Health services rendered through Accredited Social Health Activists to rural Uttar Pradesh, India: community’s perception

Authors

  • Santosh Kumar Department of Community and Family Medicine, All India institute of Medical Sciences, Rishikesh, Uttarakhand, India
  • Rajesh Garg Department of Community Medicine, M. M. Medical College, Kumarhatti, Solan, Himachal Pradesh, India
  • Haroon Ali Siddiqui Statistician, VCSGGMS&RI, Srinagar, Uttrakhand, India
  • Rupali Roy Deputy Assistant Director General, Dte GHS, MoHFW, Nirman Bhawan, Delhi, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20170736

Keywords:

ASHA, IMR, Institutional deliveries, MMR, Maternal and child health, NRHM, Primary health care

Abstract

Background: To reduce infant and maternal mortality in India, the Government of India (GOI), under its flagship program, National Rural Health Mission (NRHM), in 2005, introduced a new village based health functionary named Accredited Social Health Activist (ASHA) to act as a bridge between rural population and health care delivery system. To a large extent the actualization of the goals of NRHM depends on the functional efficacy of ASHA as a grass root health activist.

Methods: The Study was conducted in a Chiraigaon Block of District Varanasi, Uttar Pradesh., India from October 2008 to September 2009. A total of 270 beneficiaries comprising of mothers, who have delivered during the study period or within last six months since initiation of the study were enrolled and interviewed. Apart from that, 20 Multi Purpose Health Workers- Female (MPHW-F), 30 elected village Heads and five Medical officers were interviewed independently to know their opinions about work performance of ASHA.

Results: This study revealed that 80 % of beneficiaries availed Ante Natal Care (ANC) check up. A total of 97% of the beneficiaries had received 100 tablets of Iron Folic Acid (IFA), 72% of the beneficiaries were counseled for nutrition during pregnancy and the child immunization coverage was more than 80%.  About 75% of multi purpose Health Worker-Female (MPHW-F), 83 % of the village heads and 80% of the Medical Officers were of the opinion that the maternal and child health (MCH) services have improved after ASHAs introduction.

Conclusions: Overall, ASHA’s impact in the form of counseling on health services utilization by beneficiaries was observed to be statistically significant.  

Author Biographies

Santosh Kumar, Department of Community and Family Medicine, All India institute of Medical Sciences, Rishikesh, Uttarakhand, India

Department of Community and Family Medicine Veerbhadra marg
AIIMS Rishikesh

Rajesh Garg, Department of Community Medicine, M. M. Medical College, Kumarhatti, Solan, Himachal Pradesh, India

Associate professor department of community Medicine M.M Medical college Kumarhatti,solon (H.P)

References

Suryakanta AH. Health administration and organization, National Rural Health Mission. Community Medicine with Recent Advances. 3rd edition, Jaypee Brother Medical Publishers (P) LTD. New Delhi (India), 776-780.

Park, K. Health Programs in India, National Rural Health Mission. Textbook of Preventive and Social Medicine, 23rd edition, Banarsidas Bhanot publishers. Jabalpur (India). 2015: 449-450.

Garg PK, BhardwajA, Abhishek S, Ahluwalia SK. An evaluation of ASHA worker’s awareness and practice of their responsibilities in rural Haryana. National J Community Medicine. 2013;4 (1):76-80.

Srivastava SR, Srivastava PS. Evaluation of trained Accredited Social Health Activist (ASHA) Workers regarding their knowledge, attitude and practice about child health. Rural and Remote Health (online). 2012;12(4):2099.

Shashank KJ, Angadi MM, Masali KA, Wajantri P, Bhat S, Jose AP. A study to evaluate working profile of Accredited Social Health Activist (ASHA) and to assess their Knowledge about infant health care. International J Current Research and Review. 2013;5(12):97-103.

Mane AB, Khandekar SV. Strengthening Primary Health Care through Asha workers: A novel approach in India. Primary Health Care. 2014;4(1):149.

