Jaipur JSY A safe motherhood intervention, replacing the National Maternity Benefit Scheme, under NRHM 100 % centrally sponsored
More informationICDS Protecting early childhood
Integrated Child Development Services (ICDS) Ministry of Women and Child Development www.swaniti.in ICDS Protecting early childhood Key Features of ICDS ICDS scheme aims to provide for nutritional care
More informationRIGHT TO INFORMATION ACT-2005 SECTION 4(i)(b) ICDS, BOUDH
1 MANUAL: 1 RIGHT TO INFORMATION ACT-2005 SECTION 4(i)(b) ICDS, BOUDH Particulars of Organisation, Function and Duties. 1. Aims and Objectives of the Organisation (ICDS, Boudh). The ICDS, Boudh is implemented
More informationEffectiveness of Structured Teaching Programme on Bio-Medical Waste Management
IOSR Journal of Nursing and Health Science (IOSR-JNHS) e-issn: 2320 1959.p- ISSN: 2320 1940 Volume 3, Issue 3 Ver. II (May-Jun. 2014), PP 60-65 Effectiveness of Structured Teaching Programme on Bio-Medical
More informationCHAPTER 30 HEALTH AND FAMILY WELFARE
CHAPTER 30 HEALTH AND FAMILY WELFARE The health of the population is a matter of serious national concern. It is highly correlated with the overall development of the country. An efficient Health Information
More informationInnovation Pilot Proposal by Uttar Pradesh
Innovation Pilot Proposal by Uttar Pradesh Enhancing facility community processes to improve early eclusive 1. Contet, Rationale Problem Statement According to recent data from the Rapid Survey on Children
More informationICDS in India: Policy, Design and Delivery Issues
ICDS in India: Policy, Design and Delivery Issues Naresh C. Saxena and Nisha Srivastava Abstract India s excellent economic growth in the last two decades has made little impact on the nutrition levels
More informationRural Health Care Services of PHC and Its Impact on Marginalized and Minority Communities
Rural Health Care Services of PHC and Its Impact on Marginalized and Minority Communities L. Dinesh Ph.D., Research Scholar, Research Department of Commerce, V.O.C. College, Thoothukudi, India Dr. S. Ramesh
More informationHas Janani Suraksha Yojana Stimulated Institutional Delivery? A Study in Una District of Himachal Pradesh
Has Janani Suraksha Yojana Stimulated Institutional Delivery? A Study in Una District of Himachal Pradesh 1 CHAPTER Deepak Kumar,* Manisha* and Archana Dwivedi** INTRODUCTION Himachal Pradesh (HP) is one
More informationAssess the Knowledge and Practice On Road Safety Regulations among Primary School Children in Rural Community
Assess the Knowledge and Practice On Road Safety Regulations among Primary School Children in Rural Community Ms.Indhumathy, P.B.B.Sc(N) II Year 1 Mrs.Thenmozhi.P, M.Sc(N), RN.RM, Assistant Professor 2
More information1. Texas A&M University 2. University of Minnesota 3. Johns Hopkins University
Envisioning a Healthy Future for Children: Role of Integrated Child Development Services (ICDS) and Anganwadi Workers in Health Education and Malnutrition in Mumbai, India Divya Talwar, MPH 1 Wei-Chen
More informationTRAINING ON WATER, SANITATION, AND HYGIENE (WASH) TO THE FRONTLINE WORKERS (FLWS) IN A RURAL SET UP
Management TRAINING ON WATER, SANITATION, AND HYGIENE (WASH) TO THE FRONTLINE WORKERS (FLWS) IN A RURAL SET UP Shyama Prasad Chattopadhyay *1 *1 MA(Economics), MBA, Assistant Professor, IIHMR University,
More informationImproving Home Visits and Counselling by Anganwadi Workers in Uttar Pradesh
