Assessment of the services of ASHA workers on antenatal and postnatal care in a district of western Uttar Pradesh, India

Chaurasiya, Shailendra Kumar; Singh, Naresh Pal; Shukla, Sushil Kumar; Bajpai, Prashant Kumar; Mathew, Debora J

doi:10.4103/jfmpc.jfmpc_381_20

Cited by 3 publications

(2 citation statements)

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“… 38 However, research in several Indian states found ANC services provided by ASHA workers were not adequate. 39 In our study, women’s literacy and affiliation with SHGs was found to be positively associated with ANC attendance, likely through increased awareness, self-efficacy or perception of ANC as social norm. These findings have likely been influenced by the improvements in public facilities through the facility-based component of the programme over time.…”

Section: Discussionmentioning

confidence: 50%

“…Analyses of Indian Human Development Survey data showed that exposure to ASHA services was associated with a 17% and 5% increase in women attending 1 and 4+ ANC visits, respectively 38. However, research in several Indian states found ANC services provided by ASHA workers were not adequate 39. In our study, women’s literacy and affiliation with SHGs was found to be positively associated with ANC attendance, likely through increased awareness, self-efficacy or perception of ANC as social norm.…”

Section: Discussionmentioning

confidence: 99%

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From direct engagement to technical support: a programmatic evolution to improve large community health worker programs in Bihar, India

et al. 2021

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IntroductionIn 2011, through a multipartner Integrated Family Health Initiative (IFHI), CARE started supporting maternal and neonatal health (MNH) improvement goals in 8 of 38 districts in Bihar, India. The programme included a frontline health worker (FHW) component offering health advice through household visits and benefited from CARE’s direct engagement during IFHI, which then evolved into statewide Technical Support Unit (TSU) to the Government of Bihar in 2014.MethodsUsing eight rounds of state-representative household surveys with mothers of infants aged 0–2 months (N=73 093) linked with two facility assessments conducted during 2012–2017, we assessed changes in FHW visit coverage, intensity and quality between IFHI and TSU phases. Using logistic regression models, we ascertained associations between FHW outputs and three MNH core practices: ≥3 antenatal care check-ups (ANC3+), institutional delivery and early breastfeeding initiation.ResultsWomen’s receipt of 1+ FHW visits declined from 60.2% (IFHI phase) to 46.3% (TSU phase) in the eight IFHI districts, being below 40% statewide during the TSU phase. Despite a parallel decline in FHW visit quality measured as the number of health advice received, all three outcomes improved during the TSU versus IFHI phase in IFHI districts. We found significant positive associations between all three outcomes and receipt of 1+ FHW visits and programme phase (TSU vs IFHI) in the eight IFHI districts. During the TSU phase, receipt of 2+ FHW visits in the third trimester increased the odds of women receiving ANC3+ (adjusted OR (aOR)=1.21; 95% CI: 1.13 to 1.31), delivering in a facility (aOR=1.64; 95% CI: 1.51 to 1.77) and initiating breast feeding early (aOR=1.18; 95% CI: 1.05 to 1.18). Independent of the number and timing of FHW visits, we also found positive associations between women reporting higher than lower quality of FHW interactions and receiving outcome-specific advice and all three MNH outcomes.ConclusionImplementation of large community-based interventions under the technical support model should be continuously and strategically evaluated and adapted.

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Section: Discussionmentioning

confidence: 50%

Section: Discussionmentioning

confidence: 99%

From direct engagement to technical support: a programmatic evolution to improve large community health worker programs in Bihar, India

et al. 2021

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Trends and socioeconomic inequality of the burden of congenital abnormalities of the kidney and urinary tract among children and adolescents

He,

Liu,

Bagga

et al. 2024

Nephrology Dialysis Transplantation

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Background Although congenital abnormalities of the kidney and urinary tract (CAKUT) is the leading cause of childhood onset chronic kidney disease (CKD) and kidney failure, comprehensive information on the disease burden among children and adolescents globally is lacking. We aim to report the trends and socioeconomic inequality of CAKUT burden for people aged 0–24 years from 1990 to 2019· Methods We reported the prevalence, mortality and disability-adjusted life-years (DALYs) for CAKUT based on the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019, quantified the association of disease burden and socio-demographic index (SDI), calculated the slope index of inequality (SII) the relative index of inequality (RII) and concentration index. Results In 2019, the global prevalence, mortality, and DALYs of CAKUT among individuals aged 0–24 years were 167.11 (95%Confident Interval 166.97, 167.25), 0.30 (0.29, 0.30), and 32.22 (32.16, 32.29) per 100 000 population. The greatest prevalence, mortality and DALYs were recorded in the 0–4 year age group. The greatest mortality and DALYs were recorded in low SDI countries and territories. During 1990 to 2019, the prevalence, mortality and DALYs decreased globally, while in low and low-middle countries and territories the reduction was much less slower. India, Nigeria and Pakistan had the highest DALYs. Saudi Arabia and China exhibited a markedly decrease of CAKUT burden. Globally for every 0.1 increase in SDI, there was a 20.53% reduction in mortality, a 16.31% decrease in DALYs, but a 0.38% rise in prevalence. Conclusions Inequality for disease burden of varying SDI was increasing globally. Thus, specific preventive and health service measures are needed to reduce the global burden from CAKUT.

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Coverage of home-based newborn care and screening by ASHA community health workers: Findings from a household survey in Chhattisgarh state of India

Garg¹,

Dewangan²,

Krishnendu³

et al. 2022

Journal of Family Medicine and Primary Care

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Background and Objectives: Community health workers known as Accredited Social Health Activists (ASHAs) provide home visits for home-based newborn care (HBNC) in India. The objectives of the study were to assess coverage of HBNC, to assess current practices of newborn care by the care providers and to assess status of screening of sick newborns by ASHAs in rural Chhattisgarh. Methods: The study was a quantitative cross-sectional study. Multi-stage random sampling was applied to draw a representative sample from rural Chhattisgarh. The survey collected primary data of 1928 newborns by interviewing the caregivers. Descriptive statistical analysis using cross tabulations was performed. Confidence intervals at 95% were computed for key indicators. Results: ASHAs were present during 84.3% of the deliveries. 74.1% newborns received the designated six home visits from ASHAs whereas 3.6% newborns did not receive any visits. Coverage of different important messages ranged from 74% to 90%. Around 95% of newborns were screened by ASHAs for signs of sickness. ASHAs identified 12.9% of newborns as sick. Of the identified sick newborns, 48.1% were referred by ASHAs to health facilities, whereas 34.7% were treated directly by ASHAs by using amoxicillin. Early initiation of breastfeeding was reported for 85.4% of newborns and skin-to-skin contact was practiced for 63.6%. Conclusions: ASHAs were able to achieve an adequate coverage of HBNC in rural Chhattisgarh. Uptake of desired newborn care practices by caregivers was found. Identification of sick newborn was also adequate. Further research is recommended to identify factors facilitating the coverage under HBNC.

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Assessment of the services of ASHA workers on antenatal and postnatal care in a district of western Uttar Pradesh, India

Cited by 3 publications

References 11 publications

From direct engagement to technical support: a programmatic evolution to improve large community health worker programs in Bihar, India

From direct engagement to technical support: a programmatic evolution to improve large community health worker programs in Bihar, India

Trends and socioeconomic inequality of the burden of congenital abnormalities of the kidney and urinary tract among children and adolescents

Coverage of home-based newborn care and screening by ASHA community health workers: Findings from a household survey in Chhattisgarh state of India

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