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JOURNAL ARTICLE
Julia J Yi, Karen A Erickson
PURPOSE: This study examined the clinical practice, self-efficacy, and beliefs about assessing and treating written language among speech-language pathologists (SLPs) working with school-aged clients (aged 5-21 years) in school and nonschool settings in the United States. METHOD: A survey was completed by a nationwide sample of 344 SLPs working with school-aged clients in the United States. Statistical analyses were conducted to determine differences between (a) SLPs' self-efficacy in assessing and treating spoken versus written language and (b) school-based and non-school-based SLPs' clinical practice, self-efficacy, and beliefs about their roles with written language...
April 4, 2024: Language, Speech, and Hearing Services in Schools
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JOURNAL ARTICLE
Ruchita Ramesh Khandre, Arjun Jakasania, Abhishek Raut
BACKGROUND: The role of Accredited Social Health Activist (ASHA) the key worker is primely surrounded to be mainly a link-worker or facilitator, a community health worker, and a social activist under National Rural Health Mission (NRHM). This study was conducted to study the workload and work pattern of ASHAs and identify the causes for improving work. METHODS: This was an observational cross-sectional study conducted using a time-motion study as the tool among seventeen ASHAs from two primary health centers (PHC) in central India for four months...
December 2023: Medical Journal, Armed Forces India
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JOURNAL ARTICLE
Ritu Shrivastava, Lochan Sharma, Mehak Jolly, Romi Ahuja, Radhika Sharma, John A Naslund, Jyotsna Agrawal, Rahul Shidhaye, Seema Mehrotra, Steve D Hollon, Vikram Patel, Deepak Tugnawat, Ananth Kumar, Anant Bhan, Ameya P Bondre
OBJECTIVE: More than a million female village-level lay providers called 'Accredited Social Health Activists (ASHAs)', who deliver primary care, face high levels of stress due to work demands and low compensation, within the context of poverty and gender inequality. Evidence on ASHAs has focused on workplace challenges from a system perspective, without sufficient probing into individual-level stress. This study aims to gain perspectives into the experiences of work stress, the related health symptoms, and the responses to stress among ASHAs in India...
September 15, 2023: Social Science & Medicine
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JOURNAL ARTICLE
Tyler T Christopulos, Sean M Redmond
PURPOSE: Developmental language disorder (DLD) is an underidentified neurodevelopmental disorder that affects, on average, one out of 11 kindergarten-age children (ages 4-6 years). Children with DLD can face academic, behavioral, psychiatric, emotional, and social challenges. Universal screening is seen as an effective way for public school districts to increase DLD identification rates. However, little is known about factors impacting implementation of school-based universal screenings for DLD...
July 17, 2023: Language, Speech, and Hearing Services in Schools
#5
JOURNAL ARTICLE
Angeli Rawat, Asha Pun, K C Ashish, Indra K Tamang, Jonas Karlström, Katrina Hsu, Kumanan Rasanathan
METHODS: Key informant interviews and focus group discussions were utilised. Participants included FCHVs, primary healthcare workers, community leaders and mothers, district health managers, representatives from the Ministry of Health and Population, multilateral health organisations, bilateral development partners, local non-governmental organisations, community-based organisations, and international non-governmental organisations. We used thematic content analysis to identify emerging themes...
