Shah Anuradha Kunal, Velhal Gajanan D
Community Medicine, Seth G S Medical College and KEM Hospital, Parel, Mumbai, Maharashtra, India.
J Family Med Prim Care. 2020 Feb 28;9(2):1129-1135. doi: 10.4103/jfmpc.jfmpc_936_19. eCollection 2020 Feb.
Healthcare workers at field level constitute a major pillar in the large public health infrastructure of India. At this juncture, it becomes necessary to understand their role in achieving MDGs, issues, and challenges on the field and how 'prepared' they are to embark upon the new responsibilities in the coming 15 years to achieve the SDGs. This will form a springboard for the next generation of healthcare providers to successfully achieve the SDGs.
This qualitative research study was conducted in the rural part of Thane district from September 2016- March 2017. Four Focus Group Discussions (FGDs) were done to assess the role, activities, reasons for successes and shortcomings of MDG indicators for healthcare providers and thereby assess preparedness for achieving health-related SDGs at the grass-root level.
Major challenges faced in the field were cultural barriers, poverty, illiteracy, fear, disregard for the health workers. There were challenges in human resource management such as workload, unpaid work, dissatisfaction, grievance redressal, leaves, etc., Suggested technical and health-centric interventions were skill development, supportive supervision, incentives and better implementation of new policies. Training in soft skills is needed.
The health workers seem to be unaware of the term MDGs/SDGs but, showed a deep sense of commitment towards improving the health of people and meeting their work targets despite the challenges faced in the field. Their justified concerns need to be addressed to have better retention and improved performance.
基层医护人员是印度庞大公共卫生基础设施的主要支柱。在这一时刻，有必要了解他们在实现千年发展目标中的作用、实地面临的问题和挑战，以及他们在未来15年承担实现可持续发展目标新责任方面的“准备情况”。这将为下一代医疗服务提供者成功实现可持续发展目标提供一个跳板。
这项定性研究于2016年9月至2017年3月在塔那区农村地区进行。开展了四次焦点小组讨论，以评估医护人员在千年发展目标指标方面的作用、活动、成功原因和不足之处，从而评估基层实现与健康相关的可持续发展目标的准备情况。
实地面临的主要挑战包括文化障碍、贫困、文盲、恐惧、对卫生工作者的漠视。在人力资源管理方面存在挑战，如工作量、无薪工作、不满、申诉处理、休假等。建议的以技术和健康为中心的干预措施包括技能发展、支持性监督、激励措施和更好地实施新政策。需要进行软技能培训。
卫生工作者似乎不了解千年发展目标/可持续发展目标这一术语，但尽管在实地面临挑战，他们仍表现出对改善人们健康和实现工作目标的高度责任感。需要解决他们合理的关切，以提高留用率和改善绩效。
