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Table 3 Content challenges of middle-aged men in utilizing new health service

From: Challenges of middle-aged men in utilizing new health services from primary health care providers' perspective: a qualitative study

Category

Codes

Similar meanings

Staff

High workload

• Failure in following up the men’s health program due to the high workload of PHC workers

Lack of manpower in service centers

• Lack of manpower to follow up the men’s health program

Inadequate payment of salaries and welfare allowances

• Failure to pay employees’ salaries on time

• Failure to pay overtime and merit pay to private urban community health workers

• Employee dissatisfaction with support services

Lack of job stability in urban community health workers with a contract employment

• Lack of employment security in private urban community health workers

No path to promotion and career advancement

• Lack of a system for career advancement and promotion for private urban community health workers

• Differences in job specifications and payments of the staff in health division and those in treatment division

Disrespect to community health workers by their superiors

• Mistreatment, disrespect and threats of dismissal by officials

• Not appreciating the work of community health workers by their superiors

Humdrum of work routine and job burnout in experienced manpower

• Mismatch between the staff profession and the new needs and services

• Time consuming documentation in systems

Facilities

Inadequate and inappropriate physical space

• Lack of private physical space to provide services to middle-aged men

• Lack of appropriate physical space for education

Inadequate and inappropriate equipment

• Lack of cooling and heating equipment in CHSCs, HBs and HPs

• Weak support for CHSCs, HBs and HPs