Abstract

Abstract                             Background : Maternal and Neonatal  mortality & morbidity are significant health problems in developing countries. Improving maternal and neonatal health care has been an essential element for achieving millennium developmental goals, by 2015.The National Rural Health Mission (NRHM) now NHM  seeks to provide effective health care to the entire rural population with special focus on 18 high focus state including Chhattisgarh.[1].In this study all study subject posted in tribal area are trained under NRHM. Objective : 1.  Pre training evaluation of knowledge and skill of paramedical                                   Workers about antenatal and intranatal care.                   2. To assess the impact of “Skill Birth Attendant” training on these PMW . Method : A cross sectional hospital based  study was conducted in medical college during  .“SKILL BIRTH ATTENDENT TRAINING” of Para Medical Worker(PMW).  The total 190 PMW were assessed for knowledge and skill, regarding antenatal and intranatal care . Data were analyzed using SPSS software and p value obtain by doing student t testResult : In this study  Maximum number of participant are ANM (67.8%)  and belongs to tribal area 153(79.6%), knowledge assessment of antenatal and intranatal care revealed that before training it was not satisfactory but their performance were improved after “SBA” training significantly (p=0.002&.000).Conclusion : The fact that, even the freshly trained PMW were found to be ill-equipped for this essential function which was indeed disturbing . We need to take a fresh look at their training. So on going continuous competency based in-service training program should compulsory for all level of paramedical worker. Â

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