Does greater workload lead to reduced quality of preventive and curative care among community health workers in Bangladesh?
Community health workers (CHWs) perform a range of important tasks; however, limited evidence is available regarding the association between their workload and the quality of care they provide.To analyze the quality of preventive and curative care provided by two groups of CHWs with different worklo...
| Main Authors: | , , , , |
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| Format: | Journal Article |
| Language: | Inglés |
| Published: |
SAGE Publications
2012
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| Subjects: | |
| Online Access: | https://hdl.handle.net/10568/153301 |
| _version_ | 1855537321354461184 |
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| author | Puett, Chloe Coates, Jennifer Alderman, Harold Sadruddin, Salim Sadler, Kate |
| author_browse | Alderman, Harold Coates, Jennifer Puett, Chloe Sadler, Kate Sadruddin, Salim |
| author_facet | Puett, Chloe Coates, Jennifer Alderman, Harold Sadruddin, Salim Sadler, Kate |
| author_sort | Puett, Chloe |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | Community health workers (CHWs) perform a range of important tasks; however, limited evidence is available regarding the association between their workload and the quality of care they provide.To analyze the quality of preventive and curative care provided by two groups of CHWs with different workloads in southern Bangladesh.One group of CHWs provided preventive care in addition to implementing community case management (CCM) of acute respiratory infection and diarrhea, and another group additionally treated severe acute malnutrition (SAM). Preventive care was measured by case management observation at a routine household visit. Curative care was measured by case scenarios. Qualitative methods were used to contextualize CHWs' performance by examining their perceptions of challenges related to their workload. A total of 338 CHWs were assessed.CHWs managing cases of SAM worked significantly more hours than the other group (16.7 ± 6.9 hours compared with 13.3 ± 4.6 hours weekly, p < .001) but maintained quality of care on curative and preventive work tasks. Effectively treating cases of SAM appeared to motivate CHWs.This was one of the first trials adding the treatment of SAM to a CHW workload and suggests that adding SAM to a well-trained and supervised CHW's workload, including preventive and curative tasks, does not necessarily yield lower quality of care. However, increased workloads had consequences for CHWs' domestic life, and further increases in workload may not be possible without additional incentives. |
| format | Journal Article |
| id | CGSpace153301 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2012 |
| publishDateRange | 2012 |
| publishDateSort | 2012 |
| publisher | SAGE Publications |
| publisherStr | SAGE Publications |
| record_format | dspace |
| spelling | CGSpace1533012025-04-08T18:30:28Z Does greater workload lead to reduced quality of preventive and curative care among community health workers in Bangladesh? Puett, Chloe Coates, Jennifer Alderman, Harold Sadruddin, Salim Sadler, Kate child nutrition community organizations malnutrition health care labour methods quality time use patterns Community health workers (CHWs) perform a range of important tasks; however, limited evidence is available regarding the association between their workload and the quality of care they provide.To analyze the quality of preventive and curative care provided by two groups of CHWs with different workloads in southern Bangladesh.One group of CHWs provided preventive care in addition to implementing community case management (CCM) of acute respiratory infection and diarrhea, and another group additionally treated severe acute malnutrition (SAM). Preventive care was measured by case management observation at a routine household visit. Curative care was measured by case scenarios. Qualitative methods were used to contextualize CHWs' performance by examining their perceptions of challenges related to their workload. A total of 338 CHWs were assessed.CHWs managing cases of SAM worked significantly more hours than the other group (16.7 ± 6.9 hours compared with 13.3 ± 4.6 hours weekly, p < .001) but maintained quality of care on curative and preventive work tasks. Effectively treating cases of SAM appeared to motivate CHWs.This was one of the first trials adding the treatment of SAM to a CHW workload and suggests that adding SAM to a well-trained and supervised CHW's workload, including preventive and curative tasks, does not necessarily yield lower quality of care. However, increased workloads had consequences for CHWs' domestic life, and further increases in workload may not be possible without additional incentives. 2012-12 2024-10-01T13:55:55Z 2024-10-01T13:55:55Z Journal Article https://hdl.handle.net/10568/153301 en Limited Access SAGE Publications Puett, Chloe; Coates, Jennifer; Alderman, Harold; Sadruddin, Salim; Sadler, Kate 2012. Does greater workload lead to reduced quality of preventive and curative care among community health workers in Bangladesh? Food & Nutrition Bulletin 33(4): 273-287 |
| spellingShingle | child nutrition community organizations malnutrition health care labour methods quality time use patterns Puett, Chloe Coates, Jennifer Alderman, Harold Sadruddin, Salim Sadler, Kate Does greater workload lead to reduced quality of preventive and curative care among community health workers in Bangladesh? |
| title | Does greater workload lead to reduced quality of preventive and curative care among community health workers in Bangladesh? |
| title_full | Does greater workload lead to reduced quality of preventive and curative care among community health workers in Bangladesh? |
| title_fullStr | Does greater workload lead to reduced quality of preventive and curative care among community health workers in Bangladesh? |
| title_full_unstemmed | Does greater workload lead to reduced quality of preventive and curative care among community health workers in Bangladesh? |
| title_short | Does greater workload lead to reduced quality of preventive and curative care among community health workers in Bangladesh? |
| title_sort | does greater workload lead to reduced quality of preventive and curative care among community health workers in bangladesh |
| topic | child nutrition community organizations malnutrition health care labour methods quality time use patterns |
| url | https://hdl.handle.net/10568/153301 |
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