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A time-use study of community health worker service activities in three rural districts of Tanzania (Rufiji, Ulanga and Kilombero).
- Source :
- BMC Health Services Research; 9/1/2016, Vol. 16, p1-8, 8p, 1 Chart, 3 Graphs
- Publication Year :
- 2016
-
Abstract
- <bold>Background: </bold>Despite expanding international commitment to community health worker (CHW) deployment, little is known about how such workers actually use their time. This paper investigates this issue for paid CHWs named "Community Health Agents," which in Swahili is "Wawezeshaji wa Afya ya Jamii" ("WAJA"), trained for 9 months in primary health care service delivery and deployed to villages as subjects of a randomized trial of their impact on childhood survival in three rural districts of Tanzania.<bold>Methods: </bold>To capture information about time allocation, 30 WAJA were observed during conventional working hours by research assistants for 5 days each over a period of 4 weeks. Results were presented in term of percentage time allocation for direct client treatment, documentation activities, health education, health promotion non-work-related activities and personal activities.<bold>Results: </bold>During routine 8-h workdays, 59.5 % of WAJA time was spent on the provision of health services and other work-related activities. Overall, WAJA spent 27.8 % of their work on traveling from home to home, 33.1 % on health education, 9.9 % of health promotion and only 12.3 % on direct patient care. Other activities related to documentation (7.8 %) and supervision (2.5 %).<bold>Conclusions: </bold>Results reflect the pressing obligations of WAJA to engage in activities other than direct work responsibilities during routine work hours. Time spent on work activities is primarily used for health education, promotion, moving between households, and direct patient care. However, greater effort should be directed to strengthening supervisory systems and follow-up of challenges WAJAs facing in order to increase proportion of working hours. [ABSTRACT FROM AUTHOR]
- Subjects :
- MEDICAL personnel
PRIMARY health care
RURAL geography
RANDOMIZED controlled trials
COMMUNITY health services
COMMUNITY health workers
COMPARATIVE studies
EMPLOYEE orientation
HEALTH education
HEALTH promotion
RESEARCH methodology
MEDICAL care
MEDICAL cooperation
RESEARCH
RURAL health
EMPLOYEES' workload
PROFESSIONAL practice
EVALUATION research
EDUCATION
Subjects
Details
- Language :
- English
- ISSN :
- 14726963
- Volume :
- 16
- Database :
- Complementary Index
- Journal :
- BMC Health Services Research
- Publication Type :
- Academic Journal
- Accession number :
- 117847558
- Full Text :
- https://doi.org/10.1186/s12913-016-1718-6