Koblinsky M A, Brechin S J, Clark S D, Hasan M Y
Maternal and Neonatal Health and Nutrition Project, John Snow, Inc., Arlington, Virginia 22209.
Stud Fam Plann. 1989 Jul-Aug;20(4):225-34.
The Maternal-Child Health/Family Planning (MCH/FP) Extension Project in Bangladesh identifies and examines barriers to implementation of the national MCH/FP program, and determines strategies to overcome them. This study analyzes field-workers' ability to carry out more tasks than they do presently, and how their performance might be improved when additional field-workers are hired. In two experimental subdistricts, researchers observed the work of family welfare assistants (FWAs), the female family planning field-workers, to determine the duration and frequency of their home visits with village women and the content of their exchanges. While many factors influence the FWA's work, researchers found that the preplanned monthly work schedules could be manipulated relatively easily to improve duration and frequency of program contact with village women. With more time available to spend with women, the potential to improve the quality of services is enhanced.
孟加拉国的母婴健康/计划生育（MCH/FP）推广项目识别并审视了国家MCH/FP项目实施过程中的障碍，并确定了克服这些障碍的策略。本研究分析了现场工作人员承担比目前更多任务的能力，以及在雇佣额外的现场工作人员时他们的工作表现如何得到改善。在两个实验性分区，研究人员观察了家庭福利助理（FWAs），即女性计划生育现场工作人员的工作，以确定她们对农村妇女进行家访的时长、频率以及交流的内容。虽然有许多因素影响家庭福利助理的工作，但研究人员发现，预先制定的月度工作计划相对容易调整，以增加与农村妇女的项目接触时长和频率。有了更多时间与妇女相处，提高服务质量的可能性就会增加。
