Abstract
Mother child tracking system(MCTS) is an information system for tracking maternal and child health beneficiaries in Indias public health system, and improving service delivery planning and outcomes. Auxiliary nurse midwife(ANM) has broad spectrum of responsibilities to play in under National health mission. In the present study the workload of ANM was estimated using standard methodology WISN(Workload indicators of staffing needs) given by WHO. Quantitative research approach with time-motion research design was chosen for the study. Workload was estimated in 21 civil dispensaries of Chandigarh, India. The workload was found to be high in 9 dispensaries. It was very high in 4 dispensaries where ANMs spent their total annual working time in doing activities under MCTS and they are left with no time for doing activities under other national health programs.
Highlights
Mother child tracking system(MCTS) is an information system for tracking maternal and child health beneficiaries in India‟s public health system, and improving service delivery planning and outcomes
The workload was found to be high in 9 dispensaries. It was very high in 4 dispensaries where ANMs spent their total annual working time in doing activities under MCTS and they are left with no time for doing activities under other national health programs
In 2005, the National Rural Health Mission (NRHM) was launched, which focused on improvising primary health care in villages and further increased the importance of the ANM as a link between health services and the community[1]
Summary
The step in WISN methodology is to estimate available working time, means how much time an ANM has available for doing her work. The available working time can be expressed in days or hours per year. To calculate the Available Working Time (AWT), the total days of off were added and that sum was deducted from total possible working days. The available working time of an ANM was found to be 1686 hours /year
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