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Table 3 SWOT analysis of the study methods

From: Time motion study using mixed methods to assess service delivery by frontline health workers from South India: methods

Strengths Weaknesses
 • Deductive approach with a foundation of inductive approach to field inquiry.
 • Accurate measurement of time and better management of observation data by use of software based data collection tools.
 • Variations across settings (tribal, non-tribal) and cadres studied.
 • GPS enabled android-based app led to recording accurate movement in the field
 • Stringent field based monitoring and supportive supervision
 • A multi-disciplinary team of experts for technical guidance
 • Observing inter-departmental convergence
 • Hawthorne effect
 • Inter-observer bias, due to big team of observers
 • Only male observers in the team, however no discomfort expressed by participants who were largely females.
 • Home to home follow up by a male was uncomfortable for few female workers because of social or cultural reasons
 • Malfunctioning of few tablets initially (two to three times in the first district).
Opportunities Threats
 • To capture best practices from the field to develop model work plan for FLHWs.
 • To identify policy implications and interventions for redefining job responsibilities of FLHWs.
 • Voicing the concerns of the lowest cadre that are unheard.
 • Any punitive action against FLHWs, and ASHAs if the findings were not acceptable to higher administration. Although anonymity was maintained during reporting.