scholarly journals Changing roles of grass-root level health workers in Kerala, India

2001 ◽  
Vol 16 (2) ◽  
pp. 171-179 ◽  
Author(s):  
V. Nair
Author(s):  
Arunima Saini ◽  
Monika Agarwal

Background: India is facing the surging trend of non-communicable diseases (NCD). Forecasting the burden for NCDs, the Government of India (GOI) initiated a program in 2010 across the country, i.e., National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases, and Stroke. The GOI has envisaged the female health workers (FHW) for the last mile delivery of health services under the programme. Available literature shows that FHWs lack essential knowledge regarding chronic diseases. This study attempts to fill these gaps by studying knowledge and skills regarding NCDs among FHWs in rural Lucknow. Objectives were to explore the knowledge about NCDs among ASHAs and ANMs in rural Lucknow and to assess of skills related to NCD screening among ANMs in rural Lucknow.Methods: It was a cross-sectional study conducted among FHWs of Lucknow, Uttar Pradesh from June 2019 to August 2019.Results: Among the FHWs, knowledge about NCDs was found to be higher for those with the age more than 40 years, with the education of higher secondary and above and also amongst those who had received previous training for NCDs.Conclusions: Majority of the respondents were found to have poor knowledge regarding NCDs. Additionally, older age, training and higher education are found to be associated with good knowledge; there is a need of training of grass root level workers for them to correctly identify the symptoms and risk factors of various NCDs.


Author(s):  
Shikha Singh ◽  
Sukhjeet Kaur

In Punjab the concept of SHGs has gained a huge popularity. Many institutions such as government organizations, non-government organizations, farmers clubs, health workers and banks are using this approach to empower women socially, economically and politically. SHG have brought tremendous change in the life of women at grass root level. But it requires a lot more efforts on part of the government, NGOs as well as banking sector to promote SHGs in the state. In spite of the speeding number of SHGs, the full potential of SHGs remains unexploited due to some challenges faced by the members of SHGs. Therefore the present study was planned to know the challenges faced by the members of SHGs in Punjab in proper functioning of the groups. The findings of this study revealed that lack of training opportunities were found to be the most serious problem perceived by the members of self-help groups. It was followed by lack guidance and support from promoting agencies and limited opportunities for income generating activities. There is need to overcome these hurdles by providing appropriate training and guidance for smooth functioning of self-help groups.


2020 ◽  
Vol 2 (1) ◽  
pp. 25-52
Author(s):  
Nina Nurmila

This article aims to offer a textual analysis of Rahima and Fahmina’s publications. Rahima and Fahmina are two Non-Government Organizations founded in 2000 by a young generation of Nahdlatul Ulama (NU), one of the largest moderate Muslim organizations in Indonesia. There are more similarities than differences between Rahima and Fahmina because the persons involved in the organizations are close friends and, in fact, the same persons even though both are based in two different cities. Since their foundation, both Rahima and Fahmina have published many books and magazines. This article argues that both Rahima dan Fahmina publications offer a new grounded feminist approach to Islam, which counterbalance the dominant male-biased normative approach to Islam in most Muslim societies. These publications are based on their feminist activism and community engagement with the grass-root level of many Nahdlatul Ulama pesantrens (Islamic boarding schools). The topics of their publication cover many current issues such as fiqh of women’s reproductive rights and empowerment, fiqh of the daily life of migrant workers, fiqh of anti-trafficking, prevention of child marriage, violent extremism and religious pluralism. As a result, the progressive nature of their publications negates the existing label of NU as the traditionalist organization.


PEDIATRICS ◽  
1970 ◽  
Vol 45 (5) ◽  
pp. 894-895
Author(s):  
Jacob Brem

A good deal of literature on child abuse has accumulated since Kempe and his group first described the "Battered Child Syndrome."1 Enlightened laws have been passed in the various states and management transferred from the police into the hands of social agencies. Furthermore, the reporting physician was protected from libel. However, at the grass root level, conditions are far from ideal. Physicians are unfamiliar with the various laws and are reluctant to report for fear of getting involved in unpleasant situations.


2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Isabela Wilfred Mtani ◽  
Elinorata Celestine Mbuya

Urbanisation leads to house densification, a phenomenon experienced in both planned and unplanned settlements in cities in developing countries. Such densification limits fire brigade access into settlements, thereby aggravating fire disaster risks. In this article, we assess the fire exposure and risks in residences in informal areas of Mchikichini ward, in Dar es Salaam City, Tanzania. We rely on interviews of residents and government officials to obtain background on the occurrence and causes of fire accidents, policy provisions and regulations, and experiences with fire outbreaks and coping strategies, as well as on observations and measurements of house transformations, spatial quality and indoor real life. Our findings suggest that fire risks arise from both inappropriate structural characteristics and unsound behavioural practices. This includes unsafe electric practices by residents, poor capacity of residents to fight fires once started, limited access to structures by firefighting equipment because of flouting of planning regulations and inadequate awareness of local government leaders of the magnitude of fire risks. Potential changes to reduce fire risks in the settlement include the installation of firefighting systems, restriction of cooking to designated spaces, use of safer cooking energy sources and lighting means, improvements of vehicle access routes to neighbourhoods, capacity building at the grass root level and the establishment of community-based fire risk management.


Author(s):  
Niaz Ahmad ◽  
Abida Bano ◽  
Ashfaq Rehman

Local government is visualised as a tool for promoting political participation, downward accountability, which consequently leads to the establishment of good governance at the grass-root level. In the establishment of the local government system, the main ingredients of good governance, such as participation and downward accountability, reckon almost on the nature of elections. However, societies marked with strong cultural and socially embedded informal institutions, already existed from generations, hinder formal institutions to play its intended role. In Pakistan, some socio-cultural features like gender, ascribed status, and economic background of the individuals influence the entire process of elections adversely. This paper attempts to assess the processes of the local government elections in District Karak, Khyber Pakhtunkhwa Pakistan. It aims to highlight the deterministic role of other informal institutional forces that affect the outcome of local elections. It investigates, how the process of local government elections is influenced in Pakistan and how do people decide whom to vote for in these elections. The study argues that policymakers should work on strengthening the formal institutions of elections through measures such as monitoring by media, referendums, auditing, evaluations, education, and political awareness as alternatives to ensure good governance at the local level in Pakistan.


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