Problems faced by ASHA workers for malarial services under NVBDCP: a cross sectional study

Gohel, Aniruddha; Naresh, Makwana; Rathod, Mittal; Sarkar, Amrita; Parmar, Dipesh

doi:10.18203/2320-6012.ijrms20151252

Cited by 3 publications

(4 citation statements)

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“…20 A study carried out in Uttar Pradesh revealed that ASHAs cover more population that their estimated population and motivation, incentive and stress level has association with their performance level. 12 The present study also found that 27.3% had population above 1000 and there was a positive association of performance with incentives and difficulty in motivation.…”

Section: Work Environment Factors Influencing the Performance Of Ashassupporting

confidence: 77%

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Factors influencing the performance of accredited social health activists in district Sirmour, Himachal Pradesh

Debbarma

Kaur

2021

Int J Community Med Public Health

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Background: Accredited Social Health Activist (ASHAs) is a female community health worker who provides care at grass-root level to her community people. The current study was conducted to assess the factors influencing the performance of ASHAs in district Sirmour, Himachal Pradesh with the objectives to assess the level of performance of ASHAs, to assess the individual factors influencing the performance of ASHAs and to assess the work environment factors influencing the performance of ASHAs.Methods: The researchers used non-experimental exploratory design and 228 ASHAs were selected from different blocks of district Sirmour through multistage sampling technique. Data was collected through structured interview and the tool used was structured interview schedule.Results: The study revealed that 61.4% ASHAs had average performance and 38.60% had good performance. The individual factors influencing the performance of ASHAs were family support, good relationship with family members, job satisfaction, increase in dignity etc. Work environment factors influencing the performance were supervisor’s guidance and support, in-service education, performance evaluation, flexibility in working hours, unavailability of resources, unequal work distribution, distance and transport, weather etc. Other factors influencing the performance were also explored through this study such as lack of safety, inadequate provision of incentives, irregular availability of resources and difficulty in motivating people.Conclusions: This study concluded that the level of performance was influenced by individual, work environment factors and many other factors. Hence, the study recommended that initiatives should be taken at administrative levels to improve the performance of ASHAs and the factors creating issues in their performance should be solved out.

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Section: Work Environment Factors Influencing the Performance Of Ashassupporting

confidence: 77%

“…37.93% ASHAs were having secondary education. 12 Another study done by Choudhury et al also found that 34.02% ASHAs had secondary education. 13 In the existing study, 91% of ASHAs were married and the study done by Das et al also found that 94% of ASHA workers were married.…”

Section: Demographic Profile Of Ashasmentioning

confidence: 93%

Factors influencing the performance of accredited social health activists in district Sirmour, Himachal Pradesh

Debbarma

Kaur

2021

Int J Community Med Public Health

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“…Malaria control efforts in Odisha were intensified from 2008 onwards, with scaling up coverage of interventions together with active programme management, strong administrative and political commitment as well as substantial state-level financial support. In addition, in 2010 the network of malaria services expanded dramatically with the involvement of village-level female health volunteers, the Accredited Social Health Activists (ASHAs), in the provision of EDCT in malaria endemic areas [4]. Previously, the lowest level of health services was the sub-centre, covering a population of 5,000 people, run by male or female multipurpose health workers.…”

Section: Introductionmentioning

confidence: 99%

Improved access to early diagnosis and complete treatment of malaria in Odisha, India