Improving Home Visits and Counselling by Anganwadi Workers in Uttar Pradesh Technical Brief December 202 Background Some of the major health challenges that the Government of India (GOI) is addressing
More informationSTUDY OF PATIENT WAITING TIME AT EMERGENCY DEPARTMENT OF A TERTIARY CARE HOSPITAL IN INDIA
STUDY OF PATIENT WAITING TIME AT EMERGENCY DEPARTMENT OF A TERTIARY CARE HOSPITAL IN INDIA *Angel Rajan Singh and Shakti Kumar Gupta Department of Hospital Administration, All India Institute of Medical
More informationWork-time analysis of ANM and ASHA: A Priority for Strengthening Health Systems
Work-time analysis of ANM and ASHA: A Priority for Strengthening Health Systems Anu-Raga Mahalingashetty, Master of Public Health Candidate, Department of Population & Family Health, Global Health Track
More informationMoving Towards An Outcomes-Oriented Approach to Nutrition Program Monitoring:
H N P D I S C U S S I O N P A P E R Moving Towards An Outcomes-Oriented Approach to Nutrition Program Monitoring: The India ICDS Program Saroj K. Adhikari and Caryn Bredenkamp June 2009 MOVING TOWARDS
More informationRural Health Care System in India
Rural Health Care System in India Rural Health Care System the structure and current scenario The health care infrastructure in rural areas has been developed as a three tier system (see Chart 1) and is
More informationA pre- experimental study on the effect of Assertiveness training program among nursing students of a selected college of Nursing, Ajitgarh,
2017; 3(5): 533-538 ISSN Print: 2394-7500 ISSN Online: 2394-5869 Impact Factor: 5.2 IJAR 2017; 3(5): 533-538 www.allresearchjournal.com Received: 25-03-2017 Accepted: 26-04-2017 Ritika Soni Rattan Group
More informationVITAMIN A SUPPLEMENTATION
VITAMIN A SUPPLEMENTATION RESULTS FROM THE 2010 SUSTAINABILITY STUDY Assessing the Sustainability of the Jharkhand District Vitamin A Supplementation Program Prakash Kotecha Iqbal Syed Chandranath Mishra
More informationDOI: /jemds/2014/1887 ORIGINAL ARTICLE
EVALUATION OF ASHA PROGRAMME IN SELECTED BLOCK OF RAISEN DISTRICT OF MADHYA PRADESH UNDER THE NATIONAL RURAL HEALTH MISSION Bhagwan Waskel 1, Sanjay Dixit 2, Rama Singodia 3, D.K. Pal 4, Manju Toppo 5,
More informationBIOMEDICAL WASTE MANAGEMENT: AWARENESS AND PRACTICES IN A DISTRICT OF MADHYA PRADESH
ORIGINAL ARTICLE. BIOMEDICAL WASTE MANAGEMENT: AWARENESS AND PRACTICES IN A DISTRICT OF MADHYA PRADESH Manoj Bansal 1, Ashok Mishra 2, Praveen Gautam 3, Richa Changulani 3, Dhiraj Srivastava 4, Neeraj
More informationKnowledge on Practice of Aseptic Technique During Delivery Among Health Professionals in Selected Government hospitals of Sikkim
Knowledge on Practice of Aseptic Technique During Delivery Among Health Professionals in Selected Government hospitals of Sikkim Barkha Devi * and Reshma Tamang Sikkim Manipal College of Nursing, Gangtok,
More informationReghuram R. & Jesveena Mathias 1. Lecturer, Sree Gokulam Nursing College, Venjaramoodu, Trivandrum, Kerala 2
Original Article Abstract : A STUDY ON OCCURRENCE OF SOCIAL ANXIETY AMONG NURSING STUDENTS AND ITS CORRELATION WITH PROFESSIONAL ADJUSTMENT IN SELECTED NURSING INSTITUTIONS AT MANGALORE 1 Reghuram R. &
More informationNursing, Mancheswar, Bhubaneswar, Odisha, India) 2 (M.Sc (N) 2 ND YR, Paediatric nursing specilaity Lord Jagannath Mission College of Nursing,
IOSR Journal of Nursing and Health Science (IOSR-JNHS) e-issn: 2320 1959.p- ISSN: 2320 1940 Volume 4, Issue 2 Ver. I (Mar.-Apr. 2015), PP 46-50 www.iosrjournals.org Impact of Structured Teaching Programme
