Abstract
Background: ASHA have been introduced to fill the void created by overburdening of work of anganwadi workers, who employed under the ICDS, are engaged in organizing supplementary programs. The key tasks for the next phase of the NRHM are to equip the ASHA with additional skills to enable an active role for her in not just Reproductive and Child Health but also to undertake action for prevention. Community level cares for Non-communicable Diseases should be encouraged. Methods: A cross sectional study was conducted in randomly selected two districts each from Indore and Ujjain divisions of the state of Madhya Pradesh. 100 ASHAs (Accredited Social Health Activists) and 50 ANMs (Auxiliary Nurse Midwife) were the study population. Data was collected with the help of semi structured questionnaire and Performa for skill evaluation. Results: Hand washing was performed by 93% participants, 67% were table to take proper temperature recording, 57% were able to weight newborns, 87% were able to apply eye ointment, 53% were able to cover the newborn with the blanket and 38% were able to keep the newborn in warm bag. Mean skill score of Indore and Ujjain Divisions came to be nearly equal and had no significant difference (Unpaired t test, p > 0.05). Conclusion: Quality of training had a positive effect on knowledge, skills and activities undertaken by ASHAs. The work done by ASHAs was mostly focused on incentives; they were giving priorities to activities with good incentives over other activities.
Highlights
In 2005 with the launch of the National Rural Health Mission, country committed itself to a vision of universal access to health, with a strong focus on community engagement to ensure people’s participation in health and to enable action on the social determinants of health
ASHA have been introduced to fill the void created by overburdening of work of anganwadi workers, who employed under the Integrated Child Development Services (ICDS), are engaged in organizing supplementary programs
Quality of training had a positive effect on knowledge, skills and activities undertaken by ASHAs
Summary
In 2005 with the launch of the National Rural Health Mission, country committed itself to a vision of universal access to health, with a strong focus on community engagement to ensure people’s participation in health and to enable action on the social determinants of health. The key instruments were the ASHA and the Village Health, Sanitation and Nutrition Committees. ASHA have been introduced to fill the void created by overburdening of work of anganwadi workers, who employed under the ICDS, are engaged in organizing supplementary programs. The key tasks for the phase of the NRHM are to equip the ASHA with additional skills to enable an active role for her in not just Reproductive and Child Health and to undertake action for prevention. The work done by ASHAs was mostly focused on incentives; they were giving priorities to activities with good incentives over other activities
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