May 12, 2023: Journal of Global Health
#6
JOURNAL ARTICLE
Hemant Deepak Shewade, Asha Frederick, Madhanraj Kalyanasundaram, Joshua Chadwick, G Kiruthika, T Daniel Rajasekar, K Gayathri, R Vijayaprabha, R Sabarinathan, Shri Vijay Bala Yogendra Shivakumar, Kathiresan Jeyashree, P K Bhavani, S Aarthi, K V Suma, Delphina Peter Pathinathan, Raghavan Parthasarathy, M Bhavani Nivetha, Jerome G Thampi, Deiveegan Chidambaram, Tarun Bhatnagar, S Lokesh, Shanmugasundaram Devika, Timothy S Laux, Stalin Viswanathan, R Sridhar, K Krishnamoorthy, M Sakthivel, S Karunakaran, S Rajkumar, M Ramachandran, K D Kanagaraj, M Kaleeswari, V P Durai, R Saravanan, A Sugantha, S Zufire Hassan Mohamed Khan, P Sangeetha, R Vasudevan, R Nedunchezhian, M Sankari, N Jeevanandam, S Ganapathy, V Rajasekaran, T Mathavi, A R Rajaprakash, Lakshmi Murali, U Pugal, K Sundaralingam, S Savithri, S Vellasamy, D Dheenadayal, P Ashok, K Jayasree, R Sudhakar, K P Rajan, N Tharageshwari, D Chokkalingam, S M Anandrajkumar, T S Selvavinayagam, C Padmapriyadarsini, Ranjani Ramachandran, Manoj V Murhekar
Due to the workload and lack of a critical mass of trained operational researchers within their ranks, health systems and programmes may not be able to dedicate sufficient time to conducting operational research (OR). Hence, they may need the technical support of operational researchers from research/academic organisations. Additionally, there is a knowledge gap regarding implementing differentiated tuberculosis (TB) care in programme settings. In this 'how we did it' paper, we share our experience of implementing a differentiated TB care model along with an inbuilt OR component in Tamil Nadu, a southern state in India...
December 31, 2023: Global Health Action
#7
JOURNAL ARTICLE
Manisha Gore, Anand Kawade, Pam Smith, Hilary Pinnock, Sanjay Juvekar
BACKGROUND: Community health workers (CHW) contribute to achieving health targets of the Sustainable Development Goals (SDG) and Universal Health Care (UHC) in low- and middle-income countries (LMICs). In India, accredited social health activists (ASHAs) function as health facilitators, service providers, and programme supporters for rural and tribal communities and are at the frontline during the COVID-19 pandemic. We aimed to describe the ASHAs' work roles both before and during the COVID-19 pandemic, explore the tasks ASHAs performed throughout the pandemic, and understand its effects on the evolving role of ASHAs...
November 29, 2022: Journal of Global Health
#8
JOURNAL ARTICLE
Iben Christensen, Emma Power, Leanne Togher, Anne Norup
PURPOSE: Communication between people with traumatic brain injury (TBI) and rehabilitation staff can be impacted by cognitive-communication disorders. Communication partner training (CPT) programs hold potential to improve communication between people with TBI and their communication partners. To tailor CPT programs to the rehabilitation environment, it is critical to understand the nature of communicative interactions for staff members. This study explores staff and managers' experiences of communication with people with TBI in the rehabilitation setting...
December 1, 2022: American Journal of Speech-language Pathology
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JOURNAL ARTICLE
Claire Elliott, Dean Sutherland, Daniel Gerhard, Catherine Theys
PURPOSE: Augmentative and alternative communication (AAC) systems are important to support communication for individuals with complex communication needs. A recent addition to AAC system options is the brain-computer interface (BCI). This study aimed to compare the clinical application of the P300 speller BCI with two more common AAC systems, the EyeLink board, and an eye-tracking camera. METHOD: Ten participants without communication impairment (18-35 years of age) used each of the three AAC systems to spell three-letter words in one session...
October 12, 2022: Journal of Speech, Language, and Hearing Research: JSLHR
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JOURNAL ARTICLE
Rakesh Balachandar, Asha Ketharam, Srikala Bharath
An imbalance in the keyorganizational psychology constructs viz. "Workload", "Reward", "Community","Control", "Values" and "Fairness" are potential factors leading to negativeoccupational mental health, i.e. burnout. Burnout, a psychological syndrome is thecombination of emotional exhaustion, sense of reduced compassion andaccomplishment. To note, the concept of occupational mental health in a nationwith second largest workforce is nascent. Further, the utility of existingwestern tools in Indian subcontinent is limited by culturallyinappropriateness, patented, less comprehensible and other factors...