More informationA RAPID APPRAISAL OF FUNCTIONING OF ASHA UNDER NRHM IN UTTARAKHAND, INDIA
May, 2012 A RAPID APPRAISAL OF FUNCTIONING OF ASHA UNDER NRHM IN UTTARAKHAND, INDIA By Hema Bhatt Management of Development Projects, EPFL CONTENT 1. ABSTRACT 2 2. INTRODUCTION..3 3. THE STATE OF PUBLIC
More informationA STUDY OF HEALTH CARE SERVICES IN TRIBAL AREA. Dr. Tukaram Vaijanathrao Powale
A STUDY OF HEALTH CARE SERVICES IN TRIBAL AREA Research Paper : Dr. Tukaram Vaijanathrao Powale Assistant Professor of Economics Late Babasaheb Deshmukh Gorthekar Mahavidyalaya, Umri, Dist. Nanded - 431807
More informationEffect of information booklet about home care management of post operative cardiac patient in selected hospital, New Delhi
Available Online at http://www.uphtr.com/ijnrp/home International Journal of Nursing Research and Practice EISSN 0-; Vol. No. (06) July December Original Article Effect of information booklet about home
More informationRetention of Family Health Workers in Rural Communities as an Important Strategy in Task-shifting The Sri Lankan experience
Symposium Task Shifting and Medical Profession [Sri Lanka] Retention of Family Health Workers in Rural Communities as an Important Strategy in Task-shifting The Sri Lankan experience Indika KARUNATHILAKE,*
More information3. Expand providers prescription capability to include alternatives such as cooking and physical activity classes.
Maternal and Child Health Assessment 2015 In 2015, the Minnesota Department of Health conducted a Maternal and Child Health Needs Assessment for the state of Minnesota. Under the direction of a community
More informationChapter -3 RESEARCH METHODOLOGY
Chapter -3 RESEARCH METHODOLOGY i 3.1. RESEARCH METHODOLOGY 3.1.1. RESEARCH DESIGN Based on the research objectives, the study is analytical, exploratory and descriptive on the major HR issues on distribution,
More informationSTATUS OF MATERNAL, INFANT, AND YOUNG CHILD NUTRITION (MIYCN) IN MEDICAL COLLEGES & HOSPITALS
STATUS OF MATERNAL, INFANT, AND YOUNG CHILD NUTRITION (MIYCN) IN MEDICAL COLLEGES & HOSPITALS KEY FINDINGS BASELINE ASSESSMENT 2017 UTTAR PRADESH & BIHAR Image: Velocity Creative Introduction Despite a
More informationThe Indian Institute of Culture Basavangudi, Bangalore RECENT DEVELOPMENTS IN MATERNITY AND CHILD WELFARE SERVICES IN INDIA
The Indian Institute of Culture Basavangudi, Bangalore Transaction No. 27 RECENT DEVELOPMENTS IN MATERNITY AND CHILD WELFARE SERVICES IN INDIA By DR. SARYU BHATIA THE INDIAN INSTITUTE OF CULTURE 6, North
More informationEradicate Childhood Malnutrition, Madhya Pradesh, India
Eradicate Childhood Malnutrition, Madhya Pradesh, India Date: May 6, 2017 I. Demographic Information 1. Districts and State: Barwani district in Madhya Pradesh, India 2. Organization: Real Medicine Foundation
More informationSciences Belgaum 3 Associate professor child Health Nursing Department In Kle Institute Of Nursing Sciences Belgaum
IOSR Journal of Nursing and Health Science (IOSR-JNHS) e-issn: 2320 1959.p- ISSN: 2320 1940 Volume 6, Issue 6 Ver. VI. (Nov.- Dec.2017), PP 68-73 www.iosrjournals.org A Study To Assess The Knowledge Regarding
More informationChapter II. Health Care System in India
Chapter II Health Care System in India Chapter II HEALTHCARE SYSTEM IN INDIA 2.1- Introduction: Healthy citizens are the greatest assets any country can have Winston S. Churchill Health is a state subject
More informationHow can the township health system be strengthened in Myanmar?
