Community Health Officer Post - Potential Concerns

Under Ayushman Bharat Health and Wellness Centre (HWC) initiative, a middle-level health provider post, named Community Health Officer (CHO), is envisioned to bridge the gap between the health system and community. This cadre has multiple roles and responsibilities that mirror what used to be done by the Auxiliary Nurse Midwife (ANM) at sub-center before conversion to HWC. Owing to educational and experience requirements of CHO, and existing other cadres at the sub-center, there may be some concerns related to role ambiguity, interpersonal issues, inter- and intra-cadre conflicts, and non-cooperation challenges.