Strengthening support mechanisms for Accredited Social Health Activists in order to improve home-based newborn care in Uttar Pradesh, India
نویسندگان
چکیده
Introduction Accredited Social Health Activists (ASHAs) are female frontline health workers that provide critical antenatal and postnatal support to mothers and newborns for over five million deliveries in Uttar Pradesh every year. Performance reviews of ASHAs showed that even after initial training, the quality and the numbers of home visits made by ASHA were inadequate. ASHAs lacked interpersonal communication and counseling skills to effectively negotiate behavior change for home-based newborn care. The health system lacked mechanisms for continued learning and periodic upgrading of their skills and knowledge. Posttraining, ASHAs were not being adequately supervised.
منابع مشابه
Emergency Referral Transport for Maternal Complication: Lessons from the Community Based Maternal Death Audits in Unnao District, Uttar Pradesh, India
Background An effective emergency referral transport system is the link between the home of the pregnant woman and a health facility providing basic or comprehensive emergency obstetric care. This study attempts to explore the role of emergency transport associated with maternal deaths in Unnao district, Uttar Pradesh (UP). Methods A descriptive study was carried out to assess the causes of a...
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Introduction The National Rural Health Mission (NRHM) was launched in 2005. One of the key components of the NRHM is the identification and training of Accredited Social Health Activists (ASHA) for each village in the country. They have undergone several rounds of training and received additional training like 10-day training on child survival in Uttar Pradesh state. Despite these training prog...
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Although India was removed from the list of polio endemic countries in January 2012, maintaining the focus on polio vaccination is critically important to prevent reintroduction of the virus. In 2009-2010, we conducted a study to assess the attitudes and practices of frontline health workers in India regarding polio immunization in Uttar Pradesh and Bihar. More than 95% of auxiliary nurse midwi...
متن کاملPerformance of accredited social health activists to provide home-based newborn care: a situational analysis.
OBJECTIVE To assess Accredited social health activists' (ASHAs) ability to recognize illness in infants aged less than 2 months. METHODS Investigators observed 25 ASHAs conducting 47 visits. RESULTS ASHA-investigator agreement on the need to further assess infants was intermediate (kappa 0.48, P<0.001). Using IMNCI's color codes, ASHAs misclassified 80% of infants. ASHAs did not follow home...
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