May 11, 2022: Industrial Health
#11
JOURNAL ARTICLE
Tapas Chakma, Beena E Thomas, Simran Kohli, Rony Moral, Geetha R Menon, Murugesan Periyasamy, U Venkatesh, Ragini Nitin Kulkarni, Ranjan Kumar Prusty, Vinoth Balu, Ashoo Grover, Jugal Kishore, Maribon Viray, Chitra Venkateswaran, Geethu Mathew, Asha Ketharam, Rakesh Balachandar, Prashant Kumar Singh, Kiran Jakhar, Shalini Singh, Rekha Devi, Kalyan B Saha, Pradeep Barde, Ravinder Singh, Denny John, Bijaya Kumar Mishra, Jeetendra Yadav, Sumit Agarwal, Vishnu Vardhana Rao, Samiran Panda
Background & objectives: The healthcare system across the world has been overburdened due to the COVID-19 pandemic impacting healthcare workers (HCWs) in different ways. The present study provides an insight into the psychosocial challenges faced by the HCWs related to their work, family and personal well-being and the associated stigmas. Additionally, the coping mechanisms adopted by them and their perceptions on the interventions to address these challenges were also explored. Methods: A qualitative study was conducted between September and December 2020 through in-depth telephonic interviews using an interview guide among 111 HCWs who were involved in COVID-19 management across 10 States in India...
October 1, 2021: Indian Journal of Medical Research
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JOURNAL ARTICLE
Svea Closser, Surendra Singh Shekhawat
Across the literature on CHWs globally, the role of CHWs' families remains largely unexplored. This article focuses on ASHAs and Anganwadi Workers in a town in rural Rajasthan, India. We interviewed all twenty ASHAs and Anganwadi Workers in this town, and ten of their families; we also conducted participant observation in Anganwadi Centers, health centres, and family settings. ASHA and Anganwadi work was in high demand, despite being low paying, because of an overall lack of jobs for educated women. Every aspect of CHW work, from recruitment to selection to training to the number of hours spent on the job, was heavily determined by families...
August 25, 2021: Global Public Health
#13
JOURNAL ARTICLE
Sajna Mathumkunnath Vijayan, Safa Puliyakkadi, Swathi Chalil
Background: Transformation of Primary Health Centers to Family Health Centers (FHC) in Kerala is a new movement. It is important to study the perspectives of stakeholders about it so that strengthening of the facilitators and tackling the barriers can be done. Objectives: The objectives of this study were to understand the perspectives of patients and health-care workers on the facilitators and barriers of service utilization in a FHC in Central Kerala. Methods: Descriptive qualitative study was done for a period of 3 months at FHC, Mundur, Thrissur district, Kerala...
April 2021: Indian Journal of Public Health
#14
JOURNAL ARTICLE
Sneha Malhotra, Vikrant Mohanty, Aswini Y Balappanavar, Vaibhav Gupta, Shivam Kapoor, Surbhi Kapoor
Aim and Objectives: To assess the factors and perception of various stakeholders on the integration of oral health into the national health schemes using a mixed-method research design. Materials and Method: A mixed-method study was carried out in 2018 in two phases. In the first phase of the study, a pretested and prevalidated self-designed close-ended questionnaire was used to assess the knowledge, attitude, perception, barriers, myths, and feasibility of the integration of oral health in national health schemes...
April 2021: Journal of Family Medicine and Primary Care
#15
JOURNAL ARTICLE
Asha Frederick, Mrinalini Das, Kedar Mehta, Ganesh Kumar, Srinath Satyanarayana
BACKGROUND: No Indian studies have assessed the implementation of recent policy on pharmacy based surveillance and its contribution in TB notification. So, this study was conducted with objectives to describe: a) pharmacy based TB surveillance and TB notification, and b) experiences of pharmacy based surveillance implementation from the programme managers and pharmacists perspective. METHODS: A mixed methods study-quantitative (cross-sectional) and qualitative (in-depth interviews) in two selected districts Dharmapuri and Salem districts of Tamil Nadu State, India...
