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认识社区卫生工作者在印度农村提供基本医疗服务中的作用——综述

Acknowledging the Role of Community Health Workers in Providing Essential Healthcare Services in Rural India-A Review.

作者信息

Kalne Poonam S, Kalne Pooja S, Mehendale Ashok M

机构信息

School of Epidemiology and Public Health, Datta Meghe Institute of Medical Sciences, Wardha, IND.

Department of Toxicology, Chaitanya Ayurved College and Hospital, Bhusaval, IND.

出版信息

Cureus. 2022 Sep 20;14(9):e29372. doi: 10.7759/cureus.29372. eCollection 2022 Sep.

Abstract

In underserved communities, the community health worker (CHW) concept has been employed to improve health and lessen unfavourable health consequences. In India's rural healthcare delivery system, auxiliary nurse midwives (ANMs), accredited social health activists (ASHA workers), and Anganwadi workers (AWWs) are the primary field-level frontline officials who come into direct contact with the population. They bear a large portion of the burden of carrying out health services. This review investigated the various contributions made by these CHWs, ANMs, ASHA workers, and AWWs to the advancement of basic healthcare in Indian rural areas. The goal of reviewing this paper was to learn more about what CHWs do to provide the target demographic with high-quality healthcare. A thorough literature search was conducted using crucial databases including PubMed, Google, and Google Scholar. Recent studies were examined to determine how well CHWs perform essential healthcare services in low and middle-income nations. Numerous studies demonstrate how their work has a good effect on society. The length of time CHWs spend at work each day and how well they perform as a whole depends on several variables. This review study showed that, globally, there is a growing interest in CHWs' performance. In terms of incentives, pay, and training expenses, CHWs are thought to be a more affordable option than other types of health workers. They are recognised as the main factors in providing promotive, preventive, curative and rehabilitative healthcare services, achieving enhanced neonatal and maternal health and the development of children and adolescents. The current review also examined previous studies on the work done by CHWs and their potential benefits for enhancing primary healthcare in rural India. It focused on the routine work done by these health workers to increase service accessibility and access to high-quality healthcare, particularly for individuals living in rural areas. Hence, it is necessary to evaluate the functions and general status of community health workers (CHWs), as well as recognise their role, to improve their efficiency in providing basic healthcare services to society and make necessary changes in the future.

摘要

在服务不足的社区,社区卫生工作者(CHW)概念已被用于改善健康状况并减轻不利的健康后果。在印度农村医疗服务体系中,辅助护士助产士(ANM)、经认可的社会健康活动家(ASHA工作者)和安格班瓦迪工作者(AWW)是直接与民众接触的主要基层一线官员。他们承担着开展卫生服务的大部分负担。本综述调查了这些社区卫生工作者、辅助护士助产士、ASHA工作者和AWW对印度农村地区基本医疗保健发展所做的各种贡献。审查本文的目的是更多地了解社区卫生工作者为目标人群提供高质量医疗保健所做的工作。使用包括PubMed、谷歌和谷歌学术在内的关键数据库进行了全面的文献检索。对近期研究进行了审查,以确定社区卫生工作者在低收入和中等收入国家提供基本医疗服务的情况。众多研究表明他们的工作如何对社会产生良好影响。社区卫生工作者每天工作的时长以及他们整体的工作表现取决于多个变量。这项综述研究表明,在全球范围内,人们对社区卫生工作者的表现越来越感兴趣。在激励措施、薪酬和培训费用方面,社区卫生工作者被认为是比其他类型卫生工作者更经济实惠的选择。他们被视为提供促进、预防、治疗和康复医疗服务、实现新生儿和孕产妇健康改善以及儿童和青少年发展的主要因素。当前的综述还研究了以往关于社区卫生工作者所做工作及其对加强印度农村地区初级医疗保健潜在益处的研究。它关注这些卫生工作者为增加服务可及性和获得高质量医疗保健所做的日常工作,特别是为农村地区居民。因此,有必要评估社区卫生工作者的职能和总体状况,并认可他们的作用,以提高他们向社会提供基本医疗服务的效率,并在未来做出必要的改变。

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