DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20201021

Pattern of time utilization by multipurpose health workers male in district Sonipat, Haryana

Deepak Verma, J. P. Majra, S. K. Jha

Abstract


Background: A multipurpose health worker is the key functionary in a sub centre. They associate with the community at grass-root levels. This study explores time utilization pattern of multipurpose health workers in the multifarious domains of their activities.

Methods: A time motion study conducted among health workers (HWs) male of all subcentres of district Sonipat, Haryana. Participants self‑reported their daily activities on a time measurement workbook for one month. Data were entered in Excel and analyzed using statistical package for social studies software.

Results: Time utilization patterns revealed that HWs spent nearly one third (31.5%) of their time on national vector born disease control programme. Documentation constituted nearly 16.3% of their time. Others activities include maternal and child health (7.4%), service for minor ailment (6.7%), revised national tuberculosis control programme (6.7%) and meetings (4.5%). They spent 13.9% of their time on non-productive activities. The proportion of time spent on field-based activities was 63.2% and on sub center based activities was 22.9% of the total working time. A negative correlation of field-based activities was found with age, job experience and residing in joint family.

Conclusions: The study reflects the time spent by HWs male in various domains of activities in relations to their job responsibilities and the multipurpose nature of their works. Some of the health programmes were ignored by HWs and were also found to be spending significant time on non-productive works.


Keywords


Multipurpose health workers, Time motion study, Time utilization pattern

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References


Lal S. Functioning of Subcentres in the system of primary health care. IJCM. 2001;26(2):59-64.

Nair V, Thankappan K, Sarma P, Vasan R. Changing roles of grass-root level health workers in Kerala, India. Health Policy Plan. 2001;16(2):171-9.

Ministry of Health, Government of India. Report of the committee on multipurpose workers under Health and Family Planning Programme. 1973. Available at: https://www.nhp.gov.in/sites/default/ files/pdf/Kartar_Singh_Committee_Report.pdf Accessed on 20 December 2018.

WHO. Health workforce 2030- a global strategy on human resources for health. 2016. Available at: https://apps.who.int/iris/bitstream/handle/10665/250368/9789241511131-eng.pdf;jsessionid=FDADD6F 42A917F2F385AFDD688DD8C6B?sequence=1. Accessed on 20 December 2018.

Guidelines for Multipurpose Health Worker (Male) 2010. New Delhi, India: Government of India Ministry of Health and Family Welfare, 2010.

Perry HB, Zulliger R, Rogers MM. Community health workers in low-, middle- and high- income countries: An overview of their history, recent revolution and current effectiveness. Annual Review of Public Health. 2014;35:399-421.

Gupta RB, Khan ME, Patel B. Perception of basic health workers (Males) on increasing their role in family planning promotional efforts. J Family Welfare. 2001;47(1):36-49.

Narayanasamy NS, Laxminarayanan S, Kumar G, Seker S, Selvaraj K. How multipurpose health workers spend time during work? Result from a time and motion study from Puducherry. Indian J Community Med. 2018;43(1):5.

Dwivedi N, Deshmukh P, Singh S, Dongre A, Dey D, Kumar V, Upadhyaya S. Outworn or forgotten: time and motion study of male multipurpose health workers from south India. J Community Health Management. 2017;4(4):156-63.

Shah AG, Davda B, Parikh S, Bala DV. Time motion study of the multipurpose health centers and subcentres in kanbha, Ahmedabad district Gujarat. Int J Med Sci Public Health. 2016;5:142-5.