Eighth International Conference on Health, Wellness & Society

Abstract

In the health care system, shift work is considered essential and indispensable to ensure continuity of care. Occupational stress is also adversely related to quality of care due to loss of compassion for patients and increased incidences of errors and practice mistakes. The Department of Primary and Secondary Healthcare, has implemented an initiative for provision of round the clock basic obstetric and neonatal care (BEmONC) services through selected BHUs. These BHUs provide services 24/7 and HR for service provision must be present at all times. A qualitative study was done in one of the pilot district of this intervention. In-depth interview were conducted and thematic content analysis was used to analyze data. it was found that LHVs were concerned regarding their security while working in the BHUs at night. They had to travel alone at times to reach health facilities, as finding transport was also an issue. Those working in evening shifts complained that their family life was considerably affected. Maintaining balance between home and work proves to be a difficult task. There was also an issue of workload during the night, since more deliveries were conducted during the night. Personal health and well-being of the workers was also affected during shift work. Sleep issues, mood swings, fatigue, anxiety and depression were common factors that were quoted by the employees. Appropriate measures should be taken to pay increasing attention to changed working hours and shift systems, including more flexible shiftwork systems, as well as to supporting effective occupational coping activities.