Table 2. Study participants by cadre type and setting in three study sites in Bangladesh, Indonesia and Pakistan, 2015–2018.
Participants | Health worker cadres by setting |
||
---|---|---|---|
Gaibandha district, Bangladesh | Central Lombok district, Indonesia | Karachi (urban) and Shikarpur (rural) districts, Pakistan | |
Primary health workers (5–7 of each cadre) |
Family welfare assistants: provide routine reproductive, maternal, newborn and child health services through home visits, such as antenatal screening and referrals for clinical services Family welfare visitors: provide routine reproductive, maternal, newborn and child health services through clinics, with a focus on family planning and antenatal care Health assistants: deliver immunizations according to the expanded programme on immunizations; hold routine outreach vaccination events |
Midwives
(bidan): provide antenatal care; conduct deliveries, intrapartum care and postnatal care; provide contraception, including intrauterine devices Nutritionist workers (gizi): provide services related to maternal and child nutrition promotion; child growth monitoring; distribution of vitamin A; community outreach for anthelmintics and nutrition Vaccinators (vaksinator): provide routine child vaccinations at health outreach centres and school programmes |
Lady health workers: provide core community activities, such as household registration and census enumeration; pregnancy surveillance; community-based antenatal care; polio vaccination and other routine immunizations; vital events tracking; and related reproductive, maternal, newborn and child health services Vaccinators: provide all childhood vaccinations and women’s tetanus vaccinations at clinics and during outreach services; responsible for tracking logistics and supplies |
Supervisors of primary health workers (3–5 of each cadre) |
Family planning inspectors: supervise family welfare assistants Health inspectors: supervise health assistants |
Head of primary health care: supervise and be responsible for all health workers at the primary health-care centre (puskesmas) bidan coordinator: supervise bidan midwives gizi coordinator: supervise nutrition workers vaksinator coordinator: supervise vaccinators |
Lady health visitors: supervise lady health workers; provide facility-based antenatal care, deliveries; handle obstetric complications |
District-level health managers for reproductive, maternal, newborn and child health services (1 of each cadre) | Deputy director family planning; Upazila health and family planning officer; Upazila family planning officer |
District health office head; District public health head; District family health division head; District midwife (maternal and child health) coordinator; District vaccinator coordinator; District nutritionist coordinator |
Provincial head of expanded programmes on immunization; Provincial director of lady health worker programme |
Notes: Upazila are the equivalent of subdistricts. Local terms for the health worker cadres are shown in italics.