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

Abstract

Overview: In last few decades, our country has witnessed major changes in the disease burden. You know that India has made good progress in reducing maternal and child mortality in the last few years. To completely address the morbidity burden, reduce OOPE, improving the utilization of government health facilities and for ensuring continuum of care; the Government of India has recently implemented the holistic programme of the "Ayushman Bharat". A key addition to the primary health team at the SHC-HWC would be the Mid-level Health Provider (MLHP) or Community Health Officer (CHOs). Method: To know the real status of Community Health Officers & Health and Wellness Centers, a survey is conducted with the help of a structured questionnaire on 670 Community Health Officers (Contractual and Regular), those working at Health and Wellness Centers of Madhya Pradesh, India. The sample selected through the stratified disproportionate random sampling method. Result & Conclusion: Therefore, the study reveals that the performance of Community Health Officers (CHOs) and Services of Health and Wellness (HWCs) Services are affected by many factors (read in below table 01 & 02) like-Misuse of State orders at district or block level or Misuse of cadre at district or block level, duty of CHOs imposed in other tasks or services, lack of awareness about CHO cadre at District or Block officials and lack of support from other health worker of Health and Wellness Centers.