Role of community health officers: opportunities and challenges

Authors

  • Namita Batra Government College of Nursing, GSVM Medical College Campus, Kanpur, Uttar Pradesh, India
  • Kamlesh K. Sharma Institute of Nursing Education and Research, AIIMS, Bhatinda, Punjab, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20250654

Keywords:

Community health officer, Mid-level healthcare providers, Comprehensive primary health care

Abstract

Mid-level health care providers in India were introduced as community health officers under Ayushman Bharat in 2018. There were introduced with objective of providing comprehensive primary health care (CPHC) services through health and wellness centers (HWCs). It is the new cadre that leads the primary care team in providing services under essential care packages at HWCs. They are expected to perform different roles and functions as formulated under the guidelines by Government of India. The job title of community health officer gives the mid-level health care providers, provides opportunity in terms of autonomy, training, management of health and wellness center, leading the team etc., but they face several challenges while performing their tasks under CPHC. The aim of this review paper is to highlight the roles and functions of community health officers and opportunities and challenges they face while delivering services to people.

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References

Desai S, Bishnoi RK, Punjot P. Community health officer: the concept of mid-level health care providers. Int J Community Med Public Health. 2020;7:1610-7. DOI: https://doi.org/10.18203/2394-6040.ijcmph20201483

Moola S, Bhaumik S, Nambiar D. Mid-level health providers for primary healthcare: a rapid evidence synthesis. F1000Res. 2021;9:616. DOI: https://doi.org/10.12688/f1000research.24279.2

World Health Organization. Mid-Level Health providers: a promising resource to achieve the health Millenium development goals. 2010. Available at: https://www.who.int/workforcealliance/knowledge/resources/Final_MLP_web_2.pdf. Accessed on 24 December 2024.

Karan A, Negandhi H, Hussain S, Zapata T, Mairembam D, Graeve HD, et al. Size, composition and distribution of health workforce in India: why, and where to invest? Hum Resource Health. 2021;19:39. DOI: https://doi.org/10.1186/s12960-021-00575-2

National Health System Resource Centre. Ayushman Bharat Comprehensive Primary Health Care through Health and Wellness Centres, Operational Guidelines. 2018. Available at: https://nhsrcindia. org/node/736. Accessed on 24 December 2024.

Shukla A. Challenges of being Rural Medical Assistant in Chhatisgarh. The pioneer. State edition. Raipur. 20th February. 2017. Available at: https://www.dailypioneer.com/2017/stateeditions/challenges-of-being-rural-medical-assistant-in-chhattisgarh.html. Accessed on 24 December 2024.

Joshi R, Pakhare A, Kumar S, Khadanga S, Joshi A. Improving the capacity of nurses for noncommunicable disease service delivery in India: how do they fare in comparison to doctors? Educ Prim Care. 2019;30(4):230-6. DOI: https://doi.org/10.1080/14739879.2019.1619097

Joshi R, Alim M, Kengne AP, Jan S, Maulik PK, Peiris D, Patel AA. Task shifting for noncommunicable disease management in low and middle income countries—a systematic review. PLoS One. 2014;9(8):e103754. DOI: https://doi.org/10.1371/journal.pone.0103754

Garg S, Tripathi N, Datla J, Zapata T, Mairembam DS, Bebarta KK, et al. Assessing competence of mid-level providers delivering primary health care in India: a clinical vignette-based study in Chhattisgarh state. Hum Resour Health. 2022;20(1):41. DOI: https://doi.org/10.1186/s12960-022-00737-w

Government of India. Presentation made by Govt program manager on health and wellness centres in a meeting on July 2019. New Delhi: Ministry of Health and Family Welfare. 2019. Available at: https://mohfw.gov.in/sites/default/files/Annual%20Report%202019-2020%20English. Accessed on 24 December 2024.

Choi S, Jang SG, Lee W. The Scope of Practice for Registered Nurses in 64 South Korean Laws. J Korean Acad Nurs. 2019;49(6):760-70. DOI: https://doi.org/10.4040/jkan.2019.49.6.760

Government of India. Induction Training module for Community health officers. National health resource Center. Available at: https://nhsrcindia.org/sites/ default/files/2021-12/Induction%20Training% 20Module%20for%20CHO%20at%20AB-HWC%28English%29. Accessed on 24 December 2024.

Muksor A, Parmar D. Mid-Level Healthcare Providers: Insights from West Jaintia Hills District, Meghalaya. Econ Pol Weekly. 2023;58(38).

Ayushman Bharat Health and Wellness centers: Assessment in 18 states. Consolidated Report. National Health System Resource Centre. 2022. Available at: https://nhm.gov.in/uhc-day/Session% 202/Towards%20Universal%20Health%20Coverage_HWCCompendium. Accessed on 24 December 2024.

Towards Universal Health coverage. Ayushman Bharat Health and wellness centers: A compendium of Health and wellness centers operationalization. Ministry of Health and Family Welfare, Govt of India. 2020. Available at: https://nhm.gov.in/ New_Updates_2018/publication/CPHC_Booklet_10Dec2019_low_res. Accessed on 24 December 2024

Lahariya C. Health & Wellness Centers to strengthen primary health care in India: Concept, progress and Ways Forward. Indian J Pediatr. 2020;87(11):916-29. DOI: https://doi.org/10.1007/s12098-020-03359-z

Brar S, Purohit N, Singh G, Prinja S, Kaur M, Lakshmi PVM. Health system readiness for roll out of the Ayushman Bharat health and wellness centres – Early experiences from Punjab State. J Family Med Prim Care. 2022;11:1354-60. DOI: https://doi.org/10.4103/jfmpc.jfmpc_2560_20

Priya R. How India’s Community Health Officers are strengthening Country’s Backbone. She the People. 2021. Available at: https://www.shethepeople.tv/ interviews/indian-community-health-officers/. Accessed on 24 December 2024.

