DOI: 10.4103/jin.jin_72_26 ISSN: 2666-9854

Job satisfaction among community health officers in Odisha and their perceived facilitators and barriers to implementing comprehensive primary health care: An explanatory sequential mixed-methods study

Sasmita Kumari Padhi, Amaresh Prusty
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Objective:

The objective of the study was to assess the level of job satisfaction among Community Health Officers (CHOs) working at Ayushman Arogya Mandirs in Ganjam district, Odisha and to explore the perceived facilitators and barriers influencing the implementation of comprehensive primary health care (CPHC).

Materials and Methods:

An explanatory sequential mixed-methods study was conducted from October 2023 to September 2024. In the quantitative phase, 154 CHOs were recruited through purposive sampling and completed a validated Job Satisfaction Opinionnaire. Descriptive and nonparametric inferential statistics were used for analysis. Subsequently, 14 CHOs participated in face-to-face in-depth interviews using a semi-structured interview guide. Qualitative data were analyzed using Braun and Clarke’s reflexive thematic analysis.

Results:

The mean job satisfaction score was 133.53 ± 2.28. Job satisfaction was significantly associated with current living arrangement ( P = 0.037), preparatory CHO training ( P = 0.005), and past professional nursing experience ( P = 0.050). Domain-wise analysis identified the highest satisfaction in professional role and workplace environment, whereas career growth and workload received the lowest scores. Qualitative analysis generated 13 themes across personal, institutional, and community domains. Intrinsic motivation, teamwork, training, and community recognition emerged as key facilitators, while excessive workload, documentation burden, inadequate incentives, limited career progression, work-life imbalance, and sociocultural challenges were identified as major barriers.

Conclusion:

CHOs demonstrated a moderate level of job satisfaction. Addressing organizational and community-level barriers through supportive policies, career advancement opportunities, improved workplace conditions, and strengthened community engagement may enhance job satisfaction and facilitate effective implementation of CPHC.

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