January 2021: Indian Journal of Tuberculosis
#16
JOURNAL ARTICLE
Anand Kawade, Manisha Gore, Pallavi Lele, Uddhavi Chavan, Hilary Pinnock, Pam Smith, Sanjay Juvekar
BACKGROUND: Globally, community health workers (CHWs) are integral contributors to many health systems. In India, Accredited Social Health Activists (ASHAs) have been deployed since 2005. Engaged in multiple health care activities, they are a key link between the health system and population. ASHAs are expected to participate in new health programmes prompting interest in their current workload from the perspective of the health system, community and their family. METHODS: This mixed-methods design study was conducted in rural and tribal Primary Health Centers (PHCs), in Pune district, Western Maharashtra, India...
January 6, 2021: Human Resources for Health
#17
JOURNAL ARTICLE
Katharine D Shelley, Gasto Frumence, Rose Mpembeni, George Mwinnyaa, Juliana Joachim, Hawa Kadria Kisusi, Japhet Killewo, Abdullah H Baqui, David H Peters, Asha S George
BACKGROUND: Countries with health workforce shortages are increasingly turning to multipurpose community health workers (CHWs) to extend integrated services to the community-level. However, there may be tradeoffs with the number of tasks a CHW can effectively perform before quality and/or productivity decline. This qualitative study was conducted within an existing program in Iringa, Tanzania where HIV-focused CHWs working as volunteers received additional training on maternal, newborn, and child health (MNCH) promotion, thereby establishing a dual role CHW model...
September 1, 2019: International Journal of Health Policy and Management
#18
JOURNAL ARTICLE
Marwa Abdel-All, Blake Angell, Stephen Jan, Martin Howell, Kirsten Howard, Seye Abimbola, Rohina Joshi
Introduction: A number of factors contribute to the performance and motivation of India's Accredited Social Health Activists (ASHAs). This study aims to identify the key motivational factors (and their relative importance) that may help retain ASHAs in service. Methods: A discrete choice experiment (DCE) survey presented ASHAs with eight unlabelled choice sets, each describing two hypothetical jobs that varied based on five attributes, specifically salary, workload, travel allowance, supervision and other job benefits...
2019: BMJ Global Health
#19
JOURNAL ARTICLE
Katharine D Shelley, Gasto Frumence, Rose Mpembeni, Asha S George, Elizabeth A Stuart, Japhet Killewo, Abdullah H Baqui, David H Peters
Community health workers (CHWs) play a critical role in health promotion, but their workload is often oriented around a single disease. Renewed interest in expansion of multipurpose CHWs to cover an integrated package of services must contend with the debate over how effectively CHWs can perform an increased range of tasks. In this study, we examine whether an existing cadre of HIV-focused paid volunteer CHWs in Iringa, Tanzania, can take on new maternal, newborn and child health (MNCH) promotion tasks without adversely affecting their HIV role...
December 26, 2018: Health Policy and Planning
#20
JOURNAL ARTICLE
Andy C Rawstron, Karl-Anton Kreuzer, Asha Soosapilla, Martin Spacek, Olga Stehlikova, Peter Gambell, Neil McIver-Brown, Neus Villamor, Katherina Psarra, Maria Arroz, Raffaella Milani, Javier de la Serna, M Teresa Cedena, Ozren Jaksic, Josep Nomdedeu, Carol Moreno, Gian Matteo Rigolin, Antonio Cuneo, Preben Johansen, Hans E Johnsen, Richard Rosenquist, Carsten Utoft Niemann, Wolfgang Kern, David Westerman, Marek Trneny, Stephen Mulligan, Michael Doubek, Sarka Pospisilova, Peter Hillmen, David Oscier, Michael Hallek, Paolo Ghia, Emili Montserrat
The diagnostic criteria for CLL rely on morphology and immunophenotype. Current approaches have limitations affecting reproducibility and there is no consensus on the role of new markers. The aim of this project was to identify reproducible criteria and consensus on markers recommended for the diagnosis of CLL. ERIC/ESCCA members classified 14 of 35 potential markers as "required" or "recommended" for CLL diagnosis, consensus being defined as >75% and >50% agreement, respectively. An approach to validate "required" markers using normal peripheral blood was developed...
January 2018: Cytometry. Part B, Clinical Cytometry
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