Behera Binod K, Bhatia Vikas, Giri Prajna P, Taywade Manish
Associate Professor, Dept of Community Medicine and Family Medicine, AIIMS, Bhubaneswar, Odisha, India.
Professor, Dept of Community Medicine and Family Medicine, AIIMS, Bhubaneswar, Odisha, India.
J Family Med Prim Care. 2020 Oct 30;9(10):5212-5217. doi: 10.4103/jfmpc.jfmpc_769_20. eCollection 2020 Oct.
Progress of any nation depends on the health status of the population. A nation's health directly and indirectly depends on the quality of health-care facilities and how healthy the health care workforce is in that country. To achieve the health for all goal and to provide for most of the health services like maternal health services, child health services, nutrition, vaccination, and family planning services, the Indian health system have multipurpose health workers (female and male) and Accredited Social Health Activist to provide these services at the grass-root level. There is a paucity of literature revealing the health problems or the health status of grassroot level primary health care worker in India or abroad.
All the grass-root level health workers, i.e., MPHWF and ASHAs in the BMC area were included in this cross-sectional study. Data was collected using a semi-structured interview schedule, followed by general examination and anthropometry using standard procedures.
Half of the study participants 111 (50.2%) were having some or other kind of health issues during the data collection time; among them, 107 (48.4%) had a chronic disease condition. 10% of them had diabetes mellitus. More than half of the study participants 141 (63.8%) were found to be obese and hypertension was found in 27 (12.2%) study participants. 21 (9.5%) study participants were under high depression. One-fourth of the health workers among those who could conceive had not gone for antenatal check-ups and more than one-third (33.5%) never consumed iron and folic acid (IFA) tablets during their first pregnancy. 19.1% have children with incomplete immunization as per age. One-fifth of the participants know about the balanced diet and half of them could not ensure that their family eat a balanced diet and in the majority, the diet was calorie deficient as per the daily requirement.
There is an urgent need to formulate a policy to improve the health of the primary care grass-root level health-care workers and regular on-the-job training on nutrition needs to be given to them.
任何国家的发展都取决于其人口的健康状况。一个国家的健康状况直接或间接地取决于医疗保健设施的质量以及该国医疗保健人员的健康程度。为实现全民健康目标，并提供诸如孕产妇保健服务、儿童保健服务、营养、疫苗接种和计划生育服务等大多数医疗服务，印度卫生系统配备了多用途卫生工作者（包括女性和男性）以及经认证的社会健康活动家，以便在基层提供这些服务。目前缺乏文献揭示印度或国外基层初级卫生保健工作者的健康问题或健康状况。
本横断面研究纳入了孟买市政公司（BMC）辖区内所有的基层卫生工作者，即多功能卫生工作者（女性和男性）和经认证的社会健康活动家。使用半结构化访谈提纲收集数据，随后按照标准程序进行体格检查和人体测量。
在数据收集期间，一半的研究参与者111人（50.2%）存在某种或其他类型的健康问题；其中，107人（48.4%）患有慢性病。他们中有10%患有糖尿病。超过一半的研究参与者141人（63.8%）被发现肥胖，27名（12.2%）研究参与者患有高血压。21名（9.5%）研究参与者处于高度抑郁状态。在能够怀孕的卫生工作者中，四分之一的人未进行产前检查，超过三分之一（33.5%）的人在首次怀孕时从未服用过铁和叶酸（IFA）片。19.1%的参与者的孩子按年龄未完成免疫接种。五分之一的参与者了解均衡饮食，但其中一半人无法确保其家人食用均衡饮食，而且大多数情况下，饮食按每日需求量计算热量不足。
迫切需要制定一项政策，以改善基层初级卫生保健工作者的健康状况，并需要定期为他们提供关于营养需求的在职培训。
