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The Invisible Work of Maintenance in Community Health: Challenges and Opportunities for Digital Health to Support Frontline Health Workers in Karnataka, South India
journal contribution
posted on 2021-03-12, 16:34 authored by Nervo Verdezoto, Naveen Bagalkot, Syeda Zainab Akbar, Swati Sharma, Nicola Mackintosh, Paula Griffiths, Padmini Ray Murray, Deidre HarringtonFrontline health workers are the first and often the only access point to basic health care services in low-andmiddle
income countries. However, the work and the issues frontline health workers face are often invisible to
the healthcare system, with limited resources to assist them. This study explores the work practices, challenges
and roles of frontline health workers in community health with particular focus on pregnancy care in South
India. Drawing on the notion of maintenance and articulation work, we describe the maintenance work of
frontline health workers maintaining, anticipating, reconciling, and supporting care infrastructures beyond
data collection practices. Our findings highlight how socio-cultural practices, perceptions, status, and existing
systems influence maintenance work practices. Based on our findings, we suggest moving beyond the focus on
training and performance to design CSCW tools to support the maintenance work of frontline health workers
as ‘system-builders’ to make healthcare infrastructures work in community health.
History
Citation
Proc. ACM Hum.-Comput. Interact. 5, CSCW1, Article 91 (April 2021), 30 pages. https://doi.org/10.1145/3449165Author affiliation
SAPPHIRE Group, Department of Health SciencesVersion
- AM (Accepted Manuscript)
Published in
Proceedings of the ACM on Human-Computer Interaction, CSCW1Publisher
Association for Computing Machinery (ACM)eissn
2573-0142Acceptance date
2021-01-29Copyright date
2021Publisher DOI
Language
enPublisher version
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