An evaluation of skill and knowledge in delivery of reproductive and child health services by female health workers in Jamnagar District and corporation area, Gujarat state, India

Abstract

Background: Infant mortality rate and maternal mortality rate are key indicators of Health situation in India and also reflect the degree of achievement of Reproductive and Child Health (RCH) Program. Female health worker (FHW) is a grass-root worker and has key role to provide quality service and success of RCH Program. This study was designed to assess the skill and knowledge of FHW in delivery of RCH services. Materials and Methods: A cross-sectional study was conducted in the Jamnagar district during October 2008 to March 2009. All female health workers (FHWs) (n = 63) of 10 randomly selected Primary Health Center, one primary health care (PHC) from each Talukas and Corporation area, were selected and their skills and knowledge were assessed by observing and interviewing by the pretested oral questionnaire method. Results: Antenatal care achieve impressive coverage of more than 95% with regards to antenatal registration, tetanus toxoid to pregnant women, and iron-folic acid (IFA) tablet prescription to expectant mothers. Distressingly only half of the workers knew about Five Cleans and Resuscitation of new born child. Skills and knowledge regarding postnatal services and Family Planning services was variable among FHWs. Immunization service found to be good among all FHWs. Conclusion: Quality of services needs to be improved by train and re-train the workers on different aspects of the RCH program, so that their skills and knowledge can be utilized well. Support system of supervision and monitoring of activities of FHWs should be strengthened.