Primary Healthcare Nursing Cadre in India: Needs Paradigm Shift

Role of nurse practitioners within health system in India

“…Role of nurses in primary healthcare comprises delivery of services, promotion of health, prevention of diseases, and care of sick across all ages, groups and communities. [ 9 ] The WHO is celebrating 2020 as a year of appreciation for the contribution of nurses and their agenda of incorporating nursing leadership occupies a fundamental point in recognizing nurse practitioners. [ 2 ]…”

“…The National Health Policy, 2017, envisioned strengthening the primary healthcare system through the Health and Wellness Centres establishment. [ 9 ] A key addition to the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana was the incorporation of a mid-level health provider, either a Community Health Officer or an Ayurveda practitioner delivering public health and primary care services. [ 7 ] The agenda behind the introduction of this new cadre is to augment the efficiency of HWCs, expand the choice of services for the community, improve access and enhance coverage with a proportionate reduction in out-of-pocket expenditure.…”

Empowerment Of Community (Health And Family Cadres) In Early Detection Of High Risk Pregnant Mothers As A Prevention Of Pregnancy Complications

“…Burneh Health Centre is listed as the health centre with the highest number of high-risk pregnancies in Bangkalan (Harunatussyarifah, 2018), but health workers cannot detect them individually, so community involvement (families and cadres) is needed in identifying high-risk pregnancies [2][8] [9][10] [7] [11]. Kapor village is one of the villages in Madura Island, more specifically in Bangkalan area, Burneh sub-district.…”

“…The health cadres play an important role in maternal and child health programs, including providing information on all health problems related to the health of pregnant women and newborns [12][13][14] [15]. One of the roles of the maternal and child health cadres is to motivate pregnant women to seek antenatal care from health workers [9][10] [13][16] [11]. Under the risk approach strategy, screening activities are an important component of antenatal care, which must be followed by communication, information, and education (KIE) for pregnant women, husbands, and families to plan for safe delivery and prepare for referral if needed.…”

Healthcare in India: Nurses’ Contribution

“…Nursing leadership is a vital part of the WHO's 2020 Nurses' Year of Appreciation. [5] Due to rising demand, effective workforce utilization is crucial to providing high-quality and cost-effective health-care services. Given that the global nurse practitioner workforce is growing 3-9 times faster than the physician workforce, nurse practitioners could serve as initial contacts.…”