Kapoor S K, Anand K, Sharmanna B R, Mullick A K
Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi.
Indian J Public Health. 1996 Oct-Dec;40(4):112-9.
All National health programmes are implemented through the Primary Health Centre staff. Targets for the year 2000 A.D. have been fixed for different programmes. Some programmes are getting more emphasis, perhaps at the cost of others. The study area has already achieved most of the targets set for 2000 A.D. Studying the time utilisation pattern of the workers of these PHCs can give valuable information for planning of working of other PHCs.
To study the time utilisation pattern of the staff of the two PHCs run by Centre for Community Medicine, AIIMS.
The multipurpose workers (MPWs) and the health assistants (HAs) were accompanied by investigators and information collected regarding their utilisation of time in the field. The Medical Officers were asked to maintain a diary from which this information was collected
The MPWs spend about 3.3 minutes in each house. Child care (immunisation, Vit. A and folifer distribution) is the main activity being carried out by both male as well as female worker. Other important activities for male worker are: family welfare (18%), malaria work (11%) and collection of vital statistics (10%). For the female worker Antenatal care (25%) and family welfare (20%) were other important activities. For the HAs also child care was an important activity. However for the male HA malaria related work was the most important. The Medical Officer spends about 60% of this time in administrative and supervisory work.
Immunisation programme is getting the maximum input from workers, which is reflected in > 90% coverage of all vaccines. Family Welfare and Tuberculosis activity are not getting the emphasis which they deserve. Some rethinking about the strategy is essential if all round progress in achieving the targets for the year 2000 A.D. is to be made.
所有国家卫生项目均通过初级卫生保健中心的工作人员来实施。针对不同项目确定了公元2000年的目标。一些项目得到了更多的重视，或许是以牺牲其他项目为代价。研究区域已经实现了为公元2000年设定的大部分目标。研究这些初级卫生保健中心工作人员的时间利用模式可为其他初级卫生保健中心的工作规划提供有价值的信息。
研究全印医学科学研究所社区医学中心运营的两家初级卫生保健中心工作人员的时间利用模式。
调查人员陪同多用途工作人员（MPW）和健康助理（HA），收集他们在实地的时间利用情况信息。要求医务人员记录日志，从中收集这些信息。
多用途工作人员在每户人家花费约3.3分钟。儿童保健（免疫接种、维生素A和叶酸发放）是男性和女性工作人员开展的主要活动。男性工作人员的其他重要活动包括：家庭福利（18%）、疟疾防治工作（11%）和生命统计数据收集（10%）。女性工作人员的其他重要活动是产前保健（25%）和家庭福利（20%）。健康助理方面，儿童保健也是一项重要活动。然而，男性健康助理与疟疾相关的工作最为重要。医务人员将大约60%的时间用于行政和监督工作。
免疫规划从工作人员那里获得了最大投入，这体现在所有疫苗的接种覆盖率超过90%。家庭福利和结核病防治活动没有得到应有的重视。如果要在实现公元2000年目标方面取得全面进展，就必须对策略进行一些重新思考。