How can the township health system be strengthened in Myanmar? Policy Note #3 Myanmar Health Systems in Transition No. 3 A WPR/2015/DHS/003 World Health Organization (on behalf of the Asia Pacific Observatory
More informationNursing Students Knowledge on Sports Brain Injury Prevention
Cloud Publications International Journal of Advanced Nursing Science and Practice 2015, Volume 2, Issue 1, pp. 36-40 Med-208 ISSN: 2320 0278 Case Study Open Access Nursing Students Knowledge on Sports
More informationComparative Study of Occupational Stress among Health Care Professionals in Government and Corporate Hospitals
Volume-5, Issue-3, June-2015 International Journal of Engineering and Management Research Page Number: 242-247 Comparative Study of Occupational Stress among Health Care Professionals in Government and
More informationEffect of laughter therapy on level of stress: A study among nursing students
Effect of laughter therapy on level of stress: A study among nursing students Lakhwinder Kaur, Indarjit Walia Abstract : A quasi experimental study was conducted in the National Institute of Nursing Education
More informationSubject: Monitoring of the ICDS Training Programme: Minutes of the first quarterly review meeting during Regarding
BY Email/Post F.No.19-1/2008-TR Government of India Ministry of Women & Child Development (ICDS Training Division) 1 st Floor, Hotel Janpath Janpath, 110 001 11 Sept 2009 Subject: Monitoring of the ICDS
More informationExecutive Summary. Rouselle Flores Lavado (ID03P001)
Executive Summary Rouselle Flores Lavado (ID03P001) The dissertation analyzes barriers to health care utilization in the Philippines. It starts with a review of the Philippine health sector and an analysis
More informationIntegrated Child Development Services Scheme. Monitoring Visits. (Four Year s Time Interval Revisiting Exercise) 2008/ /12.
Not to be Quoted Report No 34(1/2013-14) Integrated Child Development Services Scheme Monitoring Visits (Four Year s Time Interval Revisiting Exercise) 2008/09 2011/12 A Report Central Monitoring Unit
More informationUNICEF. Evaluation of Baby Friendly Community Health Initiative in the Integrated District (Lalitpur) of Uttar Pradesh. Final Report.
Evaluation of Baby Friendly Community Health Initiative in the Integrated District (Lalitpur) of Uttar Pradesh Final Report Submitted to UNICEF Lucknow, Uttar Pradesh JULY 2013 Indic Knowledge Operations
More informationUNICEF WCARO October 2012
UNICEF WCARO October 2012 Case Study on Narrowing the Gaps for Equity Benin Equity in access to health care for the most vulnerable children through Performance- based Financing of Community Health Workers
More informationNutrition Moves. States create promising change in India
Nutrition Moves States create promising change in India Acknowledgements The case studies presented in this publication are a testimony to the commitment by India s state governments to accelerate progress
More informationMEETING THE NEONATAL CHALLENGE. Dr.B.Kishore Assistant Commissioner (CH), GoI New Delhi November 14, 2009
MEETING THE NEONATAL CHALLENGE Dr.B.Kishore Assistant Commissioner (CH), GoI New Delhi November 14, 2009 Presentation Outline 1. Background 2. Key Initiatives of GoI 3. Progress 4. Major challenges & way
More informationAcademic-Related Stress and Responses of Nursing College Students in Baghdad University
IOSR Journal of Nursing and Health Science (IOSR-JNHS) e-issn: 2320 1959.p- ISSN: 2320 1940 Volume 5, Issue 2 Ver. I (Mar. - Apr. 2016), PP 63-69 www.iosrjournals.org Academic-Related Stress and Responses
More information1.INTRODUCTION. The rate of rural development in India, is lesser than urban development.
