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Resolution of Resilience: Empirical Findings on the Challenges Faced and the Mitigation Strategies Adopted by Community Health Workers (CHWs) to Provide Maternal and Child Health (MCH) Services during the COVID-19 Pandemic in the Context of Odisha, India

Community health workers (CHW) faced increased challenges in delivering maternal and child health services during the current COVID-19 pandemic. In addition to routine services, they were also engaged in pandemic management. In view of a dearth of evidence, the current study explores the challenges...

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Autores principales: Mishra, Bijaya Kumar, Kanungo, Srikanta, Patel, Kripalini, Swain, Swagatika, Dwivedy, Subhralaxmi, Panda, Subhashree, Karna, Sonam, Bhuyan, Dinesh, Som, Meena, Merta, Brajesh Raj, Bhattacharya, Debdutta, Kshatri, Jaya Singh, Palo, Subrata Kumar, Pati, Sanghamitra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8775981/
https://www.ncbi.nlm.nih.gov/pubmed/35052251
http://dx.doi.org/10.3390/healthcare10010088
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author Mishra, Bijaya Kumar
Kanungo, Srikanta
Patel, Kripalini
Swain, Swagatika
Dwivedy, Subhralaxmi
Panda, Subhashree
Karna, Sonam
Bhuyan, Dinesh
Som, Meena
Merta, Brajesh Raj
Bhattacharya, Debdutta
Kshatri, Jaya Singh
Palo, Subrata Kumar
Pati, Sanghamitra
author_facet Mishra, Bijaya Kumar
Kanungo, Srikanta
Patel, Kripalini
Swain, Swagatika
Dwivedy, Subhralaxmi
Panda, Subhashree
Karna, Sonam
Bhuyan, Dinesh
Som, Meena
Merta, Brajesh Raj
Bhattacharya, Debdutta
Kshatri, Jaya Singh
Palo, Subrata Kumar
Pati, Sanghamitra
author_sort Mishra, Bijaya Kumar
collection PubMed
description Community health workers (CHW) faced increased challenges in delivering maternal and child health services during the current COVID-19 pandemic. In addition to routine services, they were also engaged in pandemic management. In view of a dearth of evidence, the current study explores the challenges faced by CHWs while rendering maternal and child health services. A qualitative study through in-depth interviews (IDI) and focus group discussions (FGD) in six districts of Odisha was conducted from February to April 2021. Data were analyzed using MAXQDA software. Personal-level challenges, like lack of family support, stress, and fear of contracting COVID-19; facility-level challenges, like transportation problems and inadequate personal protective measures; and community-level challenges, like stigma, resistance, and lack of community support were major hindrances in provisioning routine MCH services. Prevailing myths and misconceptions concerning COVID-19 were factors behind stigma and resistance. Sharing experiences with family, practicing yoga and pranayam, engaging ambulance bikes, financial assistance to mothers, counseling people, and involving community leaders were some effective strategies to address these challenges. Development and implementation of appropriate strategy guidelines for addressing the challenges of frontline warriors will improve their work performance and achieve uninterrupted MCH services during pandemics or similar health emergencies.
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spelling pubmed-87759812022-01-21 Resolution of Resilience: Empirical Findings on the Challenges Faced and the Mitigation Strategies Adopted by Community Health Workers (CHWs) to Provide Maternal and Child Health (MCH) Services during the COVID-19 Pandemic in the Context of Odisha, India Mishra, Bijaya Kumar Kanungo, Srikanta Patel, Kripalini Swain, Swagatika Dwivedy, Subhralaxmi Panda, Subhashree Karna, Sonam Bhuyan, Dinesh Som, Meena Merta, Brajesh Raj Bhattacharya, Debdutta Kshatri, Jaya Singh Palo, Subrata Kumar Pati, Sanghamitra Healthcare (Basel) Article Community health workers (CHW) faced increased challenges in delivering maternal and child health services during the current COVID-19 pandemic. In addition to routine services, they were also engaged in pandemic management. In view of a dearth of evidence, the current study explores the challenges faced by CHWs while rendering maternal and child health services. A qualitative study through in-depth interviews (IDI) and focus group discussions (FGD) in six districts of Odisha was conducted from February to April 2021. Data were analyzed using MAXQDA software. Personal-level challenges, like lack of family support, stress, and fear of contracting COVID-19; facility-level challenges, like transportation problems and inadequate personal protective measures; and community-level challenges, like stigma, resistance, and lack of community support were major hindrances in provisioning routine MCH services. Prevailing myths and misconceptions concerning COVID-19 were factors behind stigma and resistance. Sharing experiences with family, practicing yoga and pranayam, engaging ambulance bikes, financial assistance to mothers, counseling people, and involving community leaders were some effective strategies to address these challenges. Development and implementation of appropriate strategy guidelines for addressing the challenges of frontline warriors will improve their work performance and achieve uninterrupted MCH services during pandemics or similar health emergencies. MDPI 2022-01-03 /pmc/articles/PMC8775981/ /pubmed/35052251 http://dx.doi.org/10.3390/healthcare10010088 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Mishra, Bijaya Kumar
Kanungo, Srikanta
Patel, Kripalini
Swain, Swagatika
Dwivedy, Subhralaxmi
Panda, Subhashree
Karna, Sonam
Bhuyan, Dinesh
Som, Meena
Merta, Brajesh Raj
Bhattacharya, Debdutta
Kshatri, Jaya Singh
Palo, Subrata Kumar
Pati, Sanghamitra
Resolution of Resilience: Empirical Findings on the Challenges Faced and the Mitigation Strategies Adopted by Community Health Workers (CHWs) to Provide Maternal and Child Health (MCH) Services during the COVID-19 Pandemic in the Context of Odisha, India
title Resolution of Resilience: Empirical Findings on the Challenges Faced and the Mitigation Strategies Adopted by Community Health Workers (CHWs) to Provide Maternal and Child Health (MCH) Services during the COVID-19 Pandemic in the Context of Odisha, India
title_full Resolution of Resilience: Empirical Findings on the Challenges Faced and the Mitigation Strategies Adopted by Community Health Workers (CHWs) to Provide Maternal and Child Health (MCH) Services during the COVID-19 Pandemic in the Context of Odisha, India
title_fullStr Resolution of Resilience: Empirical Findings on the Challenges Faced and the Mitigation Strategies Adopted by Community Health Workers (CHWs) to Provide Maternal and Child Health (MCH) Services during the COVID-19 Pandemic in the Context of Odisha, India
title_full_unstemmed Resolution of Resilience: Empirical Findings on the Challenges Faced and the Mitigation Strategies Adopted by Community Health Workers (CHWs) to Provide Maternal and Child Health (MCH) Services during the COVID-19 Pandemic in the Context of Odisha, India
title_short Resolution of Resilience: Empirical Findings on the Challenges Faced and the Mitigation Strategies Adopted by Community Health Workers (CHWs) to Provide Maternal and Child Health (MCH) Services during the COVID-19 Pandemic in the Context of Odisha, India
title_sort resolution of resilience: empirical findings on the challenges faced and the mitigation strategies adopted by community health workers (chws) to provide maternal and child health (mch) services during the covid-19 pandemic in the context of odisha, india
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8775981/
https://www.ncbi.nlm.nih.gov/pubmed/35052251
http://dx.doi.org/10.3390/healthcare10010088
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