Background: Occupational stress can impair one’s health and reduce the efficiency and productivity of work. Delivering health services in rural areas is a tedious job for healthcare workers due to various factors. Inadequate staffing of workers leading to overloaded work and many other factors make them less motivated and experience work stress. Methods: A cross sectional study done in Nelamangla, rural field practice area of BMCRI. A multi stage random sampling technique was applied for the study. 5 PHCs were randomly chosen. Healthcare workers (such as LHV, ANM, Health Assistants, ASHA workers and AWWs) were recruited by probability proportion to sample size. 140 study participants were interviewed using pre tested semi structured questionnaire to collect socio demographic details and work related details; validated professional life stress scale was used to assess stress levels. Descriptive statistics and chi square test were used. Results: 37.1% (52) had mild stress, 52.1% (73) were moderately stressed, 10.7% (15) were severely stressed and none of them were very severely stressed that needed immediate intervention. Working hours, job satisfaction, clarity about work, amount of work exceeding stipulated time, loss of interest at work, not being rewarded and valued for their work are few of the factors that are found to be associated with stress levels. Conclusions: Work related factors have been the main stressors and higher stress levels might impede the performance of the workers and hence addressing this is necessary.
BACKGROUND: Maternal mortality rate continues to be alarming in India. The process of pregnancy needs planning since there can be undue occurrence of emergencies leading to maternal death or morbidity. Care-seeking is compromised because of the delay in deciding to seek care, identifying danger signs, reaching a health facility, receiving adequate and appropriate treatment at the health facility and many more. Birth preparedness and complication readiness is very essential and effective strategy that encourages mother, family and community to plan a safe delivery.OBJECTIVE:1. To assess birth preparedness and complication readiness (BPACR) for a safe motherhood among antenatal mothers attending an urban health centre under Bangalore Medical College and Research Institute.2. To identify the factors affecting BPACR METHODS: A facility based cross sectional study conducted in Urban Health Training Centre (UHTC) under Bangalore Medical College and Research Institute (BMCRI) between November 2016 to January 2017. The study was conducted among 144 pregnant women as per inclusion criteria by convenient sampling. A semi structured questionnaire was used to calculate socio demographic details, antenatal care and a validated scale on BPACR by Johns Hopkins was used to assess birth preparedness and complication readiness. Descriptive statistics and chi square tests were used to analyze the data. RESULTS: Overall BPACR score was 43.98%. Only 18.7% of women knew >8 danger signs of pregnancy. Less than half of them knew about JSY benefits of cash assistance (31.3%) and transportation services (28%). Sociodemographic factors like education, socioeconomic status, husband's education and type of family had statistically significant associations with BPACR components.
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