TITLE OF THE THESIS: An analytical study of the Anganwadi Scheme and its impact on rural economy with special reference to Nagpura sector of Durg district of Chhattisgarh. 1.INTRODUCTION The rate of rural
More informationChild Survival among Urban Poor- Challenges and Approaches for Involving Pediatricians
Child Survival among Urban Poor- Challenges and Approaches for Involving Pediatricians IAP Central Zone Workshop February 9th, 2006 Shreemaya Residency, Indore Dr. Siddharth Agarwal Urban Health Resource
More informationEvaluation Of Immunization Coverage By Lot Quality Assurance Sampling In A Primary Health Center Area
ISPUB.COM The Internet Journal of Public Health Volume 1 Number 1 Evaluation Of Immunization Coverage By Lot Quality Assurance Sampling In A Primary Health Center P BS, Gangaboraiah, U S Citation P BS,
More informationDr Sudharsanam Balasubramaniam M.D., M.P.H., M & E Advisor
Evaluation of systematic screening for family planning services among postpartum women attending community-based child immunization and nutrition days in Jharkhand, India Dr Sudharsanam Balasubramaniam
More informationREVIEW ARTICLE Human Resource Requirement Under the Context of Universal Health Coverage (UHC) in Bangladesh: Current Situation and Future Challenges
REVIEW ARTICLE Human Resource Requirement Under the Context of Universal Health Coverage (UHC) in Bangladesh: Current Situation and Future Challenges *MHK Talukder 1, MM Rahman 2, M Nuruzzaman 3 1 Professor
More informationStudy Team. Bella Patel Uttekar Nayan Kumar Vasant Uttekar Jashoda Sharma Shweta Shahane
Study Team Bella Patel Uttekar Nayan Kumar Vasant Uttekar Jashoda Sharma Shweta Shahane PREFACE JSY, Janani Suraksha Yojana, is an integral component of the National Rural Health Mission, launched in April
More informationNursing Students Information Literacy Skills Prior to and After Information Literacy Instruction
Nursing Students Information Literacy Skills Prior to and After Information Literacy Instruction Dr. Cheryl Perrin University of Southern Queensland Toowoomba, AUSTRALIA 4350 E-mail: perrin@usq.edu.au
More informationHealthRise India Program Launch
HealthRise India Program Launch MAMTA Health institute for Mother and Child Grantee & CAC Kick-Off Meetings November 19-20, 2015 New Delhi, India Outline About MAMTA HealthRise Objectives & Target Beneficiaries
More informationIn 2012, the Regional Committee passed a
Strengthening health systems for universal health coverage In 2012, the Regional Committee passed a resolution endorsing a proposed roadmap on strengthening health systems as a strategic priority, as well
More information5. POLITICAL ECONOMY OF MALNUTRITION IN SRI LANKA
5. POLITICAL ECONOMY OF MALNUTRITION IN SRI LANKA This chapter attempts to outline the complex political economy of nutrition in Sri Lanka. The political discourse in post-colonial Sri Lanka has led to
More informationINSPECTION PROFORMA FOR B.SC. NURSING
1 INSPECTION PROFORMA FOR B.SC. NURSING Date of Inspection Type of Inspection Preliminary/ Re-inspection/ annual A. General Information 1. Name of the Institution : 2. Full Address with pin code : 3. When
More informationGuidelines for preparation of AWP&B for the year
Guidelines for preparation of AWP&B for the year 2017-18 Annexure-I The guidelines for preparation of comprehensive Annual Work Plan & Budget for the year 2017-18 in the prescribed format are given below:-
More informationA UNIVERSAL PATHWAY. A WOMAN S RIGHT TO HEALTH
EXECUTIVE SUMMARY THE STATE OF THE WORLD S MIDWIFERY 2014 A UNIVERSAL PATHWAY. A WOMAN S RIGHT TO HEALTH REPRODUCTIVE HEALTH PREGNANCY CHILDBIRTH POSTNATAL Executive Summary The State of the World s Midwifery
More informationPOST-GRADUATE DIPLOMA IN PUBLIC HEALTH MANAGEMENT ( )
m NIHFW POST-GRADUATE DIPLOMA IN PUBLIC HEALTH MANAGEMENT FOR SELF SPONSORED CANDIDATES (2018-19) (Offered by the Ministry of Health and Family Welfare, Government of India) The National Institute of Health
More informationA Tale of Women Entrepreneurs: Problems and Prospects
A Tale of Women Entrepreneurs: Problems and Prospects Dr. Sachin H. Lad Assistant Professor, Sanjay Ghodawat University, Kolhapur. ABSTRACT The paper assessed the constraints faced by women entrepreneurs
More informationIntroduction: Statement of the problem:
Introduction: The fundamental truth that human well-being is revolving round the fulcrum of health is receiving increasing acceptance in the world scenario. This fact can be perceived if one cares to look
More informationImpact of caregiver incentives on child health: Evidence from an experiment with Anganwadi workers in India
Impact of caregiver incentives on child health: Evidence from an experiment with Anganwadi workers in India Prakarsh Singh and William Masters Amherst College and Tufts University World Bank Workshop January
More informationST.JOSEPH LEPROSY REHABILITATION CETRE
ST.JOSEPH LEPROSY REHABILITATION CETRE THIMMARAJUPALAM, NIDADAVOLU MANDAL, WEST GODAVARI DIST. ANDHRA PRADESH STATE, SOUTH INDIA 534301 E - mail: stjosephlrc@yahoo.com If my father and mother forsake me
More informationD DAVID PUBLISHING. Effect of Professional Designation on the Level of Task Performance by Community Health Workers in Enugu State. 1.
