Authors: Arima Mishra
CHW experiences in Orissa, India go beyond the technical aspects of combining different health systems. Teamwork and building trust with the community were found to be pivotal parts of their practice. The National Rural Health Mission (NRHM) primary health care ideology conflicts with the narrow indicators of health system performance (over reliance on statistical evidence, hierarchical bureaucratic, top-down structures) and impedes efforts towards health system integration.
Resource Type: Journal articles