Bhattarai Hari Krishna, Hung Kevin Kei Ching, MacDermot Makiko Kato, Hubloue Ives, Barone-Adesi Francesco, Ragazzoni Luca, Della Corte Francesco, Acharya Richa, Graham Colin A
Program in Global Health, Humanitarian Aid and Disaster Medicine, Università del Piemonte Orientale, Novara, Italy, and Vrije Universiteit Brussel, Brussels, Belgium.
Accident and Emergency Medicine Academic Unit, Chinese University of Hong Kong, Hong Kong, China.
Disaster Med Public Health Prep. 2022 Mar 15;17:e138. doi: 10.1017/dmp.2022.47.
Nepal female community health volunteers (FCHVs) were the first available health personnel in communities during the 2015 Nepal earthquakes. This study explored the facilitating factors and barriers of the FCHVs during health emergencies.
In-depth interviews with 24 FCHVs and 4 health managers from 2 districts in Nepal (Gorkha and Sindhupalchowk) were conducted using semi-structured interview guides. The qualitative data were analyzed using thematic analysis methods.
FCHVs were the first responders to provide services after the earthquakes and were well accepted by the local communities. Different models of supervision existed, and differences in the workload and remuneration offered to FCHVs were described. A wide range of disaster-related knowledge and skills were required by FCHVs, and lack of prior training was an issue for some respondents. Furthermore, lack of access to adequate medical supplies was a major barrier for FCHVs in the 2015 earthquakes. The 5 identified themes were discussed.
Providing regular disaster response training for FCHVs and strong leadership from the public sector with sustained investments will be essential for increasing the capacities of community health workforces to prepare for and reduce the impacts of future health emergencies in resource-poor settings.
尼泊尔女性社区卫生志愿者（FCHVs）是2015年尼泊尔地震期间社区中首批可获得的卫生人员。本研究探讨了卫生紧急情况期间FCHVs的促进因素和障碍。
使用半结构化访谈指南，对来自尼泊尔两个地区（戈尔哈和辛杜帕尔乔克）的24名FCHVs和4名卫生管理人员进行了深入访谈。采用主题分析方法对定性数据进行分析。
FCHVs是地震后提供服务的首批响应者，并受到当地社区的广泛接受。存在不同的监督模式，并描述了FCHVs的工作量和报酬差异。FCHVs需要广泛的灾害相关知识和技能，一些受访者表示缺乏先前的培训是一个问题。此外，在2015年地震中，无法获得足够的医疗用品是FCHVs面临的主要障碍。讨论了确定的5个主题。
为FCHVs提供定期的灾害应对培训以及公共部门强有力的领导并持续投入，对于提高社区卫生工作队伍在资源匮乏地区应对未来卫生紧急情况并减少其影响的能力至关重要。
