DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20194314

A study on evaluation of ASHAs for their knowledge, attitude and practice towards newborn care in Howrah district of West Bengal

Ujjwal Pattnayak, Samir Kumar Ray, Kishore P. Madhwani, Jitendra Kumar Singh

Abstract


Background: : Accredited Social Health Activist (ASHA) is a trained female community health activist. ASHAs are local women trained to act as facilitator and promoters of health care in their communities. ASHA is trained to work as an interface between the community and the public health system. ASHA play an important role in newborn care to reduce their morbidity and mortality.

Methods: Data were collected from ASHAs working in Shibbur area of Howrah District, west Bengal. The study sample consisted of 70 ASHAs working in the Shibpur area that fulfilled the inclusion criteria. A predesigned pretested questionnaire of ASHA was used to collect data in the study.

Results: The mean age of ASHAs was 35.74 years. Only 32 (45.71%) had received middle level (class VIII) education. Only 45.71 % of ASHAs had good knowledge and practice regarding hypothermia and its complication and the procedure of providing warmth the baby after delivery. Only 57.1% of ASHA had good knowledge regarding counseling and problem solving on breast feeding. Only 38.57% had good knowledge and practices on identification and basic skill on management of Low Birth Weight (LBW) having birth weight of <2.5kg and pre-term baby (<37 weeks of gestation).

Conclusions: In the present study, we found that Knowledge, Attitude and Practice of ASHAs were inadequate in some aspects of newborn care. This gap of knowledge should be taken seriously during training procedures so that effective knowledge and essential skill for newborn care can be imparted. During recruitment of ASHAs higher literally status should be given preferences.


Keywords


ASHAs, Evaluation, KAP, Newborn care

Full Text:

PDF

References


USAID. Maternal and Child Health – 2004. USAID Battles Neonatal Deaths in India. (Online) 2005. Available at: http://www.usaid.gov/our_work/glob al_health/home/News/ghachievements.html. Accessed March 23, 2019.

UNICEF (2018), Child mortality estimates, country global and regional specific estimates. 18th Sept.2018. Available at: https://data.unicef.org/topic/child-survival/child-mortality-aged-5-14/. Accessed March 23, 2019.

Govt. of India. Sample Registration System Statistical Report 2016. Office of Registrar General of India. Available at: http://www.censusindia.gov.in/vital_statistics/SRS_Reports__2016.html. Assessed March 23,2019.

Ministry of Health and Family Welfare Statistics Division, Rural Health Statistics, 2014-15. March 2017, DGHS, New Delhi. Available at: https://wcd.nic.in/sites/default/files/RHS_1.pdf, Assessed on Mmarch 23, 2019.

Ministry of Health and Family Welfare. Government of India. National Rural Health Mission. Guidelines on Accredited Social Health Activist. Available at: http:// www.mohfw.nic.in/NRHM/RCH/gui delines/ASHA_guidelines.pdf. Accessed March 23, 2019.

Guidelines for ASHA and Mahila Arogya Samity in the Urban Context. Ministry of Health and Family Welfare. Available at: http://cghealth.nic.in/ehealth/2016/NUHMDOC/guidelines-for-mas-and-uasha.pdf. Assessed March 23, 2019.

Saxena S, Singh AK, Maheshwari S, Gupta SB. Appraisal of knowledge of ASHA regarding child health services provided under NHM in Bhojipura block, District Bareilly. Int J Community Med Public Health. 2017;4:3705-11.

Kohli C, Kishore J, Sharma S, Nayak H. Awareness and Practices of Accredited Social Health Activist (ASHA) Workers about Child Health: A Cross Sectional Study Int J Preven Curat Comm Med. 2015;1(2):13-8.

Kansal S, Kumar S, Kumar A. Is educational level of ASHA matters for their effective functioning? A cross- sectional study in Eastern Uttar Pradesh. Indian J Community Health. 2012;24(1):41-4.

Paul D, Shanta, Krishnan G, Singh P. Functioning of Accredited Social Health Activists in ICDS: An Evaluation. Health and Population-Perspectives and Issues. 2013;36 (3and4):78-89.

Shashank KJ, Angadi MM, Masali KA, Wajantri P, Bhat S, Jose AP. Study to evaluate working profile of Accredited Social Health Activist (ASHA) and to assess their knowledge about infant health care. Int J Current Res Rev. 2013;05(12):97-103.

Mahyavanshi DK, Patel MG, Kartha G, Purani SK, Nagar SS. A cross sectional study of the knowledge, attitude and practice of ASHA workers regarding child health (under five years of age) in Surendranagar district. infection. 2011;72:55-38.

Shrivastava SR, Shrivastava PS. Evaluation of trained Accredited Social Health Activist (ASHA) workers regarding their knowledge, attitude and practices about child health. Rural Remote Health. 2012 Dec 3;12(4):1-7.

Uttekar BP, Barge S, Khan W, Deshpande Y, Uttekar V, Sharma J, Chakrawar B, Shahane S. Assessment of ASHA and Janani Suraksha Yojana in Rajasthan. Vadodara, Gujarat: Centre for Operations Research & Training. 2007 Apr. Available at: http://nihfw.org/pdf/RAHII%20Reports/Orissa/ORISSA.pdf (Accessed on 24 December 2011).

Lodhiya KK, Pithadiya RP, Damor DR, Unadkat VS, Yadav BS. A study on knowledge and skills of female health workers regarding maternal care under RCH programme. National J Community Med. 2013;3(1):35-9.

Thakre SS, Thakre SB, Thakre AD, Golawar SH, More SM, Humne AY. Effectiveness of the Training Course of ASHA on Infant Feeding Practices at a Rural Teaching Hospital: A Cross Sectional Study. J Clin Diagnos Res. 2012;6(6):1038-40.

Kohli C, Kishore J, Sharma S, Nayak H. Knowledge and practice of Accredited Social Health Activists for maternal healthcare delivery in Delhi. J Family Med Prim Care. 2015;4:359-63.