Abstract

When ASHAs were introduced in NRHM in 2005, their primary aim was to visit homes of newborns as the first program in UP operated through the ASHAs was the Comprehensive Child Survival Program in 2008. Since then, tracking of all deliveries and all the newborns are an integral part of the work of ASHAs in all the primary health care programs operated by the NHM in UP.
 The current study explores some of the crucial variables of the danger signs in newborns and their subsequent referrals by the ASHAs in four districts of UP. Through this profile, the knowledge of ASHAs on these danger signs and the action that they take after identification is detailed out. 
 The relevance of the study assumes significance as data on the details of targeted activities on high risk newborns done by ASHAs in comparison to their performance are usually not available in various studies.
 A total of four districts of Uttar Pradesh were selected purposively for the study and the data collection was conducted in the villages of the respective districts with the help of a pre-tested structured interview schedule with both close-ended and open-ended questions. In addition, in-depth interviews were also conducted amongst the ASHAs and a total 250 respondents had participated in the study.

Highlights

  • The current study focused on the role and performance of ASHAs (Accredited Social Health Activist) regarding tracking of danger signs by ASHAs

  • In UP, the delivery tracking and home visits to newborns by ASHAs started with the CCSP in 2008 operated through the National Rural Health Mission (NRHM) that is currently operational in 18 states of India

  • The third most important danger sign that the ASHAs across the four districts knew was that the child feels cold when touched

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Summary

Introduction

The current study focused on the role and performance of ASHAs (Accredited Social Health Activist) regarding tracking of danger signs by ASHAs. ASHAs are supposed to track all the deliveries of the pregnant women in their area, visit all the newborns in their area as a prioritized activity. ASHAs are supposed to track all the deliveries of the pregnant women in their area, visit all the newborns in their area as a prioritized activity These targets were developed by the Government of UP on the lines of HBNC guidelines provided by GOI. In UP, the delivery tracking and home visits to newborns by ASHAs started with the CCSP in 2008 operated through the National Rural Health Mission (NRHM) that is currently operational in 18 states of India. 73% of newborns were visited by ASHAs (Bajpai N, Dholakia R, 2011)

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