Table 4 Facilitating factors and barriers to efficient working by ANMs
Domain | Facilitating factors* | Barriers* |
|---|---|---|
Interpersonal factors and community related | Co-worker’s support | Lack of community support |
Community support | Lack of co-workers’ support | |
Family support | Local community beliefs | |
School support | Fear of violence and alcoholism in remote tribal areas | |
Community awareness | ||
Beneficiaries support | Movements of village people for seasonal jobs disrupts continuity of care | |
Self-motivation | ||
Knowing local language | ||
Health system-related factors | Clear work plan | Difficult transportation |
Ease in transportation | Training needs | |
Proper infrastructure, stocks and supplies | Poor infrastructure, inadequate stocks and supplies | |
Supervision and support from district health system | Accompanying beneficiaries to higher facilities | |
Work atmosphere | Vacant positions | |
Low salaries of contractual ANMs | ||
Carrying heavy vaccine kits | ||
Multiple health programmes | ||
Records maintenance | ||
Online MCTS | ||
Work pressure | ||
Sudden meetings | ||
No ambulance service | ||
Health facilities in interior locations | ||
Others | Political support | Extreme climatic conditions |
Political interference | ||
Physical ill health | ||
Emergencies/ outbreaks | ||
Concerns of family |