Journal of Health Science 4 (2016) 155-159 doi: 10.17265/2328-7136/2016.03.007 D DAVID PUBLISHING Effect of Professional Designation on the Level of Task Performance by Community Health Workers in Enugu
More informationMedical Care in Gujarat Current Scenario & Future
Medical Care in Gujarat Current Scenario & Future Our Goals Reduce maternal and child mortality Address adverse sex ratio Provide state of the art health, medical services and medical education relevant
More informationDIPLOMA IN NUTRITION AND HEALTH EDUCATION
ORDINANCE No. 32 DIPLOMA IN NUTRITION AND HEALTH EDUCATION 1. OBJECTIVES The Diploma programme is a holistic package giving you the opportunity to gain knowledge about nutrition and public health. It will
More informationAmendments for Auxiliary Nurses and Midwives syllabus and regulation
Amendments for Auxiliary Nurses and Midwives syllabus and regulation Duration of the course : The total duration of the course is 2 year (18 months + 6 months internship) First Year : i. Total weeks -
More informationIndian Council of Medical Research
Indian Council of Medical Research Call for Letters of Intent Grants Programme for Implementation Research on Maternal and Child Health Deadline: 31 May 2017 India has made significant progress in reducing
More information1993 XVIII (1) 1993 XVIII (1) 1993 XVIII (2) (2) XXII (4)
S. No Name of Faculty: Dr Pradeep Kumar Gupta Name of Journal Year Volume Page Title of the paper No. No. 1 Indian J Community. 2 Indian J Community. 1990 XV. 37-42. A study of hospitalized cases of acute
More informationINDONESIA S COUNTRY REPORT
The 4 th ASEAN & Japan High Level Officials Meeting on Caring Societies: Support to Vulnerable People in Welfare and Medical Services Collaboration of Social Welfare and Health Services, and Development
More informationMOTHER AND CHILD TRACKING SYSTEM (MCTS)
MOTHER AND CHILD TRACKING SYSTEM (MCTS) 12/11/2013 Training Report Goa NATIONAL INSTITUTE OF HEALTH AND FAMILY WELFARE NEW DELHI MCTS Goa training Conducted by NIHFW (12 th - 13 th November, 2013) Introduction
More informationAVAILABILITY AND UTILIZATION OF SOCIAL SERVICES (EDUCATION AND HEALTH) BY RURAL COMMUNITY IN DISTRICT CHARSADDA
Sarhad J. Agric. Vol.25, No.1, 2009 AVAILABILITY AND UTILIZATION OF SOCIAL SERVICES (EDUCATION AND HEALTH) BY RURAL COMMUNITY IN DISTRICT CHARSADDA MUHAMMAD ISRAR*, MALIK MUHAMMAD SHAFI* and NAFEES AHMAD**
More informationPeriod of June 2008 June 2011 Partner Country s Implementing Organization: Federal Cooperation
Summary of Terminal Evaluation Results 1. Outline of the Project Country: Sudan Project title: Frontline Maternal and Child Health Empowerment Project (Mother Nile Project) Issue/Sector: Maternal and Child
More informationUnited Mission Hospital Nepal
Reporting period: August 2016 Prepared by: Gaurav Pradhan Palpa Community Health and Development Project United Mission Hospital Nepal Organization: Real Medicine Foundation Nepal (www.realmedicinefoundation.org)
More informationWHAT WORKS IN INFANT AND YOUNG CHILD FEEDING (IYCF):
