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Challenges faced by community health nurses to achieve universal health coverage in Myanmar: A mixed methods study

OBJECTIVE: This study aimed to identify the challenges of community health nurses (CHNs) in delivering effective community health care to achieve universal health coverage (UHC) in Myanmar. METHODS: A total of 30 CHNs from township health centers in the northeastern, southern, and western parts of M...

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Autores principales: May, Sein Yaw, Clara, Naw, Khin, Ohn Khin, Mar, Win Win, Han, Aye Nandar, Maw, Su Su
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Chinese Nursing Association 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8283707/
https://www.ncbi.nlm.nih.gov/pubmed/34307775
http://dx.doi.org/10.1016/j.ijnss.2021.05.003
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author May, Sein Yaw
Clara, Naw
Khin, Ohn Khin
Mar, Win Win
Han, Aye Nandar
Maw, Su Su
author_facet May, Sein Yaw
Clara, Naw
Khin, Ohn Khin
Mar, Win Win
Han, Aye Nandar
Maw, Su Su
author_sort May, Sein Yaw
collection PubMed
description OBJECTIVE: This study aimed to identify the challenges of community health nurses (CHNs) in delivering effective community health care to achieve universal health coverage (UHC) in Myanmar. METHODS: A total of 30 CHNs from township health centers in the northeastern, southern, and western parts of Myanmar were purposefully recruited for quantitative and qualitative interviews. Quantitative data were processed using Microsoft Excel software, and qualitative data were analyzed using thematic analysis. This study is registered with researchregistry6201. RESULTS: Around the country, 30 CHNs uncovered their hardships in implementing primary health care to achieve UHC. Over 90% of the participants agreed to the problem of inadequate health infrastructure, while half of them felt unmotivated when they encountered role conflicts among various cadres of healthcare providers and poor opportunities for career promotion. Major problems arose from the lack of standard professional education at the entry point to community settings because most CHNs did not achieve specialized training in providing public health services. Complications are incapable of evaluating health services for policy-making and the inability to conduct health research to develop evidence-based practices. Insecure work and living conditions, unsupportive community relationships, and undereducation in professional practices were supportive major themes explored by CHNs to achieve a deeper understanding of the barriers to UHC. Not only the health system itself but also the population and other geographical factors have contributed to many challenges to CHNs. CONCLUSION: Myanmar’s CHNs face many challenges in achieving UHC. These challenges are not confined to the health sector. Some situations, such as geographical barriers and transportation problems, remain persistent challenges for healthcare providers. This study highlights the fact that current health systems should be strengthened by qualified healthcare providers and sufficient infrastructure. Meanwhile, public empowerment plays a critical role in promoting health development.
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spelling pubmed-82837072021-07-22 Challenges faced by community health nurses to achieve universal health coverage in Myanmar: A mixed methods study May, Sein Yaw Clara, Naw Khin, Ohn Khin Mar, Win Win Han, Aye Nandar Maw, Su Su Int J Nurs Sci Original Article OBJECTIVE: This study aimed to identify the challenges of community health nurses (CHNs) in delivering effective community health care to achieve universal health coverage (UHC) in Myanmar. METHODS: A total of 30 CHNs from township health centers in the northeastern, southern, and western parts of Myanmar were purposefully recruited for quantitative and qualitative interviews. Quantitative data were processed using Microsoft Excel software, and qualitative data were analyzed using thematic analysis. This study is registered with researchregistry6201. RESULTS: Around the country, 30 CHNs uncovered their hardships in implementing primary health care to achieve UHC. Over 90% of the participants agreed to the problem of inadequate health infrastructure, while half of them felt unmotivated when they encountered role conflicts among various cadres of healthcare providers and poor opportunities for career promotion. Major problems arose from the lack of standard professional education at the entry point to community settings because most CHNs did not achieve specialized training in providing public health services. Complications are incapable of evaluating health services for policy-making and the inability to conduct health research to develop evidence-based practices. Insecure work and living conditions, unsupportive community relationships, and undereducation in professional practices were supportive major themes explored by CHNs to achieve a deeper understanding of the barriers to UHC. Not only the health system itself but also the population and other geographical factors have contributed to many challenges to CHNs. CONCLUSION: Myanmar’s CHNs face many challenges in achieving UHC. These challenges are not confined to the health sector. Some situations, such as geographical barriers and transportation problems, remain persistent challenges for healthcare providers. This study highlights the fact that current health systems should be strengthened by qualified healthcare providers and sufficient infrastructure. Meanwhile, public empowerment plays a critical role in promoting health development. Chinese Nursing Association 2021-05-28 /pmc/articles/PMC8283707/ /pubmed/34307775 http://dx.doi.org/10.1016/j.ijnss.2021.05.003 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
May, Sein Yaw
Clara, Naw
Khin, Ohn Khin
Mar, Win Win
Han, Aye Nandar
Maw, Su Su
Challenges faced by community health nurses to achieve universal health coverage in Myanmar: A mixed methods study
title Challenges faced by community health nurses to achieve universal health coverage in Myanmar: A mixed methods study
title_full Challenges faced by community health nurses to achieve universal health coverage in Myanmar: A mixed methods study
title_fullStr Challenges faced by community health nurses to achieve universal health coverage in Myanmar: A mixed methods study
title_full_unstemmed Challenges faced by community health nurses to achieve universal health coverage in Myanmar: A mixed methods study
title_short Challenges faced by community health nurses to achieve universal health coverage in Myanmar: A mixed methods study
title_sort challenges faced by community health nurses to achieve universal health coverage in myanmar: a mixed methods study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8283707/
https://www.ncbi.nlm.nih.gov/pubmed/34307775
http://dx.doi.org/10.1016/j.ijnss.2021.05.003
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