COVID-19 Update - This is to inform you that the Government of India has announced a complete lockdown in India 22nd March 2020 to 3rd May 2020. As a result, our offices will now be closed till 3rd May 2020 and all our employees will be working from home. Office telephones will not be answered, and therefore you are requested to direct all your queries related to manuscript submission, review process, publication etc. at below mentioned details. editor@innovativepublication.com, rakesh.its@gmail.com, Mob. 8826373757, 8826859373, 9910947804


Print ISSN:-2394-6768

Online ISSN:-2394-6776

CODEN : IJFCAE

Current Issue

Year 2020

Volume: 7 , Issue: 1

Article Access statistics

Viewed: 757

Emailed: 0

PDF Downloaded: 216

Indian Journal of Forensic and Community Medicine


Meeting the Primary Health Care Needs of Rural Assam through introduction of a mid—level health worker: Lessons from India’s experience with Rural Health Practitioners


Full Text PDF Share on Facebook Share on Twitter


Author Details : Suchitra Lisam

Volume : 2, Issue : 1, Year : 2015

Article Page : 13-22


Suggest article by email

Abstract

Background: The introduction of a three years Diploma in Medicine and Rural Health Care (DMRHC) course in 2005 under the purview of Assam Public Health Act has lead to augmentation of human resources through deployment of Rural Health Practitioners (RHPs) in Assam, India.
Objectives: The study aimed to understand the performance of Sub-Centers (SCs) in terms of ranges, uptake and quality of primary health care services in SCs with and without RHPs over consecutive three years since deployment of RHPs at Health Sub-Centers (HSCs) in April, 2008.
Methods: We used mixed research method i.e. qualitative technique complemented by quantitative analysis of data. Purposive sampling method was adopted for selection of HSCs in High Focus Districts (HFDs) where RHPs were deployed. Key Informant (KI) interviews were conducted comprising of RHPs, Auxiliary Nurse Midwives (ANMs), beneficiaries and government officials to gain perspectives about RHP model, service delivery and challenges etc. Semi structured, open-ended questionnaires were used for KI interviews and checklists for community group discussions.
Results: Performance of HSCs with RHPs has improved substantially in terms of management of Out
Patient Department (OPD) cases and institutional deliveries as compared to HSC without RHPs over the years from 2010-11, 2011-12 and 2012-13. RHPs cited DMRHC was apt for serving the rural population.
Key challenges include lack of referral transport, housing and promotion avenues. ANMs, beneficiaries and community perceptions of RHPs are positive in terms of managing increased number and types of common ailments, drugs availability, improved care, proper referral and initiation of institutional deliveries. RHPs had gained community‘s confidence in service delivery at HSC.
Conclusions: Replication of RHP model is critical for improved rural health care systems, provided
supervisory and support mechanisms are streamlined. Recognition of DMRHC, upgrade to a Bachelor’s
degree course and creation of regular cadre is necessary for sustainability of rural health systems.

Key words: Diploma in Medicine and Rural Health Care, Rural Health Practitioners, Assam Public Health Act, Health Sub-Centers
 

How to cite : Lisam S, Meeting the Primary Health Care Needs of Rural Assam through introduction of a mid—level health worker: Lessons from India’s experience with Rural Health Practitioners. Indian J Forensic Community Med 2015;2(1):13-22

Copyright © 2015 by author(s) and Indian J Forensic Community Med. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC-BY-NC 4.0) (creativecommons.org)