Kundapur Rashmi, Aggarwal Sumit, Velamala Sunhitha, Rashmi Anusha, Gaitonde Rakhal, Masthi N R, Garg Suneela
Department of Community and Family Medicine, AIIMS Bibinagar, Hyderabad, Telangana, India.
Scientist and Program Officer, ICMR, Headquarter, Delhi, India.
J Family Med Prim Care. 2022 Nov;11(11):6902-6908. doi: 10.4103/jfmpc.jfmpc_2256_21. Epub 2022 Dec 16.
The public health emergency due to COVID-19 has placed an immense burden on the health care system. The strain for provision of health care services has also extended to routine services. The future impact of this decline in facility provision can be seen in morbidity and mortality indicators of the country. In a time when the country is working toward meeting the sustainable development goals (SDGs), COVID-19 has become a setback.
This study tries to find the very challenges faced by frontline workers and the measures adopted to overcome the same.
This was a mixed methods study conducted at various selected states across the country based on their vulnerability index. Data was collected via in-depth interviews among 120 frontline managers. Transcribed responses were coded. Framework analysis with preformed codes were done. Quantitative data are represented as frequencies and percentages.
Analysis showed increased work pressure, innovative approach adopted locally, and allaying fear by reinstating services helped as coping mechanisms to take care of routine health care services at the grassroots level.
The conscious effort of all involved with the use of local solutions and innovations, along with intersectoral coordination and efficient use of resources paved the way for a good deliverance of health care to the society. The frontline managers minimized the damage by using available resources consciously and wisely.
2019年冠状病毒病（COVID-19）引发的突发公共卫生事件给医疗保健系统带来了巨大负担。提供医疗保健服务的压力也延伸到了常规服务。这种设施服务下降的未来影响可以在该国的发病率和死亡率指标中看到。在该国努力实现可持续发展目标（SDG）之际，COVID-19已成为一个挫折。
本研究试图找出一线工作人员面临的挑战以及为克服这些挑战所采取的措施。
这是一项混合方法研究，根据各选定邦的脆弱性指数在全国不同邦开展。通过对120名一线管理人员进行深入访谈收集数据。对转录的回答进行编码。使用预先设定的代码进行框架分析。定量数据以频率和百分比表示。
分析表明，工作压力增加、当地采用的创新方法以及通过恢复服务来减轻恐惧有助于作为应对机制，在基层层面提供常规医疗保健服务。
所有相关人员有意识地努力采用当地解决方案和创新方法，以及部门间协调和有效利用资源，为向社会提供良好的医疗保健服务铺平了道路。一线管理人员通过有意识地和明智地利用现有资源将损害降到了最低。
