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A Study on Knowledge and Practice of ASHA under NHM Programme of Allahabad District

KrishiKosh

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Title A Study on Knowledge and Practice of ASHA under NHM Programme of Allahabad District
 
Creator GUPTA, AMRITA
 
Contributor Gupta, Neena
 
Subject null
 
Description Ph. d thesis
ASHA program has created a groundswell for NRHM and the focus of NRHM was to develop strategies and implement activities with an aim to achieve Millennium Development Goals (MDGs). For example, in relation to maternal and child healthcare, the aim is to identify pregnant women at early stages of pregnancy and refer to nearest public health facility and follow-up through complete episode of delivery and immunization of newborn, infant and children. A strategy was developed to have community engagement activities through CHWs in the form of Accredited Social Health Activist (ASHA) and they are visible and audible presence among community which is leading more and more people amongst the community to seek health care. The ASHA as a volunteer is selected through a local community to take health services to the door step of the community. ASHA receives an incentive based on the activities she undertakes. The present study has been planned for ascertaining how efficient the ASHA is to play their defined roles effectively with the objectives. Objective: To find out knowledge of ASHA assisting all programme under NRHM and to determine the practices of ASHA in the community. Material and Methods: It was a cross - sectional study conducted during Oct 2013 to Feb 2015. The random sampling technique was adopted to select the district and block. The data was collected using interview schedule. All the ASHA of study villages (405) were selected as sample size. Results: Almost all the ASHAs are resident of local community. In general, selection of ASHAs appeared to be fair. As a majority of them belong to the
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younger age group, and enthusiastic. All the ASHAs have been given seven days induction training followed by four - four days periodic induction training for about a year. In general ASHAs are not satisfied and happy with the training. Their perception about their job responsibilities appeared to be incomplete and improper. Majority of them were not aware about their role in changing the behavior about infant feeding, family planning, routine immunization, hand washing and sanitation. They were also not very much aware about their role in birth registration. Most important motivational factor for the ASHAs is the financial gain and hope of being absorbed in government job. However in some areas ASHAs were not functioning properly. VHSC has not been established in many villages. All the ASHAs have been accepted very well in the community and are acting as a link between community and health providers. Most of the ASHAs preferred helping in delivery and immunization. These activities are also associated with financial incentives. Conclusion: The success of the ASHA programme is highly dependent on the individual ASHAs who are chosen to advocate for and provide knowledge about the importance of healthy practices and for that ASHAs are envisioned as change agents at the forefront of efforts to reduce maternal, neonatal and child mortality in India. It is evident that ASHAs lack the essential knowledge to perform their jobs to the best of their ability. Non-availability of proper transport facility mainly for pregnant mothers along with irregular supply and replenishment of medicinal kits were major problems faced by the ASHAs. Improvements in training, supervision and support for ASHAs are needed in order to maximize on the potential they represent.
 
Date 2017-11-13T09:39:16Z
2017-11-13T09:39:16Z
2017
 
Type Thesis
 
Identifier http://krishikosh.egranth.ac.in/handle/1/5810035522
 
Language en
 
Format application/pdf
 
Publisher SHALOM INSTITUTE OF HEALTH AND ALLIED SCIENCES SAM HIGGINBOTTOM UNIVERSITY OF AGRICULTURE, TECHNOLOGY & SCIENCES (FORMERLY ALLAHABAD AGRICULTURAL INSTITUTE) NAINI, ALLAHABAD-211007