Anand S. Health ministry’s eSanjeevani records 8 crore teleconsultations. Live Mint News. 2022. Available at: https://www.livemint.com/news/india/ healthministry-s-esanjeevani-records-8-crore-tele consultations-11670333889694.html. Accessed on 24 December 2024.

Solanki HK, Rath RS, Silan V, Singh SV. Health and wellness centers: a paradigm shift in health care system of India? Int J Community Med Public Health 2020;7:799-805. DOI: https://doi.org/10.18203/2394-6040.ijcmph20200470

Ved RR, Gupta G, Singh S. India’s health and wellness centres: realizing universal health coverage through comprehensive primary health care. WHO South-East Asia J Public Health. 2019;8(1):18-20. DOI: https://doi.org/10.4103/2224-3151.255344

Sood A, Kumar D, Kumar A, Sanjay, Sood A, Neetu. Assessment of health and wellness centres in hilly district of Himachal Pradesh. Int J Community Med Public Health. 2021;8:5852-5. DOI: https://doi.org/10.18203/2394-6040.ijcmph20214578

Saluja B. Mohali Health centers face 40% medicine shortage. The Times of India-Chandigarh News. 2022. Available at: https://timesofindia.indiatimes. com/city/chandigarh/mohali-health-centres-face-40-medicineshortage/articleshow/92862448.cms. Accessed on 24 December 2024.

State Health Resource Center. Urban Health and Wellness Centers in Chhattisgarh: An assessment report of Progress and Data Monitoring. Government of Chhattisgarh. 2019. Available at: https://nhsrc india.org/sites/default/files/2024-01/AB-HWC%20 Report%20-%20FINAL%20-%20May%2013. Accessed on 24 December 2024.

Kumar A. Study about the identification of factors that affect the performance of Community Health Officers (CHO’s) & services of Health and Wellness Centers (HWC’s) in Community area of Madhya Pradesh, India. 2021. Available at: https://ssrn. com/abstract=3806417. Accessed on 24 December 2024. DOI: https://doi.org/10.2139/ssrn.3806417

Jaeger FN, Bechir M, Harouna M, Moto DD, Utzinger J. Challenges and opportunities for healthcare workers in a rural district of Chad. BMC Health Serv Res. 2018;18(1):7. DOI: https://doi.org/10.1186/s12913-017-2799-6

Rathod H, Pithadia P, Patel D, Goswami M, Parmar D, Kotecha I. Assessment of Functioning of Health and Wellness Centers in a District of Western Gujarat. Healthline. 2020;11(2):34-9. DOI: https://doi.org/10.51957/Healthline_142_2020

Chauhan V, Dumka N, Hannah E, Ahmed T, Kotwal A. Mid-level health providers (MLHPs) in delivering and improving access to primary health care services - a narrative review. Dialogues Health. 2023;3:100146. DOI: https://doi.org/10.1016/j.dialog.2023.100146

Arora N, Hanson K, Spicer N, Estifanos AS, Keraga DW, Welearegay AT, et al. Understanding the importance of non-material factors in retaining community health workers in low-income settings: a qualitative case-study in Ethiopia. BMJ Open. 2020;10(10):e037989. DOI: https://doi.org/10.1136/bmjopen-2020-037989

Jani VJ. Community Health Officer Post – Potential Concerns. Indian J Comm Health. 2020;32(4):743-5. DOI: https://doi.org/10.47203/IJCH.2020.v32i04.024

Brar S, Purohit N, Prinja S, Singh G, Bahuguna P, Kaur M. What and how much do the community health officers and auxiliary nurse midwives do in health and wellness centres in a block in Punjab? A time-motion study. Indian J Public Health. 2021;65(3):275-9. DOI: https://doi.org/10.4103/ijph.IJPH_1489_20

Terry D, Lê Q, Nguyen U, Hoang H. Workplace health and safety issues among community nurses: a study regarding the impact on providing care to rural consumers. BMJ Open. 2015;5(8):e008306. DOI: https://doi.org/10.1136/bmjopen-2015-008306

Bajpai N, Wadhwa M. Health and wellness centers: expanding access to comprehensive primary healthcare in India. ICT India Working Paper. 2019. Available at: https://csd.columbia.edu/sites/default/ files/content/docs/ICT%20India/Papers/ICT_India_Working_Paper_13.pdf. Accessed on 24 December 2024.

Mudur G. Indian Medical Association tries to stall rural health course. BMJ. 2010;341. DOI: https://doi.org/10.1136/bmj.c6199

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Published

2025-02-28

How to Cite

Batra, N., & Sharma, K. K. (2025). Role of community health officers: opportunities and challenges. International Journal Of Community Medicine And Public Health, 12(3), 1557–1563. https://doi.org/10.18203/2394-6040.ijcmph20250654

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Section

Review Articles