Gupta Archana, Khan Saba
Department of Home Science, Faculty of Agricultural Sciences, Aligarh Muslim University, Aligarh, India.
Public Health Rev. 2024 Feb 22;45:1606803. doi: 10.3389/phrs.2024.1606803. eCollection 2024.
Community Health Workers (CHWs) are important healthcare professionals and key members of team. The purpose of this research is to identify the roles and responsibilities of CHWs in developed and developing countries who provide healthcare assistance to pregnant and lactating women. For this particular study, a comparison was conducted between CHWs role in seven developed countries, seven South Asian developing countries, and India, with special emphasis on improving maternal health status. CHW programs are essential in communities, institutional health programs, and outreach delivery systems. Without active community involvement, CHWs cannot reach their full potential. Developed countries have frameworks for CHWs, such as the Swasthya Shebika Program, Village Health Worker Cadret, Lady Health Worker Programme, and Accredited Social Health Activist program. CHWs are well-paid in developed nations and work with marginalized groups to spread health messages. However, up to 60% of community health workers in low- and lower-middle-income countries do not receive remuneration. Health systems must support CHWs in choosing technical interventions and providing necessary training, supervision, and logistical support.
社区卫生工作者是重要的医疗保健专业人员和团队的关键成员。本研究的目的是确定在发达国家和发展中国家为孕妇和哺乳期妇女提供医疗保健援助的社区卫生工作者的角色和职责。对于这项特定研究，对七个发达国家、七个南亚发展中国家和印度的社区卫生工作者的角色进行了比较，特别强调改善孕产妇健康状况。社区卫生工作者项目在社区、机构卫生项目和外展服务系统中至关重要。没有社区的积极参与，社区卫生工作者就无法充分发挥其潜力。发达国家有针对社区卫生工作者的框架，如健康助手计划、乡村卫生工作者 cadre、女性健康工作者计划和认可社会健康活动家计划。社区卫生工作者在发达国家薪酬优厚，并与边缘化群体合作传播健康信息。然而，在低收入和中低收入国家，高达60%的社区卫生工作者没有获得报酬。卫生系统必须支持社区卫生工作者选择技术干预措施并提供必要的培训、监督和后勤支持。