January 18 Photo credit: Ravi S Sahani/Alive & Thrive WHAT WORKS IN INFANT AND YOUNG CHILD FEEDING (IYCF): Strengthening Operational Programme Elements to Deliver IYCF Services at Scale in India ADVANCING
More informationState Plan of Operation UNICEF Maharashtra
State Plan of Operation UNICEF Maharashtra State Plan of Operation Maharashtra Samir Ghosh Copyright - Shodhana Consultancy Pvt. Ltd. Visit us at www.shodhana.org 2 SPO OUTLINE Executive summary 1. Introduction
More informationStudy Team. Bella Patel Uttekar Sandhya Barge Yashwant Deshpande Vasant Uttekar Jashoda Sharma Shweta Shahane
Study Team Bella Patel Uttekar Sandhya Barge Yashwant Deshpande Vasant Uttekar Jashoda Sharma Shweta Shahane PREFACE JSY, Janani Suraksha Yojana, is an integral component of the National Rural Health Mission,
More informationStudy Team. Bella Patel Uttekar Sandhya Barge Wajahat Khan Yashwant Deshpande Vasant Uttekar Jashoda Sharma Balaji Chakrawar Shweta Shahane
Study Team Bella Patel Uttekar Sandhya Barge Wajahat Khan Yashwant Deshpande Vasant Uttekar Jashoda Sharma Balaji Chakrawar Shweta Shahane PREFACE JSY, Janani Suraksha Yojana, is an integral component
More informationDr. Ajay Khera Deputy Commissioner Ministry of Health and Family Welfare, Government of India February 17 th, 2012
Dr. Ajay Khera Deputy Commissioner Ministry of Health and Family Welfare, Government of India February 17 th, 2012 1 What has India achieved so far? Goals Achievements National Rural Health Mission (By
More informationUtilization of health facilities at primary health centre. Utilization of health facilities at primary health centre by rural community of Pondicherry
Utilization of health facilities at primary health centre Original Research Article ISSN: 2394-0026 (P) Utilization of health facilities at primary health centre by rural community of Pondicherry K N Prasad
More informationNHS WIRRAL SAFEGUARDING CHILDREN ANNUAL REPORT
NHS WIRRAL SAFEGUARDING CHILDREN ANNUAL REPORT 1 st APRIL 2011 31 st MARCH 2012 BACKGROUND All NHS bodies have a statutory duty to make arrangements to safeguard and promote the welfare of children under
More informationINTRODUCTION: THERE IS NO SUBSTITUTE FOR MOTHER S LOVE, THERE IS NO SUBSTITUTE FOR MOTHERS MILK. William Gouge.
TO ASSESS KNOWLEDGE, ATTITUDE AND KNOWLEDGE OF PRACTICE REGARDING BREAST FEEDING AMONG PRIMI PARA MOTHERS Sandhya Jagadale 1, Jyoti A. Salunkhe 2, Kavita S. Kapurkar 3, Sangeeta Patil 4, Naseema V. Kanase
More informationSCHEME OF GRANT-IN-AID FOR PROMOTION OF AYUSH INTERVENTION IN PUBLIC HEALTH INITIATIVES.
SCHEME OF GRANT-IN-AID FOR PROMOTION OF AYUSH INTERVENTION IN PUBLIC HEALTH INITIATIVES. 1. Introduction There are approximately 7.00 lakh institutionally qualified AYUSH practitioners located in urban,
More informationA Study of Stress and Its Management Strategies among Nursing Staff at Selected Hospitals in South India
Page1 A Study of Stress and Its Management Strategies among Nursing Staff at Selected Hospitals in South India K. Vijaya Nirmala Department of Management Studies, Sri Venkateswara University, Tirupati,
More information