Pradhan

Dutta

et al. 2019

PLoS ONE

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BackgroundIn 2013, the Comprehensive Case Management Programme (CCMP) was initiated to assess the impact of universal access to diagnosis and treatment and improved surveillance on malaria transmission in different settings in Odisha state, India.MethodsPairs of intervention and control sub-districts (blocks), matched on malaria incidence were selected in four districts with different transmission intensities. CCMP activities included training and supervision, ensuring no stock-outs of malaria tests and drugs, analysing verified surveillance data, stratifying areas based on risk factors, and appointing alternative providers to underserved areas. Composite risk scores were calculated for each sub-centre using principal component analysis. Post−pre changes (2013–2015 versus 2011–2012) for annual blood examination rates (ABER) and annual parasite incidence (API) across intervention and control groups were assessed using difference-in-difference (DID) estimates, adjusted for malaria transmission risk.ResultsIn the intervention sub-centres, the mean increase in ABER was 6.41 tests/sub-centre (95%CI 4.69, 8.14; p<0.01) and in API was 9.2 cases diagnosed/sub-centre (95%CI 5.18, 13.21; p<0.01). The control sub-centres reported lower increases in ABER (2.84 [95%CI 0.35, 5.34]; p<0.05) and API (3.68 [95%CI 0.45, 6.90]; p<0.05). The control-adjusted post–pre changes in API showed that 5.52 more cases (95%CI 0.34, 10.70; p<0.05) were diagnosed, and a 3.6 more cases (95%CI 0.58, 6.56; p<0.05) were tested per sub-centre in the intervention versus control areas. Larger differences in post–pre changes in API between intervention and control sub-centres were registered in the higher transmission-risk areas compared with the lower risk areas. All the changes were statistically significant.ConclusionsIntensive intervention activities targeted at improved access to malaria diagnosis and treatment produced a substantial increase in blood examination and case notification, especially in inaccessible, hard-to-reach pockets. CCMP provides insights into how to achieve universal coverage of malaria services through a routine, state-run programme.

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“…In various national programs, ASHAs have been well utilized in spreading awareness about diseases like malaria, cancer, diabetes, and hypertension apart from the MCH activities. [ 14 15 ] In a majority of training programs for ASHAs, the knowledge scores were found to increase significantly after training compared to the pre-training scores. [ 16 17 ] It was also noticed that knowledge depleted with time.…”

Section: Discussionmentioning

confidence: 99%

A study to assess the knowledge and skills of Accredited Social Health Activists and its retention after training in community-based primary eye care

Shukla

Vashist

Senjam

et al. 2021

Indian Journal of Ophthalmology

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Purpose: Community volunteers like Accredited Social Health Activists (ASHAs) could be utilized for linking community and eye care services. Research is needed to effectively utilize them. This study was to assess whether ASHAs could imbibe new knowledge in eye care and conduct vision screening. Methods: Settings and Design: A pre-post-intervention study in South Delhi Integrated Vision Centres. It was conducted from January 2016 to March 2017. One day of conceptual training followed by hands-on training in vision screening was imparted to ASHAs. The knowledge was assessed thrice: before, immediately after, and following 1 year after training. The vision screening skill was assessed twice. Descriptive analysis using percentages, mean and standard deviations. Paired t -test was used for assessing the change in scores. Results: A total of 102 ASHAs were recruited. A significant increase in the knowledge score of ASHAs before (14.96) and after training (25.38) ( P < 0.001) was noted. The knowledge score was sustained at 1 year (21.75). The satisfactory skill of vision screening was seen in 88 (86.3%) ASHAs after training, while 79 (77.5%) ASHAs still retained it after 1 year. Conclusion: The potential to involve ASHAs in community-based frontline eye care activities: awareness generation of eye diseases, identification of referrable conditions, and facilitating individuals to seek eye care facilities. This study informs about the duration, frequency, and content of the training. It also provides evidence on the improvement and sustainability of eye care knowledge and skills by ASHAs after conceptual and hands-on training.

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Problems faced by ASHA workers for malarial services under NVBDCP: a cross sectional study

Cited by 3 publications

References 0 publications

Factors influencing the performance of accredited social health activists in district Sirmour, Himachal Pradesh

Factors influencing the performance of accredited social health activists in district Sirmour, Himachal Pradesh

Improved access to early diagnosis and complete treatment of malaria in Odisha, India

A study to assess the knowledge and skills of Accredited Social Health Activists and its retention after training in community-based primary eye care

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