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Performance assessment of junior public health nurse in maternal and child health services in a district of Kerala, India
Background: Performance assessment of health services provided to maternal and child population is an important area of concern especially in developing countries including India. Aim: This study was conducted to assess the performance of Junior Public Health Nurses (JPHN) on services provided to ma...
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| Médium: | Printed Book |
| Vydáno: |
International Journal of Advanced Medical and Health Research
2015
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| On-line přístup: | http://10.26.1.76/ks/005387.pdf |
| Shrnutí: | Background: Performance assessment of health services provided to maternal and child population is an important
area of concern especially in developing countries including India. Aim: This study was conducted to assess the
performance of Junior Public Health Nurses (JPHN) on services provided to maternal and child health at sub-centers
in Malappuram district of Kerala, India. Methods: Maternal and child health services were assessed based on record
analysis and interviewing JPHN in 30 randomly selected sub-centers using a predesigned questionnaire prepared
according to Indian Public Health Standards for sub-centers. The work performed by the JPHNs was graded as
excellent, very good, good, satisfactory, and poor based on the standard guidelines. Results: Population covered
by the 30 JPHNs at their sub-centers ranges from 5050 to 9869. Services were excellent in all the sub-centers for
tetanus toxoid immunization and institutional deliveries. Although antenatal care (ANC) registration was excellent
in 70% of the sub-centers, it was poor for the 1 st trimester ANC registration in 50% of sub-centers. In the case of
referral services and postnatal care (PNC), 27% and 33% of the centers were excellent, respectively. 50% of the
centers have had poor performance in PNC. Detection of beneficiaries for immunization by JPHNs was excellent
in 60% of the sub-centers. Measles and full immunization coverage was poor in 40% of sub-centers. Around 77%
JPHNs attended in-service training, and 90% of them could prepare sub-center annual action-plan. Conclusion:
There is a variation in performance of JPHNs at a sub-district level which highlights the importance of further
studies to elucidate the factors associated with it. |
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| Fyzický popis: | Volume 2 • Issue 1 • Jan-Jun 2015 |