The In-depth interview (IDI) was an important tool to enumerate situation of health facilities. They were used to record the feelings, perception, motivation and problems of the service providers. A total of 29 staff in each district, 232 in all districts were planned to interview. The planned breakdown of the staff in each districts were doctors (3), public health nurse (1), health assistant (3), staff nurse (3), auxiliary health worker (6), assistant nurse midwife (3), maternal child health worker (5), peon (3) and members of the management committee of the facilities (3). However, a total of 213 (92%) staffs were interviewed towards the end. The lapses occurred due to the specified staff were not available for the interview. In few cases the positions remained vacant and two of the respondents refused to give interview. The IDIs used structured checklists (Annex 4). The major components of the interviews included available services, human resources, tools and equipment, services to improve, community cooperation, awareness of inclusion, security and self respect, level of motivation and satisfaction at work.
Out of 213 service providers interviewed, the highest proportion comprised of Brahmin/Chhetris (63%) against their actual proportion (35%) as of national census 2001, and lowest (1%) comes from the Religious minority groups (Table 2). The reasons of over representation of Brahmin/Chhetris against others are not so specific but their proportion could be higher in the health facility than other social categories. Similarly, the under representation continued in the Disadvantaged Janajatis (DAJ), Other Excluded Groups and Dalits against the proportion of their population in the districts. The selection was random but the proportionate distribution was concentrated towards the Brahmin/Chhentri (BC) and Relatively Advantaged Janajatis (RAJ). The representation may be true but was beyond the scope of this analysis.
No comments:
Post a Comment