ABSTRACT

Health care personnel (HCP) face violence as a result of lack of satisfaction and respect among community members. It is imperative for HCP to engage in social work by involving communities for enhancing satisfaction and respect for them. This study attempted to provide insight on this phenomenon by using a mixed-methods concurrent embedded approach. Communities were selected based on modified Solomon four-group design from Karachi in southern province and from three cities of northern province, Khyber Pakhtunkhwa of Pakistan. Focus group discussions and in-depth interviews took place for formulating the quantitative tool. Six hundred pretests were done prior to introducing low-cost community-based interventions followed by 601 posttests. We found increased levels of satisfaction in both provinces, whereas level of respect increased significantly in Karachi in the southern province only. Qualitative interviews revealed the important role played by media and religious leaders. These findings suggest that satisfaction and respect for HCP can be enhanced through community support, involvement of religious leaders, and effective media campaigns.

摘要

由于社区成员缺乏满足感和尊重，卫生保健人员 (HCP) 面临暴力侵害。HCP 必须通过让社区参与社会工作来提高他们的满意度和对他们的尊重。本研究试图通过使用混合方法并发嵌入式方法来深入了解这一现象。根据修改后的所罗门四组设计从南部省卡拉奇和北部省的三个城市巴基斯坦开伯尔-普赫图赫瓦选择社区。为制定量化工具进行了焦点小组讨论和深入访谈。在引入基于社区的低成本干预措施之前进行了 600 次预测试，随后进行了 601 次后测。我们发现这两个省份的满意度都有所提高，而只有南部省份卡拉奇的尊重程度显着提高。定性采访揭示了媒体和宗教领袖所发挥的重要作用。这些发现表明，通过社区支持、宗教领袖的参与和有效的媒体宣传，可以提高对 HCP 的满意度和尊重。