Joshi SR, Mathew G. Healthcare through Community Participation: Role of ASHAs. Economic & Political Weekly. 2012;10:70-6.

Malini S, Tripathi R, Khattar P, Nair K, Tekhre Y, Dhar N. Rapid appraisal of functioning of Janani Suraksha Yojana in South Orissa. Health and Population: Perspective and Issues. 2008;31(2):126-31.

Pal DK, Neelam A, Toppo, Tekhre Y, Das J, Bhattacharya V, Menon S. A rapid appraisal of Janani Sahyogi Yojana in the state of Madhya pradesh Health and Population: Perspective and Issues. 2008;31(2):85-93.

Shivali S, Mishra CP, et all. Maternal health care in rural Varanasi. Indian J Social and Preventive Medicine. 2012;43(1):56-61.

International Institutes for Population Sciences (IIPS). (2010). District Level Household and Facility survey (DLHS-3, 2007-08). Ministry of Health and Family Welfare. Government of India. IIPS, (Deemed University) Mumbai. Available from : http://www.rchiips.org/pdf/INDIA_REPORT_DLHS-3.pdf. ( as accessed on 14/05/2016).

Jain N, Srivastava N, Khan A, Dhar N, Adhis V, Menon S, et al. (2008) Assessment of functioning of ASHA under NRHM in Uttar Pradesh. Health and population: perspective and issues. 2008;31(2):132-40.

Vikram K, Sharma AK, Kannan AT. (2013). Beneficiary level factors influencing Janani Suraksha Yojana utilization in urban slum population of trans-Yamuna area of Delhi. Indian J Med Res. 2013;138(3):340-6.

Mohapatra B, Dutta U, Gupta S, Tiwari V, et al. 2008) An assessment of the functioning and impact of Janani Suraksha Yojana in Orisa. Health and Population: Perspective and Issues. 2008;31(2): 120-5.

Roy S, Sahu B. Can ASHA be the ray of hope for providing MCH services in Odisha, India? Exploring through a qualitative study. J Global Health Care Systems. 2013;3(2):01-14.

Uttekar B, Barge S, Khan W, Deshpande Y, Uttekar V, Sharma J, et al. Assessment of ASHA and Janani Suraksha Yojana in Rajasthan. (Sponsored by UNFPA, NEW DELHI). Center for Operational Research and Training(CORT), Vadodra (India), 2007;35-49.

Gupta S, Pal D, Tiwari R, Garg R et al. Impact of Janani Suraksha Yojana on Institutional Delivery Rate and Maternal Morbidity and Mortality: An Observational Study in India. J Health Popul Nutr. 2012;30(4):464-71. (PMCID: PMC3763618).

Prusty RK. Contraceptive Use and Unmet Need for Family Planning among Tribal Women in India and Selected Hilly States. J Health Popul Nutr. 2014;32(2):342-55.

Khan M, Hazara A, Bhatnagar I. Impact of Janani Suraksha Yojana on Selected Family Health Behaviors in Rural Uttar Pradesh. Journal of Family Welfare. 2010;56(Special Issue):9-22.

Swain S, Swain P, Nair K, Dhar N, et al. Rapid Appraisal of functioning of ASHA under NRHM in Orissa. Health and Population: Perspective and Issues. 2008;31(2):73-9.

Haider S, Vivekadhis S, Gupta S, Dhar N, Dutta U, et al. A Rapid Appraisal of Shaiya (ASHA) in Jharkhand. Health and Population: Perspective and Issues. 2008;31(2):80-4.

Bhatt H. Management of Development Projects, EPFL. A Rapid Appraisal of Functioning of ASHA under NRHM in Uttrakhand, India. 2012.

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Published

2017-02-22

How to Cite

Kumar, S., Garg, R., Siddiqui, H. A., & Roy, R. (2017). Health services rendered through Accredited Social Health Activists to rural Uttar Pradesh, India: community’s perception. International Journal Of Community Medicine And Public Health, 4(3), 662–669. https://doi.org/10.18203/2394-6040.ijcmph20170736

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Original Research Articles